Type 2 & other diabetes

Low-Dose Colchicine in Patients With Type 2 Diabetes and Recent Myocardial Infarction in the Colchicine Cardiovascular Outcomes Trial (COLCOT)

Diabetes CarePublished Prespecified analysis of the COLCOT randomised trial

Primary result · Primary end point eventResult — go to the resultHazard ratio 0.65 95% CI 0.44–0.96

Authors' conclusion

Among patients with T2D and a recent myocardial infarction, colchicine, 0.5 mg daily, leads to a large reduction of cardiovascular events. These results support the conduct of the COLCOT-T2D trial in primary prevention.

Study context

Population
Patients with T2D and recent MI (within 30 days)T2D subgroup
Participants
959 patients
Comparison
Colchicine 0.5 mg daily vs placebo
Primary endpoint
Primary end point event
Follow-up
Median 22.6 months
Methodological detailsrandomized, double-blinded, placebo-controlled, prespecified T2D analysis
  • Randomized
  • Double-blinded
  • Placebo-controlled
  • Prespecified T2D analysis

Primary result

As reported in the abstract

median 22.6 months

Hazard ratio

0.65

95% CI 0.44–0.96

P = 0.03

By group

Colchicinevs Placebo
HR 0.65 (95% CI 0.44–0.96); P = 0.03

Safety

Nausea

P = 0.03

Pneumonia

P = 0.008

Original publication

Low-Dose Colchicine in Patients With Type 2 Diabetes and Recent Myocardial Infarction in the Colchicine Cardiovascular Outcomes Trial (COLCOT). Diabetes Care. Published 5 January 2024. doi:10.2337/dc23-1825

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