Skip to main content
Top
Published in: Clinical Drug Investigation 8/2016

Open Access 01-08-2016 | Short Communication

The Long-Term Safety of S-Flurbiprofen Plaster for Osteoarthritis Patients: An Open-Label, 52-Week Study

Authors: Ikuko Yataba, Noboru Otsuka, Isao Matsushita, Hideo Matsumoto, Yuichi Hoshino

Published in: Clinical Drug Investigation | Issue 8/2016

Login to get access

Abstract

Background and objectives

The newly developed S-flurbiprofen plaster (SFPP) is a tape-type patch that shows innovative percutaneous absorption. This study was designed to evaluate the safety of a long-term 52-week SFPP application to osteoarthritis (OA) patients.

Methods

This was a multi-center, open-label, uncontrolled prospective study that included 201 OA patients. SFPP at 40 mg/day was applied to the site of pain in 101 patients and at 80 mg/day (2 patches) in 100 patients at a total of 301 sites for 52 weeks. The affected sites assessed included the knee (192), lumbar spine (66), cervical spine (26), and others (17). Drug safety was evaluated by medical examination, laboratory tests, and examination of vital signs. Efficacy was evaluated by the patient’s and clinician’s global assessments and clinical symptoms.

Results

Most patients (80.1 %) completed the 52-week SFPP application. The majority of drug-related adverse events (AEs) included mild dermatitis at the application sites and occurred in 46.8 % of the sites. No photosensitive dermatitis was observed. Systemic AEs occurred in 9.0 % of the patients; a serious AE (gastric ulcer hemorrhage) occurred in one patient. No clinically significant changes in the laboratory tests and vital signs were observed. The efficacy evaluation showed an improvement from 2 weeks after the SFPP application, which continued during the 52 weeks’ treatment.

Conclusions

No apparent safety concerns were observed, even during the long-term SFPP application. Therefore, SFPP could be an additional pharmacotherapy in OA treatment.
Literature
1.
go back to reference Muraki S, Akune T, Oka H, En-yo Y, Yoshida M, Saika A, et al. Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROAD study. Osteoarthritis Cartilage. 2010;18:1227–34. doi:10.1016/j.joca.2010.06.001.CrossRefPubMed Muraki S, Akune T, Oka H, En-yo Y, Yoshida M, Saika A, et al. Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROAD study. Osteoarthritis Cartilage. 2010;18:1227–34. doi:10.​1016/​j.​joca.​2010.​06.​001.CrossRefPubMed
3.
go back to reference Bannuru RR, Schmid CH, Kent DM, Vaysbrot EE, Wong JB, McAlindon TE. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med. 2015;162:46–54. doi:10.7326/M14-1231.CrossRefPubMed Bannuru RR, Schmid CH, Kent DM, Vaysbrot EE, Wong JB, McAlindon TE. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann Intern Med. 2015;162:46–54. doi:10.​7326/​M14-1231.CrossRefPubMed
4.
go back to reference Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs. N Engl J Med. 1999;340:1888–99.CrossRefPubMed Wolfe MM, Lichtenstein DR, Singh G. Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs. N Engl J Med. 1999;340:1888–99.CrossRefPubMed
5.
go back to reference Zullo A, Hassan C, Campo SM, Morini S. Bleeding peptic ulcer in the elderly: risk factors and prevention strategies. Drugs Aging. 2007;24:815–28.CrossRefPubMed Zullo A, Hassan C, Campo SM, Morini S. Bleeding peptic ulcer in the elderly: risk factors and prevention strategies. Drugs Aging. 2007;24:815–28.CrossRefPubMed
8.
go back to reference Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64:465–74. doi:10.1002/acr.21596.CrossRef Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64:465–74. doi:10.​1002/​acr.​21596.CrossRef
9.
10.
go back to reference Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis. 2003;62:1145–55. doi:10.1136/ard.2003.011742.CrossRefPubMedPubMedCentral Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis. 2003;62:1145–55. doi:10.​1136/​ard.​2003.​011742.CrossRefPubMedPubMedCentral
12.
go back to reference Stanos S. Osteoarthritis guidelines: a progressive role for topical NSAIDs. J Am Osteopath Assoc. 2013;113:123–7.PubMed Stanos S. Osteoarthritis guidelines: a progressive role for topical NSAIDs. J Am Osteopath Assoc. 2013;113:123–7.PubMed
13.
14.
go back to reference Medicine Interview Form of LOQOA® tape 40. Revised in January 2016 (Version 3). Opened in the Website of Pharmaceuticals and Medical Devices Agency, Japan. Available at http://www.pmda.go.jp/. Last accessed 25 April 2016. Medicine Interview Form of LOQOA® tape 40. Revised in January 2016 (Version 3). Opened in the Website of Pharmaceuticals and Medical Devices Agency, Japan. Available at http://​www.​pmda.​go.​jp/​. Last accessed 25 April 2016.
15.
go back to reference Yataba I, Otsuka N, Matsushita I, Matsumoto H, Hoshino Y. Efficacy of S-flurbiprofen plaster in knee osteoarthritis treatment: results from a phase III, randomized, active-controlled, adequate and well-controlled trial. Mod Rheumatol. 2016;. doi:10.1080/14397595.2016.1176624.PubMed Yataba I, Otsuka N, Matsushita I, Matsumoto H, Hoshino Y. Efficacy of S-flurbiprofen plaster in knee osteoarthritis treatment: results from a phase III, randomized, active-controlled, adequate and well-controlled trial. Mod Rheumatol. 2016;. doi:10.​1080/​14397595.​2016.​1176624.PubMed
18.
19.
go back to reference Ansaid® (flurbiprofen) [package insert]. New York, NY, US: Pharmacia Upjohn company, Division of Pfizer, Inc.; 2010. Ansaid® (flurbiprofen) [package insert]. New York, NY, US: Pharmacia Upjohn company, Division of Pfizer, Inc.; 2010.
20.
go back to reference Froben 100 mg Tablets (flurbiprofen) [package insert]. Maidenhead, Berkshire, UK: BGP Products, Ltd.; 2015. Froben 100 mg Tablets (flurbiprofen) [package insert]. Maidenhead, Berkshire, UK: BGP Products, Ltd.; 2015.
21.
go back to reference Tomisato W, Tsutsumi S, Hoshino T, Hwang HJ, Mio M, Tsuchiya T, et al. Role of direct cytotoxic effects of NSAIDs in the induction of gastric lesions. Biochem Pharmacol. 2004;67:575–85.CrossRefPubMed Tomisato W, Tsutsumi S, Hoshino T, Hwang HJ, Mio M, Tsuchiya T, et al. Role of direct cytotoxic effects of NSAIDs in the induction of gastric lesions. Biochem Pharmacol. 2004;67:575–85.CrossRefPubMed
22.
go back to reference Tomisato W, Tanaka K, Katsu T, Kakuta H, Sasaki K, Tsutsumi S, et al. Membrane permeabilization by non-steroidal anti-inflammatory drugs. Biochem Biophys Res Commun. 2004;323:1032–9.CrossRefPubMed Tomisato W, Tanaka K, Katsu T, Kakuta H, Sasaki K, Tsutsumi S, et al. Membrane permeabilization by non-steroidal anti-inflammatory drugs. Biochem Biophys Res Commun. 2004;323:1032–9.CrossRefPubMed
24.
28.
go back to reference Seto Y, Ohtake H, Kato M, Onoue S. Phototoxic risk assessments on benzophenone derivatives: photobiochemical assessments and dermal cassette-dosing pharmacokinetic study. J Pharmacol Exp Ther. 2015;354:195–202. doi:10.1124/jpet.115.223644.CrossRefPubMed Seto Y, Ohtake H, Kato M, Onoue S. Phototoxic risk assessments on benzophenone derivatives: photobiochemical assessments and dermal cassette-dosing pharmacokinetic study. J Pharmacol Exp Ther. 2015;354:195–202. doi:10.​1124/​jpet.​115.​223644.CrossRefPubMed
Metadata
Title
The Long-Term Safety of S-Flurbiprofen Plaster for Osteoarthritis Patients: An Open-Label, 52-Week Study
Authors
Ikuko Yataba
Noboru Otsuka
Isao Matsushita
Hideo Matsumoto
Yuichi Hoshino
Publication date
01-08-2016
Publisher
Springer International Publishing
Published in
Clinical Drug Investigation / Issue 8/2016
Print ISSN: 1173-2563
Electronic ISSN: 1179-1918
DOI
https://doi.org/10.1007/s40261-016-0412-0

Other articles of this Issue 8/2016

Clinical Drug Investigation 8/2016 Go to the issue