Evidence map›Paper›PMID 38505729›Full record

SynthesisJournal of interventional cardiology2024

Meta-Analysis of Randomized Trials: Efficacy and Safety of Colchicine for Secondary Prevention of Cardiovascular Disease.

Elie Akl, Nazanin Sahami, Christopher Labos, Jacques Genest, Ali Zgheib, Nicolo Piazza, Sanjit Jolly

3 registry-linked trialsOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of interventional cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT02898610 phase3completednot on this map

CONVINCE - (COlchicine for preventioN of Vascular Inflammation in Non- CardioEmbolic Stroke) - a Randomised Clinical Trial of Low-dose Colchicine for Secondary Prevention After Stroke

TypeinterventionalSponsorUniversity College DublinRan2016 to 2024Enrolled3,154ConditionsIschemic Attack, Transient, StrokeArmsColchicine
NCT03048825 phase3completednot on this map

A 2x2 Factorial Randomized Controlled Trial of Colchicine and Spironolactone in Patients with Myocardial Infarction / SYNERGY Stent Registry - Organization to Assess Strategies for Ischemic Syndromes 9

TypeinterventionalSponsorPopulation Health Research InstituteRan2018 to 2024Enrolled7,264ConditionsST Elevation Myocardial Infarction, Non ST Elevation Myocardial InfarctionArmsColchicine, Spironolactone, SYNERGY Bioabsorbable Polymer Drug-Eluting Stent, Colchicine-Placebo, Spironolactone-Placebo
NCT06936709 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Colchicine in the Perioperative Period on Reducing Post-Operative Pain in Total Knee Arthroplasty

TypeinterventionalSponsorGeisinger ClinicRan2025 to 2026Enrolled75ConditionsOsteoarthritis of Knee, Recovery Following Primary Total Knee Arthroplasty, Perioperative Pain ControlArmsColchicine 1.8 mg (loading dose) + Dextrose Oral Placebo, Colchicine 1.8 mg + 0.6 mg, Dextrose Oral Placebo
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Colchicine in Coronary Artery Disease-Too Much of a Good Thing?Journal of cardiovascular development and disease · 2026
    Review
  3. Review
  4. Article
  5. Guideline for Chronic Coronary Syndrome - 2025.Arquivos brasileiros de cardiologia · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. [Colchicine-Phoenix from the ashes].Wiener klinische Wochenschrift · 2025
    Review
  11. Review
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

7 authors at 2 institutions in 1 country.

Elie AklMcGill University, Montreal, Canada.ORCID https://orcid.org/0000-0001-5676-4171
Nazanin SahamiMcMaster University, Hamilton, Canada.
Christopher LabosMcGill University, Montreal, Canada.
Jacques GenestMcGill University, Montreal, Canada.
Ali ZgheibMcGill University, Montreal, Canada.ORCID https://orcid.org/0000-0002-6888-5429
Nicolo PiazzaMcGill University, Montreal, Canada.
Sanjit JollyMcMaster University, Hamilton, Canada.
McGill University · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colchicine has shown potential cardioprotective effects owing to its broad anti-inflammatory properties. We performed a meta-analysis to assess its safety and efficacy in secondary prevention in patients with established coronary artery disease (CAD). Methods: We searched Ovid Healthstar, MEDLINE, and Embase (inception to May 2022) for randomized controlled trials (RCTs) evaluating the cardiovascular effects of colchicine compared with placebo or usual care in patients with CAD. Study-level data on efficacy and safety outcomes were pooled using the Peto method. The primary outcome was the composite of cardiovascular (CV) death, myocardial infarction (MI), or stroke. Results: A total of 8 RCTs were included with a follow-up duration of ≥1 month, comprising a total of 12,151 patients. Compared with placebo or usual care, colchicine was associated with a significant risk reduction in the primary outcome (odds ratio (OR) 0.70, 95% CI 0.60 to 0.83, Conclusions: Colchicine therapy may reduce the risk of future cardiovascular events in patients with established CAD; however, there remains a concern about non-CV mortality. Further trials are underway that will shed light on non-CV mortality and colchicine NCT03048825, and NCT02898610.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseMyocardial InfarctionStrokeColchicineHumansRandomized Controlled Trials as TopicSecondary PreventionColchicine

Identifiers

PMID38505729
PMCPMC10950412
OpenAlexW4392755545

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.