Evidence map›Paper›PMID 39954346›Full record

ArticleJACC. Advances2025

Potential Impact of Colchicine on Atherosclerotic Cardiovascular Disease in the United States.

Leo F Buckley, Bhavya Chebrolu, Mohsen Al Zaria, Ron Blankstein, Peter Libby, Brittany N Weber

Abstract read
In one paragraph

Article in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Temporal trends in the prescription of low-dose antithrombotic and anti-inflammatory therapies in Germany (2022-2024).Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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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

6 authors.

Leo F BuckleyDepartment of Pharmacy, Brigham and Women's Hospital, Boston, Massachusetts, USA. Electronic address: LFBuckley@bwh.harvard.edu.
Bhavya ChebroluDepartment of Pharmacy, Brigham and Women's Hospital, Boston, Massachusetts, USA; Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Mohsen Al ZariaDepartment of Pharmacy, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Ron BlanksteinDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Peter LibbyDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Brittany N WeberDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA. Electronic address: BWeber@bwh.harvard.edu.

Funding

Role of eosinophil cationic proteins in cardiac hypertrophyR01HL166538 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2023 to 2025
$2.1M
Inflammasome Activity as a Potential Contributor to Uremic CardiomyopathyK23HL150311 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BUCKLEY, LEO FRANCIS · 2020 to 2024
$1.1M
Advanced CV imaging and immunophenotyping to study coronary vascular health in psoriasisK23HL159276 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI WEBER, BRITTANY NICOLE · 2021 to 2025
$962k
NHLBI NIH HHS K23 HL150311NHLBI NIH HHS K23 HL159276NHLBI NIH HHS R01 HL166538
6 · The paper itself

Abstract

backgroundIn the COLCOT (Colchicine Cardiovascular Outcomes Trial) and LoDoCo2 (Low-Dose Colchicine 2) coronary artery disease trials, low-dose colchicine decreased the risk of major adverse cardiovascular events (MACEs) by 23% to 31% beyond statin therapy with a strong safety profile. The number of MACE potentially preventable by widespread colchicine use in the United States remains uncertain.

objectivesThe objective of this study was to estimate the current and potential impact of colchicine on cardiovascular outcomes.

methodsWe first calculated the number of new colchicine users with coronary artery disease before and after COLCOT and LoDoCo2 publication at an integrated health care system in southeastern New England from 2018 to 2023. Second, we estimated the number of potentially avoidable MACEs with widespread colchicine use using incidence rates and the relative risk reduction from the LoDoCo2 trial and the nationally representative National Health And Nutrition Examination Survey study.

resultsFrom January 2018 to December 2019 (before COLCOT and LoDoCo2 publication), the number of new colchicine users varied between 126 and 151 every 6 months. From January 2020 to June 2023, the number of new colchicine users increased from 141 to 181 every 6 months (<1% of adults with coronary artery disease at Mass General Brigham). Among the estimated 9.2 million adults with stable coronary artery disease on a statin in the United States, adding colchicine to standard medical management is estimated to prevent 226,000 MACE over a 3-year period.

conclusionsAdding colchicine to standard cardiovascular management may prevent 226,000 MACE in the United States over a 3-year period.

Indexed as

colchicinecoronary artery diseaseinflammationpharmacoepidemiology

Identifiers

PMID39954346
PMCPMC11872516

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Registered trials

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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.