Prevention & lipids

Association of Low-Dose Colchicine With Incidence of Knee and Hip Replacements : Exploratory Analyses From a Randomized, Controlled, Double-Blind Trial

Ann Intern MedPublished Secondary analysis of the LoDoCo2 randomised trial

Authors' conclusion

In this exploratory analysis of the LoDoCo2 trial, use of colchicine, 0.5 mg daily, was associated with a lower incidence of TKR and THR.

Study context

Population
Patients with chronic CAD
Participants
5,522 patients
Comparison
Colchicine 0.5 mg daily vs placebo
  • Colchicinen = 2,762
  • Placebon = 2,760reference
Primary endpoint
Time to first total knee replacement (TKR) or total hip replacement (THR) since randomisation
Follow-up
Median 28.6 months
Methodological detailsexploratory analysis, double-blind, placebo-controlled, multicentre (43 centres, Australia and the Netherlands), intention-to-treat
  • Exploratory analysis
  • Double-blind
  • Placebo-controlled
  • Multicentre (43 centres, Australia and the Netherlands)
  • Intention-to-treat

Primary result

As reported in the abstract

TKR or THR
Each group vs placeboIncidence rate difference, per 100 person-years (95% CI)
Colchicine
−0.40(−0.74 to −0.06)
Each group vs placeboHazard ratio (95% CI)
Colchicine
0.69(0.51–0.95)

Further findings

Sensitivity analyses (excluding baseline gout; omitting joint replacements in first 3 and 6 months)

Similar results

Original publication

Association of Low-Dose Colchicine With Incidence of Knee and Hip Replacements : Exploratory Analyses From a Randomized, Controlled, Double-Blind Trial. Ann Intern Med. Published 30 May 2023. doi:10.7326/m23-0289

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