Evidence map›Paper›PMID 41019029›Full record

ArticleAmerican heart journal plus : cardiology research and practice2025

Efficacy and safety of colchicine in patients with coronary artery disease: An updated meta-analysis of randomized controlled trials.

Mushood Ahmed, Tallal Mushtaq Hashmi, Aimen Shafiq, Hadiah Ashraf, Hritvik Jain, Mohammed Y Khanji, Rui Providência, Anwar A Chahal, Jamal S Rana, Muzammil Farhan and 3 more

Abstract read
In one paragraph

Article in American heart journal plus : cardiology research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Mushood AhmedRawalpindi Medical University, Rawalpindi, Pakistan.
Tallal Mushtaq HashmiRawalpindi Medical University, Rawalpindi, Pakistan.
Aimen ShafiqDow University of Health Sciences, Karachi, Pakistan.
Hadiah AshrafRawalpindi Medical University, Rawalpindi, Pakistan.
Hritvik JainAll India Institute of Medical Sciences, Jodhpur, India.
Mohammed Y KhanjiDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Rui ProvidênciaDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Anwar A ChahalDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Jamal S RanaDivision of Cardiology, Kaiser Permanente Northern California, Oakland, CA, USA.
Muzammil FarhanNational Heart and Lung Institute, Imperial College London, London, UK.
Raheel AhmedNational Heart and Lung Institute, Imperial College London, London, UK.
Marat FudimDivision of Cardiology, Duke University Medical Center, Durham, NC, USA.
Gregg C FonarowAhmanson-UCLA Cardiomyopathy Center, Division of Cardiology, University of California Los Angeles, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inflammation is associated with an increased risk of adverse cardiovascular events in patients with coronary artery disease (CAD). Colchicine is an anti-inflammatory drug that can be used to improve clinical outcomes in patients with CAD. Methods: A systematic literature search was conducted across PubMed/MEDLINE, Embase, and Cochrane CENTRAL up to August 2025 to identify randomized controlled trials (RCTs) that reported clinical outcomes with the use of colchicine in CAD. Data for outcomes was extracted and summary estimates were generated using a random effects model. Results: 16 RCTs were included reporting data for 20,601 patients. The pooled analysis demonstrated a non-significant difference between colchicine and control groups for reducing all-cause death (RR: 0.97; 95 % CI, 0.78-1.22), cardiovascular death (RR: 0.98; 95 % CI, 0.79-1.21), and stroke (RR: 0.67; 95 % CI, 0.39-1.15). However, colchicine significantly reduced the risk of myocardial infarction (RR: 0.74; 95 % CI, 0.59-0.93), and ischemia-driven revascularization (RR = 0.72; 95 % CI, 0.53-0.99) at the expense of an increased risk of gastrointestinal adverse events (RR = 1.83; 95 % CI, 1.38-2.43) as compared to control. Conclusion: Colchicine does not reduce the relative risk of all-cause and cardiovascular death in patients with CAD. However, it can reduce the risk of myocardial infarction and ischemia drive revascularization. Additional trial data are required to confirm these findings.

Indexed as

ColchicineCoronary artery diseaseInflammationmeta-analysis

Identifiers

PMID41019029
PMCPMC12465056

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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.