ClinicalTrials.gg
Active, not recruitingNCT04916522COHERENTUpdated Dec 22, 2025

The COlchicine HypERtENsion Trial

A Phase 2 interventional study of Colchicine and Placebo in Hypertension, sponsored by Herlev and Gentofte Hospital. Active, not recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by Herlev and Gentofte Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 10 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study to investigate the effects of colchicine on measures of vascular and cardiac function in patients with hypertension.

Read the detailed description

The study is an investigator-initiated, prospective, double-blind, placebo-controlled, randomized clinical trial investigating the effects of colchicine in patients with hypertension. The study population will consist of approximately 150 patients aged 18 years and above with a diagnosis of hypertension and in active treatment with at least 1 antihypertensive drug. Patients will be randomized to either low-dose colchicine treatment (0,5 mg once daily) or placebo. Treatment will continue for 6 months. Patients will be assessed by measurement of pulse wave velocity (PWV), office blood pressure, echocardiography, cardiac MRI, and blood samples at baseline and after 6 months.

02

Conditions studied

  • Hypertension

Keywords

  • Inflammation
  • Vascular Stiffness
  • Pulse Wave Analysis
  • Blood Pressure
  • Echocardiography
  • Magnetic Resonance Imaging
  • Computed Tomography Angiography
  • Hypertrophy, Left Ventricular
  • Ventricular Function, Left
  • Endomyocardial Fibrosis
  • Atherosclerosis
  • Coronary Atherosclerosis
  • Colchicine
  • Cardiovascular Diseases
  • Heart Diseases
  • Randomized Controlled Trial
03

In context

Hypertension

6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.

This study's planned enrollment of 150 is above the median of 100 across 4,575 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Herlev and Gentofte Hospital is the lead sponsor of 75 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Living address in the Capital Region of Denmark
  2. Age >18 years
  3. Diagnosed with hypertension
  4. Treatment with 1 or more antihypertensive medications
  5. Must fulfill at least one of the following high-risk criteria:

    1. Diagnosed with type 2 diabetes mellitus OR
    2. Treatment with lipid-lowering medication for dyslipidemia OR
    3. Treatment with 2 or more antihypertensive medications
  6. Female patients should either not be of , defined as for at least 1 year or surgically sterile, or is of childbearing potential and practicing one of the following methods of throughout the study and for 30 days after study completion: Hormonal contraception (oral contraceptives, contraceptive implant, injectable birth control, contraceptive patch, or vaginal ring) or intrauterine device
  7. Patients will have given written, and are able and willing to comply with the requirements of the study protocol

Exclusion criteria

Exclusion Criteria:

  1. Colchicine treatment for another cause, e.g. gout
  2. Allergy/ to colchicine
  3. Known or suspected secondary hypertension, e.g. renal artery stenosis
  4. Uncontrolled hypertension (systolic BP >180 mmHg or diastolic BP >110 mmHg)
  5. Known other cardiovascular disease (judged by the investigator), e.g. ischemic heart disease, heart failure, significant valvular disease, arrhythmia, stroke, or peripheral artery disease
  6. History of of any organ system excluding a successfully treated non- cutaneous squamous cell or basal cell carcinoma, localized prostate cancer and/or localized carcinoma in situ of the cervix
  7. Cirrhosis, chronic active hepatitis or other severe hepatic disease
  8. Hemodialysis
  9. Estimated (eGFR) \< 60 mL/min/1.73 m2
  10. Systemic treatment with moderate or strong cytochrome P450 3A4 () inhibitors or P-glycoprotein inhibitors
  11. Anemia, thrombocytopenia or leucopenia defined as any of the following measurements within the last 3 months:

    1. \< 7 mmol/L
    2. count \< 110 x 10\^9/L
    3. White blood cell count \< 3.0 x 10\^9/L
  12. Female patients who are pregnant, lactating, or considering becoming pregnant during the study or for 6 months after study completion
  13. Significant drug or alcohol abuse during the last year
  14. Current use of or plans to initiate chronic systemic therapy during the study (topical or inhaled steroids are allowed)
  15. Chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis) or chronic diarrhea
  16. Use of other drugs within 30 days of the time of enrollment
  17. Any surgical or medical condition, which in the opinion of the investigator, may place the patient at higher risk from his/her participation in the study, or is likely to prevent the patient from complying with the requirements of the study or completing the study.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Colchicine

    Colchicine 0.5 mg once daily

    Drug: Colchicine

  • Placebo comparator
    Placebo

    Placebo once daily

    Drug: Placebo

Interventions

  • 0.5 mg once daily

  • DrugPlacebo

    Once daily

06

What researchers measure

Primary outcomes

  1. Between-group difference in change in carotid-femoral pulse wave velocity at 6 months

    Time frame: 6 months

Secondary outcomes

  1. Between-group difference in change in office-measured systolic blood pressure at 6 months

    Time frame: 6 months

  2. Between-group difference in change in office-measured diastolic blood pressure at 6 months

    Time frame: 6 months

  3. Between-group difference in change in left ventricular mass assessed by echocardiography at 6 months

    Time frame: 6 months

  4. Between-group difference in change in left ventricular mass assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  5. Between-group difference in change in high sensitivity C-reactive protein at 6 months

    Time frame: 6 months

  6. Between-group difference in change in high sensitivity Troponin I at 6 months

    Time frame: 6 months

Other outcomes

  1. Between-group difference in change in office-measured pulse pressure at 6 months

    Time frame: 6 months

  2. Between-group difference in change in central blood pressure assessed by pulse wave analysis at 6 months

    Time frame: 6 months

  3. Between-group difference in change in augmentation index assessed by pulse wave analysis at 6 months

    Time frame: 6 months

  4. Between-group difference in change in left ventricular septal wall thickness assessed by echocardiography at 6 months

    Time frame: 6 months

  5. Between-group difference in change in left ventricular posterior wall thickness assessed by echocardiography at 6 months

    Time frame: 6 months

  6. Between-group difference in change in left ventricular ejection fraction assessed by echocardiography at 6 months

    Time frame: 6 months

  7. Between-group difference in change in E/A ratio assessed by echocardiography at 6 months

    Time frame: 6 months

  8. Between-group difference in change in e' assessed by echocardiography at 6 months

    Time frame: 6 months

  9. Between-group difference in change in E/e' assessed by echocardiography at 6 months

    Time frame: 6 months

  10. Between-group difference in change in E/e'sr assessed by echocardiography at 6 months

    Time frame: 6 months

  11. Between-group difference in change in left atrial volume assessed by echocardiography at 6 months

    Time frame: 6 months

  12. Between-group difference in change in global longitudinal strain assessed by echocardiography at 6 months

    Time frame: 6 months

  13. Between-group difference in change in myocardial work assessed by echocardiography at 6 months

    Time frame: 6 months

  14. Between-group difference in change in aortic distensibility assessed by echocardiography at 6 months

    Time frame: 6 months

  15. Between-group difference in change in aortic strain assessed by echocardiography at 6 months

    Time frame: 6 months

  16. Between-group difference in change in left ventricular septal wall thickness assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  17. Between-group difference in change in left ventricular posterior wall thickness assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  18. Between-group difference in change in left ventricular ejection fraction assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  19. Between-group difference in change in left atrial volume assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  20. Between-group difference in change in myocardial fibrosis assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  21. Between-group difference in change in myocardial inflammation assessed by cardiac magnetic resonance imaging at 6 months

    Time frame: 6 months

  22. Between-group difference in change in tumor necrosis factor alpha at 6 months

    Time frame: 6 months

  23. Between-group difference in change in pro B-type natriuretic peptide at 6 months

    Time frame: 6 months

  24. Between-group difference in change in interleukin-1 beta at 6 months

    Time frame: 6 months

  25. Between-group difference in change in interleukin-6 at 6 months

    Time frame: 6 months

  26. Between-group difference in change in interleukin-10 at 6 months

    Time frame: 6 months

  27. Between-group difference in change in interleukin-17 at 6 months

    Time frame: 6 months

07

Study locations

1 site
  • Cardiovascular Non-Invasive Imaging Research Laboratory, Department of Cardiology, Herlev and Gentofte Hospital
    Hellerup, 2900, Denmark
08

References and documents

Publications

  • Langhoff AF, Johansen ND, Frimodt-Moller M, Sajadieh A, Schramm TK, Jepps TA, Biering-Sorensen T. A Randomized Trial to Investigate the Effects of Low-Dose Colchicine in Patients with Hypertension: Rationale and Design of the COlchicine and HypERtENsion Trial (COHERENT). J Clin Hypertens (Greenwich). 2026 Jun;28(6):e70296. doi: 10.1111/jch.70296. PubMed 42210033 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04916522
Lead sponsor
Herlev and Gentofte Hospital
Responsible party
Niklas Dyrby Johansen (Principal Investigator, MD, Herlev and Gentofte Hospital) — Principal investigator
First posted
Jun 7, 2021
Start date
Aug 10, 2021
Primary completion
Jan 2026 (estimated)
Completion
Jan 2026 (estimated)
Last update
Dec 22, 2025

Study contacts

Niklas Dyrby Johansen, MD
principal investigator · Herlev and Gentofte Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Colchicine

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