Evidence map›Paper›PMID 33293273›Full record

ReviewAnnals of the rheumatic diseases2021

Anti-inflammatory therapy for COVID-19 infection: the case for colchicine.

Aaron Z Reyes, Kelly A Hu, Jacob Teperman, Theresa L Wampler Muskardin, Jean-Claude Tardif, Binita Shah, Michael H Pillinger

Open access · greenAbstract readReview
In one paragraph

Review in Annals of the rheumatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 7 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 7 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Colchicine, COVID-19 and hematological parameters: A meta-analysis.Journal of clinical laboratory analysis · 2021
    Pooled it
  5. Colchicine for the treatment of COVID-19.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Colchicine reduces the activation of NLRP3 inflammasome in COVID-19 patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Trial
  10. Trial
  11. Colchicine for COVID-19 in the community (PRINCIPLE): a randomised, controlled, adaptive platform trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Aaron Z ReyesInternal Medicine, New York University Grossman School of Medicine, New York, New York, USA.ORCID 0000-0001-5830-8882
Kelly A HuInternal Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Jacob TepermanInternal Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Theresa L Wampler MuskardinColton Center for Autoimmunity, Department of Medicine and Pathology, New York University School of Medicine, New York, New York, USA.
Jean-Claude TardifMontreal Heart Institute, Montreal, Québec, Canada.
Binita ShahCardiology/Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Michael H PillingerRheumatology/Medicine, New York University Grossman School of Medicine, New York, New York, USA Michael.Pillinger@nyulangone.org.
New York University · USVA NY Harbor Healthcare System · USMontreal Heart Institute · CA

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Studies on the effects of colchicine on neutrophil biology in acute myocardial infarctionR01HL146206 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SHAH, BINITA · 2019 to 2022
$2.4M
Anti-inflammatory therapy during percutaneous coronary interventionIK2CX001074 · VA · VA MEDICAL CENTER · PI SHAH, BINITA · 2016 to 2021
–
CSRD VA IK2 CX001074NCATS NIH HHS UL1 TR001445NHLBI NIH HHS R01 HL146206
6 · The paper itself

Abstract

The search for effective COVID-19 management strategies continues to evolve. Current understanding of SARS-CoV-2 mechanisms suggests a central role for exaggerated activation of the innate immune system as an important contributor to COVID-19 adverse outcomes. The actions of colchicine, one of the oldest anti-inflammatory therapeutics, target multiple mechanisms associated with COVID-19 excessive inflammation. While many COVID-19 trials have sought to manipulate SARS-CoV-2 or dampen the inflammatory response once patients are hospitalised, few examine therapeutics to prevent the need for hospitalisation. Colchicine is easily administered, generally well tolerated and inexpensive, and holds particular promise to reduce the risk of hospitalisation and mortality due to COVID-19 in the outpatient setting. Successful outpatient treatment of COVID-19 could greatly reduce morbidity, mortality and the demand for rare or expensive care resources (front-line healthcare workers, hospital beds, ventilators, biological therapies), to the benefit of both resource-replete and resource-poor regions.

Indexed as

COVID-19 Drug TreatmentAnti-Inflammatory AgentsColchicineHumansSARS-CoV-2Anti-Inflammatory AgentsColchicinechemokinescytokinesimmune system diseasesinflammationtherapeutics

Identifiers

PMID33293273
PMCPMC8491433
OpenAlexW3111279864

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.