Evidence mapPaperPMID 39460903Full record

SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2025

Efficacy of Colchicine for Prevention of Stroke and Adverse Cardiovascular Events: A Meta-analysis of 16 Randomized Controlled Trials.

Vikash Jaiswal, Novonil Deb, Muhammad Hanif, Zarghoona Wajid, Yusra Minahil Nasir, Sidra Naz, Kriti Kalra, Saria Qaiser, Abhigan Babu Shrestha, Dhrubajyoti Bandyopadhyay and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Vikash JaiswalDepartment of Cardiovascular Research, Larkin Community Hospital, South Miami, FL, USA. vikash29jaxy@gmail.com.ORCID http://orcid.org/0000-0002-2021-1660
Novonil DebNorth Bengal Medical College, Siliguri, West Bengal, India.
Muhammad HanifDepartment of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY, USA.
Zarghoona WajidDepartment of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
Yusra Minahil NasirDepartment of Internal Medicine, University of Oklahoma Health Science Center, Oklahoma City, USA.
Sidra NazMD Anderson Cancer Center, The University of Texas, Austin, TX, USA.
Kriti KalraDepartment of Cardiology, Medstar Washington Hospital Center, Washington, WD, USA.
Saria QaiserDepartment of Internal Medicine, Rutgers Health Community Medical Center, Orange, NJ, USA.
Abhigan Babu ShresthaDepartment of Internal Medicine, M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Dhrubajyoti BandyopadhyayMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jishanth MattumpuramDivision of Cardiology, University of Louisville School of Medicine, Louisville, KY, 40202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColchicine has been shown to reduce adverse cardiovascular events (ACE) and stroke among patients with coronary artery disease. However, its efficacy with short- and long-term use and risk of stroke has not been well studied, with conflicting results to date.

objectiveWe sought to evaluate the efficacy of colchicine for the prevention of stroke and other cardiovascular outcomes and to evaluate the effect of short- and long-term use.

methodsWe performed a systematic literature search on PubMed, EMBASE, and Clinicaltrial.gov for relevant randomized controlled trials (RCTs) from inception until July 20th, 2024. Odds ratios (ORs) were pooled using a random-effect model, and a p value of < 0.05 was considered statistically significant.

resultsA total of 16 RCTs with 24,967 patients were included (12,538 in colchicine group and 12,429 in the control group) in the analysis. Pooled analysis of primary outcomes showed that risk of incidence of stroke was comparable between colchicine and placebo groups (OR 0.78, 95% confidence interval [CI] 0.59-1.02, p = 0.07). Pooled analysis of secondary outcomes showed that colchicine significantly reduced the risk of incidence of ACE by 33% (OR 0.67, 95% CI 0.54-0.82, p < 0.001), and myocardial infarction by 21% (OR 0.79, 95% CI 0.65-0.95, p = 0.01) compared with placebo. However, the risk of all-cause mortality (OR 0.98, 95% CI 0.79-1.21, p = 0.83) and cardiovascular mortality (OR 0.78, 95% CI 0.56-1.08, p = 0.14) were comparable between both groups of patients.

conclusionColchicine was associated with an overall reduction in the risk of incidence of ACE and MI; however, no such effect was observed with mortality and stroke.

Indexed as

Cardiovascular DiseasesColchicineStrokeHumansRandomized Controlled Trials as TopicColchicine

Identifiers

What Socratic holds

Textmetadata
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.