Merck Vioxx

The most serious adverse events (perforations, obstructions or bleeds) in rofecoxib clinical trials (n=3,357) were described at an April advisory committee meeting by Merck Gastrointestinal Clinical Research Executive Director Thomas Simon, MD, as "18 events...17 of them were bleeds, nine were confirmed. Of these confirmed bleeds, five were complicated. Eight of them were unconfirmed. Of these unconfirmed events, three were complicated" by prespecified criteria. "There was one case of gastric outlet obstruction; there were no perforations." "The Pink Sheet" incorrectly reported a patient death from obstruction (April 26, p. 9). Efficacy in osteoarthritis was described as equivalent to ibuprofen 800 mg t.i.d. for the 25 mg q.d. rofecoxib dose; the 12.5 mg dose was also equivalent

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