NCT06472908

Brief Summary

Colchicine (0.5 mg/day) was recommended by the U.S. Food and Drug Administration in 2023 for the anti-inflammatory treatment of coronary heart disease (CHD). However, colchicine is still not approved for CHD treatment in China. There is no large-scale clinical evidence that colchicine can be used to treat Chinese patients with CHD. Considering the low body weight of the East Asian population, it is unclear whether the recommended standard dose (0.5 mg/day) is suitable for Chinese patients. Therefore, we need to further explore the effects of different doses of colchicine on the efficacy and safety of clinical endpoints in the Chinese population with CHD. This study is a multicenter, prospective, randomized, controlled, double-blind, event-driven clinical study conducted in China. The primary objective of this study is to determine whether long-term treatment with different doses of colchicine reduces the incidence of cardiovascular events in Chinese patients undergoing PCI. The secondary objective is to determine the safety of long-term treatment with different doses of colchicine in this patient population.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
8,862

participants targeted

Target at P75+ for phase_3

Timeline
28mo left

Started Jul 2024

Typical duration for phase_3

Geographic Reach
1 country

36 active sites

Status
recruiting

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

Study Progress44%
Jul 2024Aug 2028

First Submitted

Initial submission to the registry

June 19, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 25, 2024

Completed
14 days until next milestone

Study Start

First participant enrolled

July 9, 2024

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2028

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2028

Last Updated

March 30, 2025

Status Verified

March 1, 2025

Enrollment Period

3.7 years

First QC Date

June 19, 2024

Last Update Submit

March 25, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Composite of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, and ischemia-driven revascularization

    From randomization to the first occurrence

    An estimated 2-4 years period

Secondary Outcomes (9)

  • Composite of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke

    An estimated 2-4 years period

  • Ischemia-driven revascularization

    An estimated 2-4 years period

  • Nonfatal myocardial infarction

    An estimated 2-4 years period

  • Nonfatal stroke

    An estimated 2-4 years period

  • Urgent hospitalization for unstable angina

    An estimated 2-4 years period

  • +4 more secondary outcomes

Study Arms (3)

Colchicine 0.5 mg

EXPERIMENTAL

Colchicine 0.5 mg, one pill a day, oral intake

Drug: Colchicine 0.5 mg

Colchicine 0.375 mg

EXPERIMENTAL

Colchicine 0.375 mg, one pill a day, oral intake

Drug: Colchicine 0.375 mg

Placebo

PLACEBO COMPARATOR

Placebo, one pill a day, oral intake

Drug: Placebo

Interventions

Colchicine 0.5 mg, one pill a day, oral intake

Also known as: no other name
Colchicine 0.5 mg

Colchicine 0.375 mg, one pill a day, oral intake

Also known as: no other name
Colchicine 0.375 mg

Placebo, one pill a day, oral intake

Also known as: no other name
Placebo

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • (1) Capable and willing to provide informed consent;
  • (2) Age ≥18 and ≤80 years old, regardless of sex;
  • (3) Hospitalized patients with CHD requiring PCI;
  • (4) Completion of all planned PCI during hospitalization;
  • (5) Standardized treatment of coronary artery disease according to national guidelines.

You may not qualify if:

  • (1) Known allergy to colchicine;
  • (2) Colchicine taken within 10 days prior to randomization group;
  • (3) Patients currently in cardiogenic shock or hemodynamically unstable;
  • (4) Patients with known inflammatory bowel disease or chronic diarrhea;
  • (5) Abnormal liver function (ALT\> 3 times the upper limit of normal);
  • (6) Abnormal renal function (eGFR\<30mL/min/1.73m2);
  • (7) Active malignant tumors reported in past medical history;
  • (8) Existing or planned treatment with other anti-inflammatory or immunosuppressive drugs;
  • (9) Pregnant women, lactating women or women of childbearing age who did not use effective contraceptives;
  • (10) Any other circumstances in which the investigator judges that the patient is not suitable to participate in the clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (36)

The Second Hospital & Clinical Medical School, Lanzhou University

Lanzhou, Gansu, China

RECRUITING

Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430022, China

RECRUITING

Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College

Beijing, China

RECRUITING

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, China

RECRUITING

The First Affiliated Hospital of Dalian Medical University

Dalian, China

RECRUITING

The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture

Enshi, China

RECRUITING

The First Affiliated Hospital of Harbin Medical University

Harbin, China

RECRUITING

The First Affiliated Hospital of Anhui Medical University

Hefei, China

RECRUITING

Huangshi Central Hospital

Huangshi, China

RECRUITING

Shandong Provincial Hospital

Jinan, China

RECRUITING

Jingzhou Central Hospital

Jingzhou, China

RECRUITING

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, China

RECRUITING

Shanghai Sixth People's Hospital

Shanghai, China

RECRUITING

Songjiang Hospital Affiliated with Shanghai Jiao Tong University School of Medicine

Shanghai, China

RECRUITING

The General Hospital of Northern Theater Command of the Chinese People's Liberation Army

Shenyang, China

RECRUITING

Dongfeng General Hospital, Hubei University of Medicine

Shiyan, China

RECRUITING

Shiyan Renmin Hospital

Shiyan, China

RECRUITING

Taihe hospital

Shiyan, China

RECRUITING

Suizhou Central Hospital

Suizhou, China

RECRUITING

Shanxi Cardiovascular Disease Hospital

Taiyuan, China

RECRUITING

China Resources and WISCO General Hospital

Wuhan, China

RECRUITING

Fifth Hospital in Wuhan

Wuhan, China

RECRUITING

Wuhan Asia Heart Hospital

Wuhan, China

RECRUITING

Wuhan Central Hospital

Wuhan, China

RECRUITING

Wuhan First Hospital

Wuhan, China

RECRUITING

Wuhan Fourth Hospital

Wuhan, China

RECRUITING

Wuhan Puren Hospital

Wuhan, China

RECRUITING

Wuhan Sixth Hospital, Affiliated Hospital of Jianghan University

Wuhan, China

RECRUITING

Wuhan Third Hospital

Wuhan, China

RECRUITING

Wuhan Wuchang Hospital

Wuhan, China

RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, China

RECRUITING

Xiangyang Central Hospital

Xiangyang, China

RECRUITING

Xiangyang First People's Hospital

Xiangyang, China

RECRUITING

Xianning Central Hospital

Xianning, China

RECRUITING

Yichang Central People's Hospital

Yichang, China

RECRUITING

Fuwai Huazhong Cardiovascular Hospital

Zhengzhou, China

RECRUITING

Related Publications (3)

  • Lawler PR, Bhatt DL, Godoy LC, Luscher TF, Bonow RO, Verma S, Ridker PM. Targeting cardiovascular inflammation: next steps in clinical translation. Eur Heart J. 2021 Jan 1;42(1):113-131. doi: 10.1093/eurheartj/ehaa099.

  • Nelson K, Fuster V, Ridker PM. Low-Dose Colchicine for Secondary Prevention of Coronary Artery Disease: JACC Review Topic of the Week. J Am Coll Cardiol. 2023 Aug 15;82(7):648-660. doi: 10.1016/j.jacc.2023.05.055.

  • Fiolet ATL, Opstal TSJ, Mosterd A, Eikelboom JW, Jolly SS, Keech AC, Kelly P, Tong DC, Layland J, Nidorf SM, Thompson PL, Budgeon C, Tijssen JGP, Cornel JH. Efficacy and safety of low-dose colchicine in patients with coronary disease: a systematic review and meta-analysis of randomized trials. Eur Heart J. 2021 Jul 21;42(28):2765-2775. doi: 10.1093/eurheartj/ehab115.

MeSH Terms

Conditions

Coronary Disease

Interventions

Colchicine

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

AlkaloidsHeterocyclic Compounds

Study Officials

  • Xiang Cheng, MD

    Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director in the department of cardiology

Study Record Dates

First Submitted

June 19, 2024

First Posted

June 25, 2024

Study Start

July 9, 2024

Primary Completion (Estimated)

March 31, 2028

Study Completion (Estimated)

August 31, 2028

Last Updated

March 30, 2025

Record last verified: 2025-03

Locations