Aortic & peripheral vascular disease

Long-term trials of colchicine for secondary prevention of vascular events: a meta-analysis

Eur Heart JPublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultPooled hazard ratio .75 95% CI .56-.93

Authors' conclusion

This updated meta-analysis of RCTs demonstrated a substantial reduction in MACE, MI, ischaemic stroke, and recurrent coronary revascularization with colchicine compared with placebo.

Study context

Population
Patients with clinically manifest vascular disease, ≥12-month follow-up
Participants
21,800 patients6 randomized controlled trials (RCTs)
Comparison
Colchicine vs placebo
  • Colchicinen = 10,871
  • Placebon = 10,929reference
Outcome
Major adverse cardiovascular events (MACE):
  • CV mortality
  • MI
  • Ischaemic stroke
  • Urgent coronary revascularization
Follow-up
12-34 months
Methodological detailsrandom effects model
  • Random effects model

Pooled result

As reported in the abstract

Pooled hazard ratio

.75

95% CI .56-.93

Colchicinevs Placebo
pooled HR .75 (95% CI .56-.93)

Further pooled results

MI, ischaemic stroke, urgent coronary revascularization

Reduced with colchicine
P < 0.05 for all

Safety

Safety outcomes, including non-CV deaths

No differences detected for safety outcomes
P > 0.05 for all
Non-CV deaths, RR
1.08 (95% CI .76-1.54)

Original publication

Long-term trials of colchicine for secondary prevention of vascular events: a meta-analysis. Eur Heart J. Published 2 May 2025. doi:10.1093/eurheartj/ehaf174

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