Table 2.
Clinical trials of colchicine and IL-1 blockers in AMI and heart failure
Disease | Clinical Trial Name | Study Design and Drug Regimen | Main Finding(s) | Reference(s) |
---|---|---|---|---|
ST-segment elevation AMI | Anti-Inflammatory Treatment With Colchicine in AMI | Randomization 1:1 | Reduced infarct size (cardiac magnetic resonance and cardiac biomarkers); reduced peak CRP | 28 |
Colchicine or placebo | ||||
(n = 151) | Loading dose of 2 mg (1.5 mg initially followed by 0.5 mg 1 h later) and continuing with 0.5 mg twice daily, or placebo, for 5 days | |||
ST-segment elevation AMI | VCU-ART | Randomization 1:1 | Reduced peak CRP; trend toward reduced incidence of heart failure at 3 mo and at long-term followup with anakinra | 2, 3, 6 |
(n = 10) | VCU-ART2 | Anakinra or placebo | ||
(n = 30) | Anakinra 100 mg once daily for 14 days | |||
Non-ST-segment elevation AMI | MRC-ILA Heart Study | Randomization 1:1 | Reduced peak CRP; no differences in major adverse cardiac events at 30 days and 3 mo, but more events after 6 mo in the anakinra-treated group | 98 |
(n = 182) | Anakinra or placebo | |||
Anakinra 100 mg once daily for 14 days |
AMI, acute myocardial infarction; CRP, C-reactive protein.