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] |