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DRUG CLASS:

COX2 inhibitor

22h
Trial completion
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Dynastat (parecoxib)
5d
New P4 trial
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IL6 (Interleukin 6)
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Dynastat (parecoxib) • Sufenta (sufentanil)
9d
Celecoxib for ENT Pain Management (clinicaltrials.gov)
P2, N=84, Recruiting, University of Wisconsin, Madison | Not yet recruiting --> Recruiting
Enrollment open
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celecoxib oral
11d
Cytobiological Alterations Induced by Celecoxib as an Anticancer Agent for Breast and Metastatic Breast Cancer. (PubMed, Adv Pharm Bull)
These mechanisms collectively hinder tumor growth, immune evasion, and metastatic spread. By synthesizing recent findings and analyzing the impact of celecoxib on these pathways, this paper seeks to delineate the integrated approaches necessary for managing metastatic breast cancer effectively.
Review • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HR positive • HR positive + HER-2 positive
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celecoxib oral
11d
New P4 trial • Surgery
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celecoxib oral
17d
Effect of Celecoxib on Postoperative Analgesia and Disease Severity in AERD Patients with CRS (clinicaltrials.gov)
P4, N=44, Active, not recruiting, Lawson Health Research Institute | Recruiting --> Active, not recruiting | Trial completion date: Apr 2025 --> Jul 2026 | Trial primary completion date: Feb 2025 --> Feb 2026
Enrollment closed • Trial completion date • Trial primary completion date
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aspirin • celecoxib oral
30d
The Efficacy and Safety of Iguratimod (IGU) in the Treatment of Primary Sjögren's Syndrome (clinicaltrials.gov)
P4, N=78, Recruiting, Second Affiliated Hospital, School of Medicine, Zhejiang University | Trial completion date: Jul 2023 --> Jul 2025 | Trial primary completion date: Dec 2022 --> Dec 2024
Trial completion date • Trial primary completion date
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hydroxychloroquine
1m
The methionine cycle and its cancer implications. (PubMed, Oncogene)
Accordingly, Celecoxib, a specific NR4A2 inhibitor, is a potentially powerful inhibitor of tumor growth at least in this specific model. Additionally, formaldehyde, from endogenous or exogenous sources, can directly regulate both SAM steady-state-levels and the one-carbon metabolism, with relevant implication in cancer progression. These recent scientific advancements have provided a deeper understanding of the molecular mechanisms involved in cancer development, and its potential therapeutic regulation.
Review • Journal
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TP53 (Tumor protein P53) • NR4A2 (Nuclear Receptor Subfamily 4 Group A Member 2)
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celecoxib oral
1m
Asiatic acid impedes NSCLC progression by inhibiting COX-2 and modulating PI3K signaling. (PubMed, FEBS Lett)
It also shows negative osmotic fragility on healthy human erythrocytes. It is concluded that AA may be a viable therapeutic drug for non-small cell lung cancer treatment, which opens new opportunities for synthesizing analogues.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
1m
Mitigation of radiation-induced jejunum injuries in rats through modulation of the p53-miR34a axis using etoricoxib-loaded nanostructured lipid carriers. (PubMed, Sci Rep)
A histopathological examination confirmed that Et-NLC treatments had attenuated radiation damage, which had improved vascularization and reduced inflammation. The findings show that Et-NLC is more effective than Et-alone at reducing damage to the jejunum caused by radiation by controlling inflammation, oxidative stress, and apoptotic activity.
Preclinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • MIR34A (MicroRNA 34a-5p) • PTGS2 (Prostaglandin-Endoperoxide Synthase 2)
1m
Leptin as a surrogate immune-metabolic marker to predict impact of anti-cachectic therapy: results of a prospective randomized trial in multiple solid tumors. (PubMed, ESMO Open)
Leptin is a reliable predictive marker for multitargeted anti-cachectic treatment outcomes. Thus, it can be an ideal candidate for monitoring and predicting the effects of anti-cachectic treatment and a surrogate marker of the immune-metabolic actions of the selected drugs.
Journal
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LEP (Leptin)
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megestrol • celecoxib oral
1m
PRECISE: Efficacy and Safety of Parecoxib vs. Indomethacin in Preventing Post-ERCP Pancreatitis (clinicaltrials.gov)
P2, N=100, Not yet recruiting, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
New P2 trial
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Dynastat (parecoxib)
2ms
Sulindac (K-80003) with nab-paclitaxel and gemcitabine overcomes drug-resistant pancreatic cancer. (PubMed, Mol Cancer)
Consequently, this process results in the pathological activation of the PI3K/Akt pathway. In summary, our study provides a new treatment strategy and novel biological target for patients with drug-resistant pancreatic cancer.
Journal
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CTSL (Cathepsin L)
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gemcitabine • albumin-bound paclitaxel
2ms
Exploring potential biomarkers and lead molecules in gastric cancer by network biology, drug repurposing and virtual screening strategies. (PubMed, Mol Divers)
Drug repurposing on 626 FDA-approved drugs for digestive system-related cancers revealed Norgestimate and Nimesulide as likely top candidates for gastric cancer, validated by molecular docking and dynamics simulations...These findings support the therapeutic potential of targeting beta-actin protein in gastric cancer treatment, suggesting a future for further experimental validation and clinical translation. In conclusion, this study highlights the potential of repurposable drugs and virtual screening which can be used in combination with existing anti-gastric cancer drugs for gastric cancer therapy, emphasizing the role of computational methodologies in drug discovery.
Journal • IO biomarker
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TP53 (Tumor protein P53) • BCL2 (B-cell CLL/lymphoma 2) • CTNNB1 (Catenin (cadherin-associated protein), beta 1)
2ms
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • TLR4 (Toll Like Receptor 4) • BDNF (Brain Derived Neurotrophic Factor)
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celecoxib oral
2ms
Effects and Mechanisms of Celecoxib on Intracerebral Hemorrhage (clinicaltrials.gov)
P2, N=60, Recruiting, National Taiwan University Hospital | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Jul 2025 --> Jul 2027
Trial completion date • Trial primary completion date
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celecoxib oral
2ms
New trial
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha)
2ms
Identification of pathogenic genes and randomized controlled drug study for primary hypertrophic osteoarthropathy (ChiCTR2400088281)
P4, N=70, Not yet recruiting, Shanghai Sixth People's Hospital; Shanghai Sixth People's Hospital
New P4 trial
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PTGR1 (Prostaglandin Reductase 1) • AKR1C1 (Aldo-Keto Reductase Family 1 Member C1) • PTGS1 (Prostaglandin-Endoperoxide Synthase 1)
2ms
New P4 trial
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Dynastat (parecoxib)
2ms
Parecoxib Enhances Resveratrol against Human Colorectal Cancer Cells through Akt and TXNDC5 Inhibition and MAPK Regulation. (PubMed, Nutrients)
This study presents evidence that parecoxib enhances the anti-cancer power of resveratrol in DLD-1 colorectal cancer cells via the inhibition of TXNDC5 and Akt signaling and enhancement of JNK/p38 MAPK pathways. Parecoxib may be provided as an efficient drug to sensitize colorectal cancer by resveratrol.
Journal
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TXN (Thioredoxin) • MAPK8 (Mitogen-activated protein kinase 8)
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Dynastat (parecoxib)
2ms
The joint protective function of live- and dead-Lactobacillus plantarum GKD7 on anterior cruciate ligament transection induces osteoarthritis. (PubMed, Aging (Albany NY))
Accordingly, our findings imply that the treatment of both GKD7-L and GKD7-D has chondroprotective and analgesic effects on the OA rat model, and that celecoxib and GKD7-L at dosages (100 mg/kg) have comparable therapeutic benefits. As a result, we propose that both GKD7-L and GKD7-D are helpful supplements for OA management.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • ACAN (Aggrecan) • MMP3 (Matrix metallopeptidase 3)
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celecoxib oral
2ms
Individualizing Anti-Inflammatory Medications for Adults With Axial Spondyloarthritis: A Series of N-of 1 Trials (clinicaltrials.gov)
P2, N=42, Terminated, The University of Texas Health Science Center, Houston | Completed --> Terminated; lack of recruitment
Trial termination
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celecoxib oral
2ms
ER-associated degradation ligase HRD1 links ER stress to DNA damage repair by modulating the activity of DNA-PKcs. (PubMed, Proc Natl Acad Sci U S A)
Both in vitro and in vivo cancer models showed that genetic or pharmacological inhibition of HADC1 or DNA-PKcs sensitizes colon cancer cells to ER stress inducers, including the Food and Drug Administration-approved drug celecoxib. The antitumor effects of the combined approach were also observed in patient-derived xenograft models. These findings identify a mechanistic link between ER stress (ERAD) in the cytoplasm and DNA damage (NHEJ) pathways in the nucleus, indicating that combined anticancer strategies may be developed that induce severe ER stress while simultaneously inhibiting KU70/KU80/DNA-PKcs-mediated NHEJ signaling.
Journal
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HDAC1 (Histone Deacetylase 1)
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celecoxib oral
2ms
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1)
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sildenafil • celecoxib oral
2ms
INSPIRE: INflammatory MediatorS in the PathophysIology of Diabetic REtinopathy Study (clinicaltrials.gov)
P1, N=164, Active, not recruiting, Stephen J. Kim, MD | N=264 --> 164
Enrollment change
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VEGFA (Vascular endothelial growth factor A) • IL6 (Interleukin 6) • CXCL8 (Chemokine (C-X-C motif) ligand 8)
2ms
Immune-mediated impairment of tonic immobility defensive behavior in an experimental model of colonic inflammation. (PubMed, Pflugers Arch)
Dexamethasone, infliximab, and parecoxib treatments increased the duration of TI episodes, suggesting a modulatory role of peripheral inflammatory mediators in this behavior. In contrast, IL-10 neutralization further reduced the duration of TI episodes. Our results reveal that peripherally produced inflammatory mediators during colitis may modulate neuronal functioning in mesencephalic structures such as vlPAG.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • IL10 (Interleukin 10) • IL1B (Interleukin 1, beta) • FOS (Fos Proto-Oncogene AP-1 Transcription Factor Subunit 2)
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dexamethasone • Dynastat (parecoxib)
2ms
Prepartum anti-inflammatory therapies in Holstein dairy cows blocked by parity and body condition score group: Effects on metabolic stress, systemic inflammation, performance, and health. (PubMed, J Dairy Sci)
At 14 d before the expected calving date, cows (PAR; n = 170) and heifers (nulliparous [NUL]; n = 63) were blocked by BCS group (optimal = 3-3.5 [OPT]; over-conditioned cows [OVERC; BCS ≥ 3.75 pts.]) and parity (NUL; PAR) and randomly allocated to one of 3 treatment groups: 1) ASA (n = 78): receive one oral administration of acetylsalicylic acid (4 boluses; 480 grain/bolus); 2) MEL (n = 76): receive one oral administration with meloxicam (1mg/kg of BW), or 3) PLC (n = 77): receive one oral treatment with gelatin capsules filled with water. Although the study was not sized for finding treatment differences in blocking criteria groups, these results suggest that treatment with prepartum anti-inflammatory therapies may have positive effects on milk yield and postpartum health in specific groups of cows, such as NUL and OVERC cows, while it may not be recommended for other animal categories, such as parous cows and cows with optimal BCS. Larger studies are needed to strengthen the associations observed in this study.
Journal
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OverC™
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aspirin
2ms
Mitochondrial-derived signaling mediates differentiation of parietal epithelial cells into podocytes. (PubMed, Antioxid Redox Signal)
It concluded that mitochondria-derived ROS mediated differentiation of PECs into podocytes via Nrf2 and Brg1 signaling.
Journal
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SMARCA4 (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily A, member 4) • WT1 (WT1 Transcription Factor) • CLDN1 (Claudin 1) • FOXC1 (Forkhead Box C1)
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doxorubicin hydrochloride
3ms
Sulindac exhibits anti-proliferative and anti-invasive effects in uterine serous carcinoma cells. (PubMed, J Cancer Res Clin Oncol)
Sulindac is a potential therapeutic agent for USC that deserves further exploration in pre-clinical studies and potentially future clinical trials.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • AURKA (Aurora kinase A) • CASP3 (Caspase 3) • PTGS2 (Prostaglandin-Endoperoxide Synthase 2)
3ms
PARISAH: Evaluation of the Safety and Efficacy of Parecoxib in Patients With Subarachnoid Hemorrhage (clinicaltrials.gov)
P2, N=112, Not yet recruiting, St. Anne's University Hospital Brno, Czech Republic
New P2 trial
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Dynastat (parecoxib)
3ms
Multitargeted molecular docking and dynamics simulation studies of 1,3,4-thiadiazoles synthesised from (R)-carvone against specific tumour protein markers: An In-silico study of two diastereoisomers. (PubMed, Comput Biol Chem)
However, the binding strength of 6c was found to be less than that of the standard drug, doxorubicin, as it formed lower conventional hydrogen bonds...However, the binding potential 3a was much lower than that of the standard COX-2 inhibitor, celecoxib...The DFT study showed that 3a had higher chemical stability than 6c. The electron exchange capacity, chemical stability, and molecular orbital distributions of the stereoisomers of the active compounds were also found to be alike.
Journal
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CASP3 (Caspase 3)
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doxorubicin hydrochloride • celecoxib oral
3ms
Investigating the impact of the inflammatory immune microenvironment and steroids or COX-2 inhibitors usage on immunotherapy in advanced esophageal squamous cell carcinoma (ESCC): a propensity score matched analysis. (PubMed, Clin Transl Oncol)
Lower levels of NLR and CRP/ALB prior to treatment were linked to better effectiveness and OS in immunotherapy for advanced ESCC. The study did not identify a significant relationship between OS in patients with esophageal cancer and the use of either steroids or COX-2 inhibitors.
Journal • IO biomarker • Metastases
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CRP (C-reactive protein)
3ms
Approach to Ankle Sprains in the Emergency Department (clinicaltrials.gov)
P4, N=150, Completed, Ankara Etlik City Hospital
New P4 trial
3ms
The dual role of CCND1 in heterotopic ossification: A Non-canonical Pathway for Celecoxib treatment. (PubMed, Heliyon)
In the process of treating heterotopic ossification with Celecoxib, immune and inflammatory signaling pathways play a significant role. The therapeutic effect of Celecoxib on heterotopic ossification depends on the hub gene CCND1, which plays different roles at different stages of the progression of heterotopic ossification, ultimately inhibiting the occurrence of heterotopic ossification.
Journal
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CCND1 (Cyclin D1) • IL6 (Interleukin 6) • CDH1 (Cadherin 1) • PTGS2 (Prostaglandin-Endoperoxide Synthase 2) • IGFBP3 (Insulin-like growth factor binding protein 3) • PACERR (PTGS2 Antisense NFKB1 Complex-Mediated Expression Regulator RNA)
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celecoxib oral
3ms
New pyrazole-pyridazine hybrids as selective COX-2 inhibitors: design, synthesis, molecular docking, in silico studies and investigation of their anti-inflammatory potential by evaluation of TNF-α, IL-6, PGE-2 and NO in LPS-induced RAW264.7 macrophages. (PubMed, RSC Med Chem)
Trimethoxy derivatives 5f and 6f were the most active candidates, demonstrating higher COX-2 inhibitory action than celecoxib, with IC50 values of 1.50 and 1.15 μM, respectively...Morover, according to the investigation using molecular modeling studies, derivatives 5f and 6f showed respectable binding affinity towards the COX-2 active site compared to the reference ligand. Moreover, the ADME parameters, physicochemical characteristics, pharmacokinetic characteristics, and l of the most potent compounds were also computed.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha)
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celecoxib oral
3ms
Protective Effects of Hepatocyte Stress Defenders, Nrf1 and Nrf2, against MASLD Progression. (PubMed, Int J Mol Sci)
Induction of hepatic Nrf1 activity with hNRF1 enhanced the effect of bardoxolone on steatosis and may have stimulated liver progenitor cells. Physiologic Nrf1 delays MASLD progression, Nrf2 induction alleviates MASH, and combined enhancement synergistically protects against steatosis and may facilitate liver repair.
Journal
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NRF1 (Nuclear Respiratory Factor 1)
3ms
New P3 trial
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metformin • celecoxib oral
3ms
New trial
4ms
Parecoxib and 5-Fluorouracil Synergistically Inhibit EMT and Subsequent Metastasis in Colorectal Cancer by Targeting PI3K/Akt/NF-κB Signaling. (PubMed, Biomedicines)
Furthermore, the parecoxib/5-FU combination could inhibit reactive oxygen species. Our work showed the antimetastatic capacity of the parecoxib/5-FU combination for treating colorectal cancers via the targeting of the PI3K/Akt/NF-κB pathway.
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1) • CDH1 (Cadherin 1) • MMP9 (Matrix metallopeptidase 9)
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5-fluorouracil • Dynastat (parecoxib)
4ms
Nasal clear cell chondrosarcoma in a dog. (PubMed, J Comp Pathol)
Although the dog was treated with meloxicam, the owners opted for euthanasia 9 days after presentation. Considering that there is only one other reported case of a suspected CCC in a dog, also in the nasal cavity, this could represent a species-specific predilection site of this rare canine neoplasm.
Journal
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VIM (Vimentin)
4ms
New P3 trial
4ms
Blocking β2-AR and Inhibiting COX-2: A Promising Approach to Suppress OSCC Development. (PubMed, Int Dent J)
The combination of β2-AR blockade and COX-2 inhibition can significantly suppress the development of OSCC via downregulating EGFR, TGF-β1, IL-1β, MMP2, and VEGFA. Findings suggest that the combined use of a β2-AR blocker and a COX-2 inhibitor could be a promising adjuvant therapy in OSCC. Both drugs are commonly prescribed, and their safety and efficacy are well established. Their use in adjuvants in OSCC should therefore be promoted in clinical practice.
Journal
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EGFR (Epidermal growth factor receptor) • MMP2 (Matrix metallopeptidase 2) • PTGS2 (Prostaglandin-Endoperoxide Synthase 2) • TGFB1 (Transforming Growth Factor Beta 1) • IL1B (Interleukin 1, beta)