Evidence map›Paper›PMID 32866166›Full record

Trial reportPloS one2020

Short-term effect of low-dose colchicine on inflammatory biomarkers, lipids, blood count and renal function in chronic coronary artery disease and elevated high-sensitivity C-reactive protein.

Aernoud T L Fiolet, Max J M Silvis, Tjerk S J Opstal, Willem A Bax, Frans A L van der Horst, Arend Mosterd, Dominique de Kleijn, Jan H Cornel

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Colchicine, COVID-19 and hematological parameters: A meta-analysis.Journal of clinical laboratory analysis · 2021
    Pooled it
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  6. Observational
  7. Review
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  13. [Colchicine-Phoenix from the ashes].Wiener klinische Wochenschrift · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Aernoud T L FioletDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Max J M SilvisDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Tjerk S J OpstalDepartment of Cardiology, Northwest Clinics, Alkmaar, The Netherlands.
Willem A BaxDepartment of Internal Medicine, Northwest Clinics, Alkmaar, The Netherlands.
Frans A L van der HorstDepartment of Clinical Chemistry, Haga Zorggroep, Delft, The Netherlands.ORCID 0000-0002-4496-6486
Arend MosterdDutch Network for Cardiovascular Research, Utrecht, The Netherlands.ORCID 0000-0002-6906-2643
Dominique de KleijnDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Jan H CornelDutch Network for Cardiovascular Research, Utrecht, The Netherlands.
University Medical Center Utrecht · NLNorthwest Hospital · USRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsInflammation plays a pivotal role in atherothrombosis. Colchicine is an anti-inflammatory drug that may attenuate this process. Cardiovascular protective effects of anti-inflammatory drugs, however, seem to be limited to patients with a biochemical response. We therefore investigated whether short-term exposure to colchicine reduced inflammatory markers and whether additional laboratory changes occur in patients with chronic coronary artery disease. METHODS &

resultsIn 138 consecutive patients with chronic coronary artery disease and a high sensitivity C-reactive Protein (hs-CRP) ≥ 2 mg/L, inflammatory markers, lipids, haematologic parameters and renal function were measured at baseline and after 30 days exposure to colchicine 0.5mg once daily. Hs-CRP decreased from baseline 4.40 mg/L (interquartile range [IQR] 2.83-6.99 mg/L) to 2.33 mg/L (IQR 1.41-4.17, median of the differences -1.66 mg/L, 95% confidence interval [CI] -2.17 - -1.22 mg/L, p-value <0.01), corresponding to a median change from baseline of -40%. Interleukin-6 decreased from 2.51 ng/L (IQR 1.59-4.32 ng/L) to 2.22 ng/L (median of the differences -0.36 ng/L, 95%CI -0.70 - -0.01 ng/L, p-value 0.04), corresponding to a median change from baseline of -16%. No clinically relevant changes in lipid fractions were observed. Both leukocyte and thrombocyte count decreased (median change from baseline -7% and -4% respectively). Estimated glomerular filtration rate decreased with a mean change from baseline of -2%.

conclusionIn patients with chronic coronary artery disease and elevated hs-CRP, one-month exposure to colchicine 0.5 mg once daily was associated with a reduction of inflammatory markers. A small effect was seen on white blood cell count and platelet count, as well as a small decrease in estimated glomerular filtration rate.

Indexed as

AgedBiomarkersChronic DiseaseColchicineCoronary Artery DiseaseC-Reactive ProteinDrug Administration ScheduleFemaleGlomerular Filtration RateHumansInflammationLeukocyte CountLipid MetabolismMaleMiddle AgedPlatelet CountBiomarkersColchicineC-Reactive Protein

Identifiers

PMID32866166
PMCPMC7458326
OpenAlexW3082047744

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.