Research Article

Effect of Treatment with Colchicine after Acute Coronary Syndrome on Major Cardiovascular Events: A Systematic Review and Meta-Analysis of Clinical Trials

Table 2

An overview of clinical trials investigating the effect of colchicine on acute coronary syndrome (ACS) or myocardial infarction (MI).

AuthorYearCountryStudy designSexParticipants’ diseaseColchicine dosageControlAge, years (intervention/control)Duration of colchicine usageDuration of follow-upSample size, (intervention/control)Endpoint (s)

Mariama Akodad [32]2016FranceClinical trialBothSTEMIColchicine 1 mg daily+optimal medical careOptimal medical care alone60.1/59.71 month1 month23/21CRP, all-cause mortality, GI adverse events
Thomas Hennessy [33]2019AustraliaRCTBothAcute MI0.5 mg dailyPlacebo61/611 month1 month119/118hs-CRP, all-cause mortality, MI, GI adverse events
Nina C. Raju [34]2011AustraliaRCTBothACS or ischemic stroke1 mg dailyPlacebo57.2/57.21 month1 month36/38Hs-CRP, all-cause mortality, stroke, MI, GI adverse events
Spyridon Deftereos [35]2015GreeceRCTBothSTEMILoading dose of 2 mg continuing with 0.5 mg bid (if  kg then 0.5 mg daily)Placebo58/585 days5 days77/74hs-CRP, GI adverse events
Jean-Claude Tardif [36]2019MultinationalRCTBothMI0.5 mg dailyPlacebo62.1/61.219.6 and 19.5 months in colchicine and placebo groups, respectively (median)Median of 22.6 months overall and 6 months in hs-CRP substudy2366/2379 overall and 99/108 in hs-CRP substudyAll-cause mortality, stroke, MI, GI adverse events
Trisulo Wasyanto [12]2018IndonesiaRCTBothAcute MI0.5 mg dailyPlacebo57.8/52.85 days5 days16/16hs-CRP
David C. Tong [19]2020AustraliaRCTBothACS0.5 mg colchicine bid for the first month, followed by 0.5 mg daily for eleven monthsPlacebo59.7/60.012 months365 days396/399All-cause mortality, stroke, MI, GI adverse events

RCT: randomized controlled trial; ACS: acute coronary syndrome; MI: myocardial infarction; STEMI: ST-Elevation Myocardial Infarction; hs-CRP: high-sensitivity C-reactive protein; GI: gastrointestinal.