Approximately six years after the cyclooxygenase-2 (COX-2) inhibitorswere approved for use in the United States, the results of threerandomized, placebo-controlled trials provide new evidence aboutthe cardiovascular risks of rofecoxib, celecoxib, and valdecoxib.1,2,3The Adenomatous Polyp Prevention on Vioxx (APPROVe) trial, astudy of patients with a history of colorectal adenomas, wasstopped early because rofecoxib doubled the risk of major cardiovascularevents (relative risk, 1.92; 95 percent confidence interval,1.19 to 3.11). These findings confirmed the increased risk ofmyocardial infarction previously seen in the Vioxx GastrointestinalOutcomes Research (VIGOR) trial4 and some observational studies.5The public . . . [Full Text of this Article]
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From the Cardiovascular Health Research Unit, Departments of Medicine, Epidemiology, and Health Services, University of Washington, Seattle (B.M.P.); and the Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, N.C. (C.D.F.).
This article was published at www.nejm.org on February 15, 2005.
Related Letters:
Cardiovascular Risk Associated with Celecoxib
Brophy J. M., Solomon S. D., Wittes J., McMurray J., the APC Study Cardiovascular Safety Committee and Investigators , Psaty B. M., Furberg C. D.
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