{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T11:37:04Z","timestamp":1780400224350,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ascpt.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Translational Sci"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>4\u2010hydroxy 2\u2010methyl\u2010N\u2010(5\u2010methyl\u20102\u2010thiazolyl)\u20102H\u20101, 2\u2010benzothiazin\u20103\u2010carboxamide 1,1\u2010dioxide (QP001), a novel long\u2010lasting meloxicam formulation, may provide adequate postoperative pain relief with a good safety profile. This study aimed to evaluate the efficacy and safety of QP001 for moderate\u2010to\u2010severe pain following abdominal surgery. This multicenter, randomized, double\u2010blind, placebo\u2010controlled phase III trial recruited patients undergoing abdominal surgery at 23 centers between October 30, 2022, and July 10, 2023. Patients were randomized to a QP001 or placebo group in a 2:1 ratio. Postoperative pain intensity was evaluated using the Numerical Rating Scale. The primary efficacy outcome was the area under curve (AUC) of pain intensity\u2010time 0\u201324\u2009h after awakening from anesthesia (AUC<jats:sub>0\u201324<\/jats:sub>). Adverse events and drug reactions were recorded to evaluate safety. A total of 258 patients underwent randomization, and 255 patients received at least one trial drug, including 170 in the QP001 group and 85 in the placebo group. Among these patients, 250 completed the study. The AUC<jats:sub>0\u201324<\/jats:sub> was significantly lower in the QP001 group than in the placebo group (50.5 vs. 85.19, difference of 34.69 [40.7%], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). This was accompanied by a decrease in morphine use and an increase in patient satisfaction. Moreover, the overall adverse events or adverse drug reaction rates were similar between the QP001 and placebo groups. Among patients undergoing abdominal surgery, postoperative pain was significantly lower in the QP001 group than in the placebo group. QP001 has a great analgesic effect of up to 24\u2009h and satisfactory safety in patients with moderate\u2010to\u2010severe abdominal pain.<\/jats:p>","DOI":"10.1111\/cts.70081","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T17:23:52Z","timestamp":1733937832000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy and safety of 4\u2010hydroxy 2\u2010methyl\u2010N\u2010(5\u2010methyl\u20102\u2010thiazolyl)\u20102H\u20101, 2\u2010benzothiazin\u20103\u2010carboxamide 1,1\u2010dioxide, a fast\u2010acting meloxicam formulation, on moderate\u2010to\u2010severe pain following abdominal surgery: A phase <scp>III<\/scp> randomized controlled trial"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7409-6695","authenticated-orcid":false,"given":"Xiaohua","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Renji Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6553-9755","authenticated-orcid":false,"given":"Yanhua","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Renji Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6813-4174","authenticated-orcid":false,"given":"Mengchang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Sichuan Academy of Medical Sciences Sichuan Provincial People's Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4137-0191","authenticated-orcid":false,"given":"Jinghua","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Second People's Hospital of Yibin  Yibin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3426-3848","authenticated-orcid":false,"given":"Wen","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Third Xiangya Hospital of Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0083-5764","authenticated-orcid":false,"given":"Saiying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The Third Xiangya Hospital of Central South University  Changsha China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0932-5361","authenticated-orcid":false,"given":"Yufei","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Nanjing Women and Children's Healthcare Hospital  Nanjing 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