Evidence map›Paper›PMID 41528549›Full record

ReviewCurrent atherosclerosis reports2026

Colchicine in Coronary Artery Disease: Comparative Review of CLEAR SYNERGY, LoDoCo2 and COLCOT.

Jalina Jannink, Aimée Mh van Zelm, Soumaya Chemlal, Fabrice Mac Martens, Michiel Hf Poorthuis, Frank Lj Visseren, Arend Mosterd, Aernoud Tl Fiolet

Abstract readReviewComparative Study
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2026. 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. Article
  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

8 authors.

Jalina JanninkDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Aimée Mh van ZelmDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Soumaya ChemlalDepartment of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Fabrice Mac MartensDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Michiel Hf PoorthuisDepartment of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands.
Frank Lj VisserenDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Arend MosterdDepartment of Cardiology, Meander Medical Center, Amersfoort, The Netherlands.
Aernoud Tl FioletDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands. a.t.l.fiolet-2@umcutrecht.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review examines differences between three large colchicine trials, including study design, trial populations, timing of treatment initiation, colchicine dosing regimens, geographic factors, the timing of trial conduct and inflammatory response. RECENT

findingsColchicine inhibits neutrophil function and affects nucleotide-binding oligomerisation domain-like receptors, pyrin domain-containing 3 (NLRP3) inflammasome activity, thereby reducing the release of downstream pro-inflammatory cytokines such as mature interleukin-1β and interleukin-6. Large randomized controlled trials have evaluated the effects of colchicine in the secondary prevention of coronary artery disease with divergent results. The Colchicine Cardiovascular Outcomes Trial (COLCOT) in patients with recent myocardial infarction (MI) and the Low-Dose Colchicine 2 (LoDoCo2) trial in patients with chronic coronary syndrome showed relative risk reductions of 23% and 31% for major adverse cardiovascular events (MACE). In contrast, the CLEAR SYNERGY trial in patients with recent MI yielded neutral results. Differences between COLCOT, LoDoCo2 and CLEAR SYNERGY provide insights into these aspects of the trials, but do not give definite answers as to why results were divergent. Future detailed analyses of CLEAR SYNERGY, such as stratification by time to treatment initiation, landmark analyses, re-evaluation of events, and assessments of the relationship between inflammatory response and outcomes, could provide additional insights.

Indexed as

ColchicineCoronary Artery DiseaseHumansRandomized Controlled Trials as TopicColchicineColchicineCoronary artery diseaseHsCRPInflammation

Identifiers

PMID41528549

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.