PMID- 36192565 OWN - NLM STAT- MEDLINE DCOM- 20221005 LR - 20221201 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 12 IP - 1 DP - 2022 Oct 3 TI - Safety and effectiveness of 4-week therapy with aceclofenac controlled release once a day. PG - 16519 LID - 10.1038/s41598-022-20633-6 [doi] LID - 16519 AB - Aceclofenac controlled-release (CR) is a once-a-day tablet with 200 mg of aceclofenac, and is bioequivalent to conventional aceclofenac. However, its safety in humans has not been well studied in Korea. Therefore, we aimed to evaluate the overall incidence and patterns of adverse events (AEs), the effectiveness of aceclofenac CR, and the differences in incidence rates of the AEs based on each patient's baseline charateristics. This study was conducted on patients receiving aceclofenac CR in clinical practice at each investigational institution to treat musculoskeletal pain and inflammation. The subjects were administered one tablet of aceclofenac CR (200 mg once-a-day) and were observed for 4 weeks post-administration. Factors affecting the occurrence of AEs were evaluated, and the Visual Analogue Scale (VAS) was used to measure the pain intensity. Among 14,543 subjects, the incidence rate of AEs was 0.86%, and that of adverse drug reactions was 0.74%. No serious AEs and unexpected adverse drug reactions were monitored. The incidence rates of AEs were significantly higher in females, inpatient treatment, individuals with concurrent disorders, and those receiving concomitant medications, respectively (all P < 0.05). Four weeks post-using aceclofenac CR, the mean changes in VAS was significantly decreased compared to prior administration. The overall clinical efficacy rate was 91.63%. This study confirmed that no severe adverse reactions were observed for aceclofenac CR exceeding those previously reported for safety results of conventional formulation of this drug in routine clinical practice settings. The use of aceclofenac CR might not violate the previously reported information on the safety and effectiveness of aceclofenac. CI - (c) 2022. The Author(s). FAU - Jeong, Ju-Cheol AU - Jeong JC AD - Department of Pharmacology, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea. AD - Clinical Research Team, Korea United Pharm Inc., Seoul, Republic of Korea. FAU - Chung, Yoon Hee AU - Chung YH AD - Department of Anatomy, College of Medicine, Chung-Ang University, Seoul, Republic of Korea. FAU - Park, Taejun AU - Park T AD - Department of Pharmacology, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea. FAU - Park, Seung Yeon AU - Park SY AD - Department of Pharmacology, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea. AD - Department of Global Innovative Drug, The Graduate School of Chung-Ang University, Seoul, Republic of Korea. FAU - Jung, Tae Woo AU - Jung TW AD - Department of Pharmacology, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea. FAU - Abd El-Aty, A M AU - Abd El-Aty AM AD - Department of Pharmacology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt. AD - Department of Medical Pharmacology, Medical Faculty, Ataturk University, Erzurum 25240, Turkey. FAU - Bang, Joon Seok AU - Bang JS AD - College of Pharmacy, Sookmyung Women's University, Seoul, Republic of Korea. jsbang@sookmyung.ac.kr. FAU - Jeong, Ji Hoon AU - Jeong JH AD - Department of Pharmacology, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea. jhjeong3@cau.ac.kr. AD - Department of Global Innovative Drug, The Graduate School of Chung-Ang University, Seoul, Republic of Korea. jhjeong3@cau.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221003 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Delayed-Action Preparations) RN - 0 (Tablets) RN - 144O8QL0L1 (Diclofenac) RN - RPK779R03H (aceclofenac) SB - IM MH - *Anti-Inflammatory Agents, Non-Steroidal/adverse effects MH - Delayed-Action Preparations MH - Diclofenac/adverse effects/analogs & derivatives MH - Double-Blind Method MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Female MH - Humans MH - Tablets MH - Treatment Outcome PMC - PMC9530112 COIS- J.-C.J. works for Korea United Pharm. Inc., a sponsor of this research. T. P. worked for this company from 2018 to 2019. Other authors declare that they have no competing interests. EDAT- 2022/10/04 06:00 MHDA- 2022/10/06 06:00 PMCR- 2022/10/03 CRDT- 2022/10/03 23:30 PHST- 2021/11/15 00:00 [received] PHST- 2022/09/15 00:00 [accepted] PHST- 2022/10/03 23:30 [entrez] PHST- 2022/10/04 06:00 [pubmed] PHST- 2022/10/06 06:00 [medline] PHST- 2022/10/03 00:00 [pmc-release] AID - 10.1038/s41598-022-20633-6 [pii] AID - 20633 [pii] AID - 10.1038/s41598-022-20633-6 [doi] PST - epublish SO - Sci Rep. 2022 Oct 3;12(1):16519. doi: 10.1038/s41598-022-20633-6.