Efficacy and Safety of Colchicine After PCI

NCT ID: NCT06472908

Last Updated: 2025-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

8862 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-09

Study Completion Date

2028-08-31

Brief Summary

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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.

Detailed Description

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After informed consent, 8862 subjects who meet all inclusion will be randomly assigned to receive colchicine (0.5 mg/day), colchicine (0.375 mg/day), or placebo (1:1:1 allocation ratio), with follow-up at months (1, 6, 12, 18, 24…) after randomization, and phone assessments at months (3, 9, 15, 21…). The occurrence of any endpoints or other adverse events will be assessed every 3 months. Subjects will also receive standard medical care for antiplatelets, control of dyslipidemia, hypertension, angina and diabetes as directed by national guidelines. All suspected cardiovascular endpoints will be adjudicated by the Clinical Event Committee (CEC, consisting of three experienced members blinded as to allocation of therapy). The Data and Safety Monitoring Board (DSMB, consisting of five fully independent members) will review unblinded safety data as detailed in the DSMB charter. An interim analysis is planned after approximately 50% of primary endpoints have been positively adjudicated. The DSMB charter will pre-specify the methodology for the interim analysis and the rules for early termination of the study.

Conditions

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Coronary Heart Disease Percutaneous Coronary Intervention Colchicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Colchicine 0.5 mg

Colchicine 0.5 mg, one pill a day, oral intake

Group Type EXPERIMENTAL

Colchicine 0.5 mg

Intervention Type DRUG

Colchicine 0.5 mg, one pill a day, oral intake

Colchicine 0.375 mg

Colchicine 0.375 mg, one pill a day, oral intake

Group Type EXPERIMENTAL

Colchicine 0.375 mg

Intervention Type DRUG

Colchicine 0.375 mg, one pill a day, oral intake

Placebo

Placebo, one pill a day, oral intake

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, one pill a day, oral intake

Interventions

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Colchicine 0.5 mg

Colchicine 0.5 mg, one pill a day, oral intake

Intervention Type DRUG

Colchicine 0.375 mg

Colchicine 0.375 mg, one pill a day, oral intake

Intervention Type DRUG

Placebo

Placebo, one pill a day, oral intake

Intervention Type DRUG

Other Intervention Names

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no other name no other name no other name

Eligibility Criteria

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Inclusion Criteria

* (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.

Exclusion Criteria

* (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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

OTHER

Sponsor Role lead

Responsible Party

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Xiang Cheng

Director in the department of cardiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xiang Cheng, MD

Role: PRINCIPAL_INVESTIGATOR

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

Locations

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The Second Hospital & Clinical Medical School, Lanzhou University

Lanzhou, Gansu, China

Site Status RECRUITING

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

Wuhan, Hubei, China

Site Status RECRUITING

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

Beijing, , China

Site Status RECRUITING

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, , China

Site Status RECRUITING

The First Affiliated Hospital of Dalian Medical University

Dalian, , China

Site Status RECRUITING

The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture

Enshi, , China

Site Status RECRUITING

The First Affiliated Hospital of Harbin Medical University

Harbin, , China

Site Status RECRUITING

The First Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status RECRUITING

Huangshi Central Hospital

Huangshi, , China

Site Status RECRUITING

Shandong Provincial Hospital

Jinan, , China

Site Status RECRUITING

Jingzhou Central Hospital

Jingzhou, , China

Site Status RECRUITING

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status RECRUITING

Shanghai Sixth People's Hospital

Shanghai, , China

Site Status RECRUITING

Songjiang Hospital Affiliated with Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status RECRUITING

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

Shenyang, , China

Site Status RECRUITING

Dongfeng General Hospital, Hubei University of Medicine

Shiyan, , China

Site Status RECRUITING

Shiyan Renmin Hospital

Shiyan, , China

Site Status RECRUITING

Taihe hospital

Shiyan, , China

Site Status RECRUITING

Suizhou Central Hospital

Suizhou, , China

Site Status RECRUITING

Shanxi Cardiovascular Disease Hospital

Taiyuan, , China

Site Status RECRUITING

China Resources and WISCO General Hospital

Wuhan, , China

Site Status RECRUITING

Fifth Hospital in Wuhan

Wuhan, , China

Site Status RECRUITING

Wuhan Asia Heart Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan Central Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan First Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan Fourth Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan Puren Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan Sixth Hospital, Affiliated Hospital of Jianghan University

Wuhan, , China

Site Status RECRUITING

Wuhan Third Hospital

Wuhan, , China

Site Status RECRUITING

Wuhan Wuchang Hospital

Wuhan, , China

Site Status RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status RECRUITING

Xiangyang Central Hospital

Xiangyang, , China

Site Status RECRUITING

Xiangyang First People's Hospital

Xiangyang, , China

Site Status RECRUITING

Xianning Central Hospital

Xianning, , China

Site Status RECRUITING

Yichang Central People's Hospital

Yichang, , China

Site Status RECRUITING

Fuwai Huazhong Cardiovascular Hospital

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Miao Yu, MD

Role: CONTACT

+8602785726494

Facility Contacts

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Peng Chang

Role: primary

Xiang Cheng, Doctor

Role: primary

+8602785726011

Ke-Fei Dou

Role: primary

Zhi-Yu Ling

Role: primary

Bo Zhang

Role: primary

Yu-Hua Lei

Role: primary

De-Chun Yin

Role: primary

Jun Xie

Role: primary

Dao-Qun Jin

Role: primary

Hai-Tao Yuan

Role: primary

Ke-Ping Yang

Role: primary

Rui-Yan Zhang

Role: primary

Cheng-Xing Shen

Role: primary

Lei Hou

Role: primary

Geng Wang

Role: primary

Xin-Wen Min

Role: primary

You-En Zhang

Role: primary

Zheng Cao

Role: primary

Wei Yao

Role: primary

Xue-Bin Han

Role: primary

Xue-Xiang Lv

Role: primary

Li-Feng Hong

Role: primary

Hua Yan

Role: primary

Man-Hua Chen

Role: primary

Li-Qun He

Role: primary

Li-Qun Hu

Role: primary

Mei-Chun Zhang

Role: primary

Bo Liu

Role: primary

Dong-Sheng Li

Role: primary

Li-Yue Wang

Role: primary

Qiang Xie

Role: primary

Xiao-Lin Wu

Role: primary

Xiao-Lan Li

Role: primary

Shou-Yi Gan

Role: primary

Jian Yang

Role: primary

Mu-Wei Li

Role: primary

References

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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.

Reference Type RESULT
PMID: 32176778 (View on PubMed)

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.

Reference Type RESULT
PMID: 37558377 (View on PubMed)

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.

Reference Type RESULT
PMID: 33769515 (View on PubMed)

Other Identifiers

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COLPCI

Identifier Type: -

Identifier Source: org_study_id

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