Ankylosing Spondylitis
Conditions
Keywords
Ankylosing Spondylitis
Brief summary
This study is a population-based cohort of patients with ankylosing spondylitis (AS) from general medical practices in the UK, France, and Germany with a nested case control component to assess associations between drug exposures of interest and clinical outcomes relevant to patients using cyclooxygenase-2 (COX-2) inhibitors / nonsteroidal anti-inflammatory drugs (NSAIDS). The main objective of the study is to describe in European participants with AS: 1) the use of etoricoxib 2) characteristics of those who use etoricoxib. 3) the safety profile of etoricoxib and other anti-inflammatory therapies with respect to specific clinical outcomes of interest relative to non-use of these medications and relative to each other.
Interventions
Cox-2 inhibitor
Cox-2 inhibitor
Non-selective NSAID
No anti-inflammatory prescription
Sponsors
Study design
Eligibility
Inclusion criteria
* A recorded Ankylosing Spondylitis diagnosis in the database * A recorded AS diagnosis following the applicable acceptable data quality date for the database that contains the patient's records * At least 6 months of registered medical records in the database after the applicable acceptable data quality date as described above, and prior to the recorded AS diagnosis * Complete information on gender and birth year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence rate of gastrointestinal ulcer, perforation or bleeding | First incident event for a given patient through 31-December-2017 |
| Incidence rate of fatal or non-fatal acute myocardial infarction or unstable angina pectoris | First incident event for a given patient through 31-December-2017 |
| Incidence rate of fatal or non-fatal ischemic stroke, or transient ischemic attack | First incident event for a given patient through 31-December-2017 |
| Incidence rate of fatal or non-fatal hemorrhagic stroke | First incident event for a given patient through 31-December-2017 |
| Incidence rate of deep venous thrombosis, pulmonary embolism, or peripheral arterial embolism or thrombosis | First incident event for a given patient through 31-December-2017 |
| Incidence rate of acute renal impairment or failure | First incident event for a given patient through 31-December-2017 |
| Incidence rate of hypertension | First incident event for a given patient through 31-December-2017 |
| Incidence rate of congestive heart failure or left ventricular dysfunction | First incident event for a given patient through 31-December-2017 |
| Incidence rate of sudden or unexplained death | First incident event for a given patient through 31-December-2017 |