Review Article

Comparative Effectiveness of Anti-Inflammatory Drug Treatments in Coronary Heart Disease Patients: A Systematic Review and Network Meta-Analysis

Table 1

Characteristics of included studies.

TrialsStudy designYear of studyNo. of patientsStudy populationLost to F/UAgeFemale %Smoking historyDMHTNHLDPrior ACS/MIPrior CHFPrior PCIPrior CABGCRP (mg/L)IL-6 (mg/L)

APEX AMI [28]RCT20072860 (T)STEMI (100)6 (0.2)61 (51-71)691 (24.2)1226 (42.9)446 (15.6)340 (11.9)105 (3.7)278 (9.7)60 (2.1)
2885 (P)STEMI (100)9 (0.3)61 (52-71)634 (22.0)1252 (43.6)467 (16.2)354 (12.3)103 (3.6)284 (9.9)68 (2.4)
COMMA [16]RCT2003262 (T)STEMI (100)3 (1.1)58 (50 to 72)24%37%20%64%16%9%
242 (P)STEMI (100)4 (1.7)61 (51 to 70)24%40%21%61%17%9%
COMPLY [16]RCT2003309 (T)STEMI (100)062 (52 to 70)28%40%14%59%22%13%
307 (P)STEMI (100)1 (0.3)60 (52 to 70)33%42%16%56%17%8.50%
PRIMO CABG [32]RCT20061553 (T)CABG w/wo concurrent valve surgery (100)765.1 (10.2)440 (28.3)376 (24.2)1103 (71.0)599 (38.6)245 (15.8)101 (6.5)133 (8.6)
1546 (P)CABG w/wo concurrent valve surgery (100)1065.3 (10.3)391 (25.3)373 (24.1)1104 (71.4)624 (40.4)219 (14.2)109 (7.1)128 (8.3)
PRIMO CABG II [31]RCT20102142 (T)CABG w/wo concurrent valve surgery (100)18 (0.8)66.2 (31–91) 839 (39.2)1298 (60.6)838 (39.1)228 (10.6)
2112 (P)CABG w/wo concurrent valve surgery (100)19 (0.9)66.2 (35–90)852 (40.3)1246 (59.0)843 (40.0)199 (9.4)
Pexelizumab study investigators [30]RCT2004300 (T)CABG w/wo concurrent valve surgery (100)NA
306 (P)CABG w/wo concurrent valve surgery (100)NA
MRC-ILA Heart Study [35]RCT201598 (T)NSTEMI (100)2(2.0)61.4 (11.7)35 (32.3)34 (36.6)15 (15)31 (33.3)27 (29.0)23 (24.7)5.38 (4.12, 7.04)6.01 (4.68, 7.72)
89 (P)NSTEMI (100)061.3 (12.3)22(34.7)31 (34.8)8 (9)29 (32.6)28 (31.5)24 (27.0)5.21 (3.75, 7.22)5.23 (3.98, 6.88)
VCU-ART 1&2 [33]RCT201520 (T)STEMI (100)057 (48-60)8 (40)12 (60)5 (25)12 (60)14 (70)
20 (P)STEMI (100)058 (51-65)2 (10)14 (70)4 (20)14 (70)13 (65)
VCU-ART 3 [34]RCT202033 (T)STEMI (100)053 (49-62)9 (27)6 (18)13 (39)
35 (P)STEMI (100)056 (51-65)5 (14)15 (43)23 (66)
LODOCO [36]RCT2010282 (T)Stable Coronary Heart Disease (100)031 (11)10 (4)92 (33)64 (23)169 (60)62 (22)
250 (P)Stable Coronary Heart Disease (100)028 (11)14 (6)69 (28)61 (24)138 (55)39 (16)
COLCOT [37]RCT20192366 (T)STEMI (NA), NSTEMI (NA)39 (1.6)472 (19.9)708/2366 (29.9)462 (19.5)1185 (50.1)370 (15.6)48 (2.0)392 (16.6)69 (2.9)
2379 (P)STEMI (NA), NSTEMI (NA)50 (2.1)437 (18.4)708/2377 (29.8)497 (20.9)1236 (52.0)397 (16.7)42 (1.8)406 (17.1)81 (3.4)
SOLID TIMI 52 [38]RCT20146504 (T)STEMI (46.1), NSTEMI (41.6) and UA (12.2)43 (0.7)64 (59-70)1657 (25.5)1227/6501 (18.9)2275 (35.0)4793 (73.7)4191 (64.5)2013 (31.0)1532 (23.6)
6522 (P)STEMI (44.2), NSTEMI (43.7), UA (12.1)41 (0.6)64 (59-71)1669 (25.6)1245/6513 (19.1)2227 (34.1)4762 (73.0)4165 (63.9)2033 (31.2)1580 (24.2)
STABILITY [39]RCT20147924 (T)Stable Coronary Heart Disease (100)80 (1.0)65.0 (59.0–71.0)1461 (18.4)1572 (19.8)2664 (33.6)4681 (59.1)3987 (50.3)2644 (33.4)
7904 (P)Stable Coronary Heart Disease (100)69 (0.9)65.0 (59.0–71.0)1506 (19.1)1656 (21.0)2687 (34.0)4642 (58.7)3978 (50.3)2592 (32.8)
FRANCIS [41]RCT2010313 (T)STEMI (42.2), NSTEMI (36.4), UA (21.4)6 (1.9)26.573 (23.3)84 (26.8)271 (86.6)120 (38.3)97 (31.0)12.0 (0–222)5.22 (2.79–12.10)
311 (P)STEMI (40.8), NSTEMI (33.4), UA (25.7)3 (1.0)24.168 (21.9)87 (28.0)274 (88.1)109 (35.0)66 (21.2)9.9 (0–377)5.16 (2.69–10.94)
VISTA-16 [40]RCT20142572 (T)STEMI (47.4), NSTEMI (37.4), UA (15.3)26 (1.0)61.0 (10.0)691 (26.9)854 (33.4)801 (31.3)1911 (75.2)1255 (49.3)769 (30.2)453 (17.7)161 (6.3)11.4 (4.5-33.0)
2573 (P)STEMI (46.9), NSTEMI (38.0), UA (15.1)32 (1.2)60.7 (9.8)660 (25.7)860 (33.6)803 (31.3)1977 (77.8)1292 (50.9)743 (29.6)476 (18.6)182 (7.1)10.4 (4.0-28.7)
CANTOS [17]RCT20172263 (T)STEMI (53.6), NSTEMI (33.6), unknown type of missing data (12.8)4 (0.2)606 (26.8)536 (23.7)888 (39.2)1799 (79.5)523 (23.1)1509 (66.7)316 (14)4.15 (2.85-7.15)2.59 (1.79-4.08)
3344 (P)STEMI (54.0), NSTEMI (33.9), unknown type of missing data (12.1)9 (0.3)865 (25.9)765 (22.9)1333 (39.9)2644 (79.1)721 (21.6)2192 (65.6)469 (14)41.1 (2.75-6.85)2.61 (1.8-4.06)
SELECT-CABG [42]RCT2016148 (T)CABG (100)NA16(10.8)
144 (P)CABG (100)NA15(10.4)
LATITUDE TIMI-60 [43]RCT20161731 (T)STEMI (25.0), NSTEMI (75.0)NA66 (61-74)500 (28.9)464 (26.8)582 (33.6)1268 (73.3)985 (56.9)425 (24.6)206 (11.9)412 (23.8)154 (8.9)3.6 (1.7-9.6)
1758 (P)STEMI (24.6), NSTEMI (75.4)NA67 (61-73)532 (30.3)449 (25.6)586 (33.3)1276 (72.6)936 (53.2)426 (24.2)216 (12.3)410 (23.3)137 (7.8)3.7 (1.7-9.9)
SOLSTICE 3RCT2012192 (T)NSTEMI (100)363 (57–73)57 (30)56 (29)59 (31)136 (71)115 (60)46 (24)16 (8)55 (29)21 (11)37.1 (16.2-83.8)5.3 (2.9-8.6)
135 (P)NSTEMI (100)064 (56–71)40 (30)46 (34)37 (27)97 (72)74 (55)33 (17)6 (4)21 (16)11 (8)33.3 (13.3-102.9)4.8 (2.8-9.8)

Studies with subgroup analysis. denotes mean (SD); otherwise, they are number (percentage). Range values are median (interquartile range). SD: standard deviation; NA: not available; T: treatment group; P: placebo group.