2020 HET JAAR VAN LODOCO2 - CVGK

Page created by Miguel Reid
 
CONTINUE READING
2020 HET JAAR VAN LODOCO2 - CVGK
2020 Het Jaar van LoDoCo2
2020 HET JAAR VAN LODOCO2 - CVGK
Research Publication
              “ Authors Name”
                Article Name
              JOURNAL NAME ,
     Volume XX, Issue XX, Date , Page Ref
         https://doi.org/XXX/yyj/zzzz
2020 HET JAAR VAN LODOCO2 - CVGK
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
2020 HET JAAR VAN LODOCO2 - CVGK
LoDoCo 2
2020 HET JAAR VAN LODOCO2 - CVGK
2020 HET JAAR VAN LODOCO2 - CVGK
The LoDoCo2 Trial
Colchicine for 2o Prevention of Cardiovascular Disease
          An Australian-Dutch Collaboration

                                       1606

  1616

                                         1642
2020 HET JAAR VAN LODOCO2 - CVGK
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’
2020 HET JAAR VAN LODOCO2 - CVGK
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
2020 HET JAAR VAN LODOCO2 - CVGK
FILMPJE Mark Nidorf en andere AUS onderzoekers
2020 HET JAAR VAN LODOCO2 - CVGK
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
You can also read