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. 2020 Jul 9;14(1):23–34. doi: 10.1007/s12265-020-10049-w

Table 1.

Clinical trials targeting inflammation related to the NLRP3 inflammasome

Name of the study Published Indication Sample size Intervention Outcome Results Ref
LoDoCo: Low-Dose Colchicine for Secondary Prevention of Cardiovascular Disease 2013 Stable coronary artery disease 532 Colchicine 0.5 mg/d (n = 282) vs. no colchicine (n = 250) Composite incidence of ACS, OHCA, ischemic Stroke Colchicine 5.3% primary outcome No colchicine 16.0% primary outcome [52]
COLCOT: Colchicine Cardiovascular Outcomes Trial 2019 Recent myocardial infarction (within 30 days after MI) 4745 Colchicine 0.5 mg/d (n = 2366) vs. placebo (n = 2379) Composite of cardiovascular death, resuscitated cardiac arrest, MI, stroke, urgent hospitalization for angina leading to coronary revascularization Colchicine 5.5% primary outcome Placebo 7.1% primary outcome [53]
CANTOS: Canakinumab Anti-inflammatory Thrombosis Outcome Study 2017 History of myocardial infarction and hsCRP of 2 mg or more 10,061 Canakinumab 50 mg/3 months (n = 2170) 150 mg/3 months (n = 2284) 300 mg/3 months (n = 2263) Placebo (n = 3344) Nonfatal myocardial infarction, nonfatal stroke, cardiovascular death Canakinumab 150 mg/3 months incidence primary endpoint 3.86 events per 100 person-years Placebo incidence primary endpoint 4.50 events per 100 person-years [54]
LoDoCo2: Low-dose Colchicine for Secondary Prevention of Cardiovascular Disease N/A Stable coronary artery disease 5522 Colchicine 0.5 mg/d vs. Placebo Composite of cardiovascular death, myocardial infarction, ischemic stroke, ischemia-driven revascularization Expected to publish results in 2020 [55]
COACS: Colchicine for Acute Coronary Syndromes N/A Acute Coronary Syndrome 500 Colchicine 0.5 mg/d vs. Placebo Overall mortality, new acute coronary syndrome, ischemic stroke Unknown [56]
CLEAR-SYNERGY: Colchicine and Sprionolactone in Patients with STEMI/SYNERGY stent registry N/A STEMI 4000 Colchicine 1 mg/day and/or spironolactone 24 mg/day and/or placebo and/or SYNERGY stent (2 × 2 factorial design) Cardiovascular death, recurrent myocardial infarction or stroke in the colchicine comparison Estimated completion 2021 [57]
VCU-ART/VCU-ART(2): Virginia Commonwealth University Anakinra Remodeling Trial 2010/2013 ST-Elevation Myocardial Infarction 10/30 Anakinra 100 mg/d (n = 16) vs. Placebo (n = 19) Difference in interval change in the LV end-systolic volume index (LVESVi) Trend towards reduced incidence of adverse remodeling/No observable benefits in LV remodeling or function [58, 59]