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. Author manuscript; available in PMC: 2018 Sep 20.
Published in final edited form as: Nat Rev Cardiol. 2018 Sep;15(9):505–522. doi: 10.1038/s41569-018-0064-2

Table 1 |.

Clinical trials of anti-inflammatory drugs in chronic inflammatory diseases

Trial name Participants Design n Drug Dosage Type of
treatment
Outcome Result Refs
CANTOS Patients with
previous MI and
hsCRP ≥2mg/l
Randomized 10,061 Canakinumab 150 mg every
3 months
Secondary
prevention
Cardiovascular
events
Beneficial 169,293
CIRT Patients with
previous MI and
either T2DM
or metabolic
syndrome
Randomized 7,000 Methotrexate 15–20 mg
weekly
Secondary
prevention
Cardiovascular
events
Ongoing 170
LoDoCo Patients with
clinically stable
CAD
Randomized 532 Colchicine 0.5 mg daily Primary and
Secondary
prevention
Cardiovascular
events
Beneficial 172
LoDoCo2 Patients with
clinically stable
CAD
Randomized 3,000 Colchicine 0.5 mg daily Primary and
Secondary
prevention
Cardiovascular
events
Ongoing 294
COLCOT Patients with a
Documented
acute MI in the
past 30 days
Randomized 4,500 Colchicine 0.5 mg daily Secondary
prevention
Cardiovascular
events
Ongoing 173
ENTRACTE Patients with
moderate-
to-severe
rheumatoid
arthritis
Randomized 3,080 Tocilizumab 8mg/kg every
4 weeks
Prevention Cardiovascular
events
Ongoing 166
PEDRIAN Patients with
T2DM and stage
3–4 CKD
Randomized 169 Pentoxifylline 1,200 mg daily Prevention CKD
progression
Beneficial 295
NA Patients aged
≥25 years with
T1DM or T2DMa
Randomized 416 Monoclonal
anti-TGFβ1
antibody
2, 10, or 50 mg
Monthly
(subcutaneous)
Prevention CKD
progression
Not
beneficial
296
NA Patients with a
recent TIA or
minor ischaemic
stroke and no
contraindication
to aspirin
Meta-
analysis
of two
randomized
trialsb
5,139+
2,449
Aspirin 300, 500, or
1,200 mg daily
Primary
prevention
Colorectal
cancer
Beneficial 297
NA Patients with a
recent TIA or
minor ischaemic
stroke and no
contraindication
to aspirin
Meta-
analysis
of four
randomized
trialsc
14,033 Aspirin 30, 75, 283,
300, 500, or
1,200 mg daily
Primary
prevention
Colorectal
cancer
Beneficial 298
CANTOS Patients with
previous MI and
hsCRP ≥2mg/l
Randomized 10,061 Canakinumab 150 or 300 mg
every 3 months
Primary
prevention
Lung cancer Beneficial 168
NA Patients with
osteoarthritis
Meta-
Analysis
of five
randomized
trialsd
1,497 Ibuprofen,
naproxen, or
celecoxib
800 mg three
times daily,
500 mg twice
daily, or 200 mg
daily
Treatment Depressive
symptoms
Beneficial 299
ADAPT Individuals
aged ≥70 years,
cognitively
healthy , and with
a family history of
AD-like dementia
Randomized 2,528 Celecoxib or
naproxen
200 mg twice
daily or 220 mg
twice daily
Treatment Depressive
symptoms
Not
beneficial
300
NA Outpatients with
major depression
Randomized 60 Infliximab 5mg/kg (three
infusions)
Treatment Depressive
symptoms
Beneficial in
patients with
high baseline
inflammatory
blood
biomarkers
301
NA Patients with
moderate-to-
severe psoriasis
Randomized 96 Adalimumab 40 mg every
other week
Treatment Depressive
symptoms
Beneficial 302
NA Patients with
moderate-
to-severe
psoriasis
Randomized 618 Etanercept 50 mg twice
weekly
Treatment Depressive
symptoms
Beneficial 303
NA Patients with
probable AD
Randomized 40 Nimesulide 100 mg twice
daily
Treatment AD Not
beneficial
304
NSAID study Patients with
mild-to-moderate
AD
Randomized 351 Rofecoxib
or naproxen
sodium
25 mg once
daily or 220 mg
twice daily
Treatment AD Not
beneficial
305
NA Patients with mild
or moderate AD
aged ≥50 years
Randomized 692 Rofecoxib 25 mg daily Treatment AD Not
beneficial
306
NA Patients with
mild-to-moderate
AD
Randomized 41 Diclofenac 50 mg daily Treatment AD Not
beneficial
307
ADAPT Individuals
aged ≥70 years,
cognitively
healthy , and with
a family history
of AD
Randomized 2,117 Celecoxib or
naproxen
200 mg twice
daily or 220 mg
twice daily
Primary
prevention
AD Not
beneficial
308
TOMORROW Cognitively
healthy
participants
at high risk of
developing MCI
Randomized 3,500 Pioglitazone 0.8 mg daily Prevention Onset of MI
or MCI owing
to AD
Ongoing 309,310
Metformin
for
Preventing
Frailty in
High-risk
Older Adults
Older adults with
impaired glucose
tolerance
Randomized 120 Metformin 1,000 mg twice
daily
Prevention Frailty Ongoing 256
TAME Individuals aged
65–79 years
Randomized 3,000 Metformin 850 mg twice
daily
Prevention Cardiovascular
events, cancer,
dementia, and
mortality
Ongoing 277

AD, Alzheimer disease; CAD coronary artery disease; CKD, chronic kidney disease; hsCRP, C-reactive protein measured by high-sensitivity assay; MCI, mild cognitive impairment; MI, myocardial infarction; NA, not applicable; T1DM, type 1 diabetes mellitus; T2DM, type 2 diabetes mellitus; TGFβ1, transforming growth factor-β1; TIA, transient ischaemic attack.

a

Patients also had a serum creatinine level of 1.3–3.3 mg/dl for women or 1.5–3.5 mg/dl for men (or estimated glomerular filtration rate of 20–60 ml/min/1.73 m2) and a 24-h urine protein: creatinine ratio ≥800 mg/g.

b

British Doctors Aspirin Trial and UK-TIA Aspirin Trial.

c

Thrombosis Prevention Trial, British Doctors Aspirin Trial, Swedish Aspirin Low Dose Trial, and UK-TIA Aspirin Trial.

d

Five phase IV development trials conducted by Pfizer.