Low-Dose Colchicine for Secondary Prevention of Coronary Artery Disease: JACC Review Topic of the Week.
Kyle Nelson, Valentin Fuster, Paul M Ridker
https://pubmed.ncbi.nlm.nih.gov/37558377/Actively Recruiting
Led by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · Updated on 2025-03-30
8862
Participants Needed
36
Research Sites
21 weeks
Total Duration
Researchers are evaluating the effects of different doses of colchicine on cardiovascular health in Chinese patients with coronary heart disease CHD who have undergone percutaneous coronary intervention PCI. This phase 3, multicenter, prospective, randomized, controlled, double-blind study aims to determine whether long-term colchicine treatment reduces cardiovascular events and to assess the safety of these doses in this population. The study addresses the uncertainty about the standard colchicine doses suitability for Chinese patients due to differences in body weight and lack of large-scale evidence in China. Participants will be randomly assigned to one of three groups colchicine 0.5 mg daily, colchicine 0.375 mg daily, or placebo, each taken as one oral pill per day. The study includes follow-up visits at months 1, 6, 12, 18, 24, and continuing every six months thereafter, with phone assessments alternating every three months. All participants will also receive standard treatments for CHD such as antiplatelets and management of related conditions according to national guidelines. Cardiovascular events and safety data will be regularly monitored by independent committees, with an interim analysis planned once about half of the primary endpoints have occurred. Participants will be involved in scheduled visits and phone calls to monitor health status and collect information on cardiovascular events and adverse effects for an estimated 2 to 4 years. The main outcome measured is a combination of cardiovascular death, nonfatal heart attack, stroke, and ischemia-driven revascularization. Secondary outcomes include various cardiovascular events and overall mortality. Safety will be overseen by a Data and Safety Monitoring Board, and all suspected cardiovascular events will be reviewed by a blinded Clinical Event Committee to ensure accurate assessment throughout the study period.
CONDITIONS
Efficacy and Safety of Colchicine After PCI
M
Miao Yu, MD
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 2 to 4 years
Participants receive daily oral colchicine or placebo and continue standard medical care for coronary artery disease as per national guidelines.
Visits at months 1, 6, 12, 18, 24 and phone assessments at months 3, 9, 15, 21
Duration - Up to 4 years
Participants are monitored every 3 months for any adverse events or cardiovascular endpoints.
Quarterly assessments every 3 months
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Kyle Nelson, Valentin Fuster, Paul M Ridker
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https://pubmed.ncbi.nlm.nih.gov/33769515/Patrick R Lawler, Deepak L Bhatt, Lucas C Godoy...
https://pubmed.ncbi.nlm.nih.gov/32176778/Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Lead Sponsor