Implications and limitations of the CLEAR-SYNERGY trial for the use of low-dose colchicine in cardiovascular disease

IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Nature cardiovascular research Pub Date : 2025-01-24 DOI:10.1038/s44161-024-00600-2
Ashish Misra, Peter J. Psaltis, Amandeep Rashid Mondal, Adam J. Nelson, Stefan Mark Nidorf
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Abstract

Low-dose colchicine is the only anti-inflammatory drug approved for secondary prevention of coronary disease. The CLEAR-SYNGERY trial of colchicine in acute myocardial infarction challenges the results of previous colchicine trials; however, clinicians should be aware of how its design and the COVID-19 pandemic affected the trial outcome.

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使用低剂量秋水仙碱治疗心血管疾病的CLEAR-SYNERGY试验的意义和局限性
低剂量秋水仙碱是唯一被批准用于冠心病二级预防的抗炎药物。秋水仙碱在急性心肌梗死中的CLEAR-SYNGERY试验挑战了以往秋水仙碱试验的结果;然而,临床医生应该意识到它的设计和COVID-19大流行如何影响试验结果。
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