Cardiometabolic & kidneyRandomised controlled trial

Colchicine mitigates arterial stiffness in high-risk patients with type 2 diabetes: a randomized placebo-controlled trial

Eur J Prev CardiolPublished

  • Randomised controlled trial
  • double-blind
  • placebo-controlled

Authors' conclusion

This study suggests that low-dose colchicine may reduce arterial stiffness in high risk patients with type 2 diabetes.

Study context

Population
T2DM with a history of cardiovascular disease (CVD) or high CV risk1:1 randomisation
Participants
100 participants
Comparison
Colchicine vs placebo
Primary endpoint
Change in arterial stiffness (carotid-femoral pulse wave velocity, cfPWV)
Follow-up
26 weeks

Primary result

Change in arterial stiffness (cfPWV)

Mean arterial pressure (MAP)-adjusted change in carotid-femoral pulse wave velocity (cfPWV)

−0.7 m/s

95% CI −1.3 to −0.1

P = 0.03

Colchicine vs Placebo
MAP-adjusted change in cfPWV −0.7 m/s (95% CI −1.3 to −0.1); P = 0.03

As reported in the abstract

Crude analysis without MAP adjustment: non-significant reduction in cfPWV
−0.3 m/s (95% CI: −1.0; 0.4, P = 0.45)

Secondary outcomes

Outcomechange (mmHg) (95% CI)P value
24-h systolic ambulatory BP · no significant effect3.0 (−0.5 to 6.5)P = 0.10
Outcomepercentage change (95% CI)P value
UACR · no significant effect0.5 (−29.5 to 40.4)P = 0.98

Original publication

Colchicine mitigates arterial stiffness in high-risk patients with type 2 diabetes: a randomized placebo-controlled trial. Eur J Prev Cardiol. Published 14 March 2025. doi:10.1093/eurjpc/zwaf143

Summarised from the published abstract; every number is checked against it