Colchicine Concentrations and Relationship With Colchicine Efficacy and Adverse Events: Post Hoc Analysis of a Randomized Clinical Trial of Colchicine for Gout Flare Prophylaxis

Trough or peak colchicine concentrations are not associated with gout flare prophylaxis efficacy. There is no consistent relationship between colchicine concentrations and colchicine-specific adverse events. Although colchicine concentrations increase with concomitant statin use, this does not result in muscle-related adverse events. These findings indicate that colchicine therapeutic drug monitoring is of limited value in clinical practice.

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Publication Details

Journal
Arthritis Care & Research
Published
2025-04-14
DOI
https://doi.org/10.1002/acr.25548
Citations
4
Primary Topic
Gout, Hyperuricemia, Uric Acid
Type
article
Field-Weighted Citation Impact
5.72
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article

Colchicine Concentrations and Relationship With Colchicine Efficacy and Adverse Events: Post Hoc Analysis of a Randomized Clinical Trial of Colchicine for Gout Flare Prophylaxis

Jill Drake, Borislav Mihov, Janine Haslett, Anne Horne et al.
4 citations
Arthritis Care & Research
Gout, Hyperuricemia, Uric Acid
5.72
article

Colchicine Concentrations and Relationship With Colchicine Efficacy and Adverse Events: Post Hoc Analysis of a Randomized Clinical Trial of Colchicine for Gout Flare Prophylaxis

Jill Drake, Borislav Mihov, Janine Haslett, Anne Horne, Lisa K. Stamp, Daniel F. B. Wright, Nicola Dalbeth, Peter Chapman, Christopher Frampton
article en
4 citations

Abstract

Trough or peak colchicine concentrations are not associated with gout flare prophylaxis efficacy. There is no consistent relationship between colchicine concentrations and colchicine-specific adverse events. Although colchicine concentrations increase with concomitant statin use, this does not result in muscle-related adverse events. These findings indicate that colchicine therapeutic drug monitoring is of limited value in clinical practice.

Arthritis Care & ResearchVol. 77(9)
The University of Sydney (AU), University of Auckland (NZ), Government of New Zealand (NZ), Auckland University of Technology (NZ), St Vincent's Hospital Sydney (AU), St Vincent’s Private Hospital Sydney (AU), Auckland District Health Board (NZ), St Vincent's Clinic (AU), University of Otago (NZ)
Good health and well-being
Openalex Percentile: Top 4%
Gout, Hyperuricemia, Uric Acid
5.72
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