2020 HET JAAR VAN LODOCO2 - CVGK
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Research Publication “ Authors Name” Article Name JOURNAL NAME , Volume XX, Issue XX, Date , Page Ref https://doi.org/XXX/yyj/zzzz
6528 Enrolled 91.3% Tolerated open label therapy Randomized 5522 Followed for a median of 29 months (12-64 months) 90.3% in each arm continued their trial medication 3.4% in each arm ceased due to perceived effects 5521 5521 Close-out Began on December 4, 2019; Ended February 17, 2020 99.9% Final, end point status known
The LoDoCo2 Trial Colchicine for 2o Prevention of Cardiovascular Disease An Australian-Dutch Collaboration 1606 1616 1642
Continuous Use of Low Dose Colchicine is Safe Long-term daily doses of up to 2mg/d is FDA approved [FMF] 5-10% experience mild early GI effects - dose related1 Myo-, BM toxicity & Death limited to cases of over dose It has no detrimental effects on renal or hepatic function2 Serious drug interactions are rare – Clarithromycin3 1 98% tolerate 0.25mg/day 2 Used in advanced renal failure [20% renal excretion] and cirrhosis 3 Nexium 7 Colchicine has had a bad wrap because of the way we were taught to use it ‘You must rapidly over-dose patients to make them run so they could walk’
When Clinicians take their Ideas from Bench to Bedside it Requires a Leap of Faith … they need to go forward aware of uncertainties but ‘in the confident hope of a miracle’* * Admiral Martin de Bertendona, Commander of the [Spanish Armada] Levant squadron Expressing doubts about the chances of success of the invasion of England
STATUS INCLUSIE FOLLOW-UP Aanloop…. Mei 2015 Sept 2008 Nov 2012 Start samenwerking Aus: start inclusie Publicatie & Australië & Nederland LoDoCo presentatie LoDoCo Feb 2014 Aus: Start inclusie LoDoCo2 ‘08 ‘09 ‘10 ‘11 ‘12 ‘13 ‘14 ‘15 ‘16
STATUS INCLUSIE FOLLOW-UP “Vrijwel iedereen kan meedoen!” Dixit: Aernoud Fiolet ca. 75% van patiënten met stabiel coronairlijden is geschikt
Gloriosa superba “Tour de LoDoCo” drug rediscovery in the spotlight
Human uses Gloriosa superba The alkaloid-rich plant has long been used as a traditional medicine in many cultures. It has been used in the treatment of: • gout • typhus • smallpox • infertility • itching • sexually transmitted diseases • open wounds • leprosy • many types of internal parasites • snakebite • bruises • anthelmintic • ulcer • sprains • used as a laxative • arthritis • hemorrhoids • used as an alexiteric • cholera • cancer • the sap is used to • colic • impotence treat acne and head lice • kidney problems • Nocturnal emission • it may cause abortion • in parts of India, extracts of the rhizome are applied topically during childbirth to reduce labor pain.
STATUS INCLUSIE FOLLOW-UP The journey Inclusie & Follow-Up
STATUS INCLUSIE FOLLOW-UP The journey Inclusie & Follow-Up Over Flits Audits in Meppel en Perth Ontbijt in Barcelona De Fiets van uw Fiscus
ESC Barcelona 28 Augustus 2017, 07.30 uur (< 24 uur post CANTOS)
6528 Enrolled 91.3% Tolerated open label therapy Randomized 5522 Followed for a median of 29 months (12-64 months) 90.3% in each arm continued their trial medication 3.4% in each arm ceased due to perceived effects 5521 5521 Close-out Began on December 4, 2019; Ended February 17, 2020 99.9% Final, end point status known
Trots op TeamWork in alle Geledingen
FILMPJE vandaag gemaakt met Mark Nidorf
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