Effect of Colchicine on Perioperative Anti-inflammatory Organ Injury in Cardiac Surgery
1 other identifier
interventional
768
1 country
1
Brief Summary
All patients will be completed collection of demographic data, clinical data, and be observed for inflammatory organ damage, oxygenation index or SpO2/ FIO2, WBC, NEU, interleukin-1β, interleukin-6, interleukin-8 (IL-1β/6/8), tumor necrosis factor-α (TNF-α), C-reactive protein (CRP), procalcitonin (PCT), myoglobin (Myo), creatine kinase-MB (CK-MB), high-sensitivity cardiac troponin T (hs-cTnT), neutrophil elastase (NE), myeloperoxidase (MPO), APACHE II score, alanine transaminase (ALT), aspartate transaminase (AST), total bilirubin, Murray lung injury score, serum creatinine, eGFR, mechanical ventilation time, ICU length of stay, drug-related gastrointestinal reactions, and 30-day and 90-day all-cause mortality, among other indicators.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Jan 2024
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 24, 2023
CompletedFirst Posted
Study publicly available on registry
November 7, 2023
CompletedStudy Start
First participant enrolled
January 28, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 30, 2026
November 17, 2025
October 1, 2025
2.6 years
October 24, 2023
November 13, 2025
Conditions
Outcome Measures
Primary Outcomes (4)
Number of Participants with POAF
POAF: Onset of new atrial fibrillation in patients within 10 days post-surgery.
postoperative 10 days
Number of Participants with PMI
PMI: Patient's high-sensitivity cardiac troponin T (hs-cTnT) exceeds 0.8 ng/L on the first day after surgery, and there is an increase of 10% or more on the second day compared to the first day postoperatively.
postoperative 10 days
Number of Participants with ARDS
ARDS: Acute Respiratory Distress Syndrome
postoperative 10 days
Number of Participants with PPS
PPS: post-pericardiotomy syndrome
postoperative 10 days
Secondary Outcomes (16)
Oxygenation index
postoperative day 1, 3, 5 and 7
Inflammatory index
postoperative day 1, 3, 5 and 7
Myocardial injury marker
postoperative day 1, 3, 5 and 7
Acute physiology and chronic health evaluation(APACHE II) socre
postoperative day 1, 3, 5 and 7
Murray lung injury score
postoperative day 1, 3, 5 and 7
- +11 more secondary outcomes
Study Arms (2)
Experimental group (colchicine group)
EXPERIMENTALThe experimental group take 0.5mg of colchicine tablets orally for 3 days before surgery, and continue to take 0.5mg every other day (qod) for 10 days after tracheal extubation.
Control group
PLACEBO COMPARATORThe control group take 0.5mg of placebo tablets orally for 3 days before surgery, and continue to take 0.5mg every other day (qod) for 10 days after tracheal extubation.
Interventions
Take 0.5mg of colchicine tablets orally for 3 days before surgery, and continued to take 0.5mg every other day (qod) for 10 days after tracheal extubation.
Take 0.5mg of starch tablets orally for 3 days before surgery, and continued to take 0.5mg every other day (qod) for 10 days after tracheal extubation.
Eligibility Criteria
You may qualify if:
- Aged between 50 and 80 years, male or female;
- Patients undergoing elective cardiac surgery;
- Have signed the informed consent form (ICF).
You may not qualify if:
- Patients undergoing emergency surgery;
- Patients undergoing deep hypothermic circulatory arrest surgery;
- Preoperative predicted mortality \>3% according to European System for Cardiac Operative Risk Evaluation II (EuroSCORE II);
- Patients undergoing off-pump coronary artery bypass grafting (off-pump CABG) surgery;
- Patients undergoing left or right ventricular outflow tract obstruction surgery;
- Patients undergoing complex corrective surgery for congenital heart disease;
- Patients with an expected CPB exceeding 180 minutes or an anticipated aortic cross-clamp time exceeding 120 minutes;
- Patients expected to have a postoperative endotracheal tube removal time exceeding 24 hours;
- Patients with prolonged fasting or inability to self-feed;
- A history of malignant tumor;
- Patients with unstable preoperative vital signs requiring intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO)assistance, or endotracheal tube-assisted ventilation;
- A history of cardiac surgery;
- Patients with preoperative gastrointestinal symptoms, such as nausea, vomiting and diarrhea;
- Patients with a history of dialysis before surgery;
- Patients with a history of atrial fibrillation before surgery;
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical Schoollead
- First Affiliated Hospital of Zhejiang Universitycollaborator
- Jinan Central Hospitalcollaborator
- The First People's Hospital of Changzhoucollaborator
- Xinhua hospital of ILi in Kazakhstan automomous districtcollaborator
- First Affiliated Hospital of Harbin Medical Universitycollaborator
- The Affiliated Hospital of Yangzhou Universitycollaborator
- Shandong Provincial Hospitalcollaborator
- The First People's Hospital of Huai'ancollaborator
- The First Affiliated Hospital of Shihezi University Medical Collegecollaborator
- Affiliated Hospital of Nantong Universitycollaborator
Study Sites (1)
Dong-Jin Wang
Nanjing, Jiangsu, 210008, China
Related Publications (1)
Li X, Luo Y, Cai X, Lv Z, Kong Y, Guo Q, Zhu J, Pan T, Wang D. Anti-inflammatory effect of colchicine on organ damage during the perioperative period of cardiac surgery: a study protocol for a multicentre, randomised, double-blind, placebo-controlled clinical trial. BMJ Open. 2024 Sep 12;14(9):e084368. doi: 10.1136/bmjopen-2024-084368.
PMID: 39266309DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Tuo Pan, M.D
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
- STUDY CHAIR
DongJin Wang, M.D
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
- PRINCIPAL INVESTIGATOR
DongJin Wang, M.D
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 24, 2023
First Posted
November 7, 2023
Study Start
January 28, 2024
Primary Completion (Estimated)
August 31, 2026
Study Completion (Estimated)
December 30, 2026
Last Updated
November 17, 2025
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share