Efficacy and Safety of Colchicine After PCI

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-80
SponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

(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;

Disqualifiers

(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;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Colchicine 0.5 mg

    Drug

    Colchicine 0.5 mg, one pill a day, oral intake

  • Colchicine 0.375 mg

    Drug

    Colchicine 0.375 mg, one pill a day, oral intake

  • Placebo

    Drug

    Placebo, one pill a day, oral intake

Treatment groups

8,862 Participants
are divided into 3 treatment groups
Group A: Colchicine 0.5 mgExperimental treatment 1 intervention
Group B: Colchicine 0.375 mgExperimental treatment 1 intervention
Group C: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

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

From randomization to the first occurrence

Time frame
An estimated 2-4 years period

Secondary outcomes

1

Composite of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke

From randomization to the first occurrence

Time frame
An estimated 2-4 years period
2

Ischemia-driven revascularization

The number of participants with Ischemia-driven revascularization

Time frame
An estimated 2-4 years period
3

Nonfatal myocardial infarction

The number of participants with myocardial infarction

Time frame
An estimated 2-4 years period
4

Nonfatal stroke

The number of participants with stroke

Time frame
An estimated 2-4 years period

Other outcomes

Sponsors and contacts

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