Celecoxib (Celebrex)

Other Medications · Approved since 1998

US Off-label EU EMA Approved ES Hospital use other indication Oral 35 Clinical Trials
COX-2

Description

Celecoxib is a selective cyclooxygenase-2 (COX-2) inhibitor that belongs to the class of nonsteroidal anti-inflammatory drugs (NSAIDs). In colorectal cancer, celecoxib is used as adjuvant therapy alongside chemotherapy in metastatic disease and for chemoprevention in patients with familial adenomatous polyposis (FAP). The drug has demonstrated anti-tumor properties and is employed to reduce adenoma formation and potentially enhance the effectiveness of standard cancer treatments.

Mechanism of Action

Celecoxib selectively inhibits cyclooxygenase-2 (COX-2), an enzyme that catalyzes the conversion of arachidonic acid to prostaglandins. By blocking COX-2, celecoxib reduces the production of prostaglandin E2 (PGE2), which promotes tumor growth, angiogenesis, and metastasis in colorectal cancer. This selective inhibition also decreases inflammation in the tumor microenvironment while potentially enhancing immune responses against cancer cells.

Molecular Targets

Side Effects

Cardiovascular events Gastrointestinal bleeding Abdominal pain Diarrhea Dyspepsia Headache Dizziness Hypertension

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07150949 Phase 2
Recruiting
Long-course Chemoradiotherapy or Short-course Radiotherapy Combined With CAPOX, PD-1antibody, and COX-2 Inhibitor for MSS Locally Advanced Rectal Cancer (SERRAC)
China
NCT07154316 Phase 2
Recruiting
Phase II RCT of LCRT vs SCRT + CAPOX/PD-1i/COX-2i in MSS Locally Advanced Rectal Cancer
China
NCT06903858 Phase 2
Recruiting
Toripalimab Plus Celecoxib for dMMR/MSI-H Locally Advanced Colorectal Cancer
China
NCT06722534 Not Applicable
Recruiting
Celecoxib for Prevention of Progression in Peutz-Jeghers Syndrome
China
NCT06545526 Phase 3
Recruiting
Chemopreventive Effect of Combination of Celecoxib and Metformin in Patients With Familial Adenomatous Polyposis
South Korea
NCT05731726 Phase 2
Recruiting
Serplulimab Combined With CAPEOX + Celecoxib as Neoadjuvant Treatment for Locally Advanced Rectal Cancer
China
View all 35 clinical trials →