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CompletedNCT04949516MACTUpdated Jan 4, 2023

Mono Antiplatelet and Colchicine Therapy

A Phase 4 interventional study of Aspirin and Colchicine in Acute Coronary Syndrome and Drug-Eluting Stents, sponsored by Wonkwang University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years to 90 Years. Per ClinicalTrials.gov, last updated 2023-01-04.

Sponsored by Wonkwang University Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
19 Years to 90 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the efficacy and safety of aspirin-free, P2Y12 inhibitor single antiplatelet and colchicine treatment in patients with acute coronary syndrome treated with drug-eluting stents.

Read the detailed description

After successful drug-eluting stent implantation for acute coronary syndrome, screening for study subject enrollment is performed. For those who submitted written informed consent, aspirin is stopped the day after the intervention, and colchicine 0.6mg once daily is started. The P2Y12 inhibitor, prasugrel or ticagrelor, for single antiplatelet therapy remains. For the duration of hospital stay, platelet reactivity using VerifyNow test and C-reactive protein are measured. Aspirin may be restarted at the discretion of the investigator based on results of the platelet function test. C-reactive protein is remeasured 30 days after the intervention. Clinical follow-up is performed 30 days and 90 days after the intervention.

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Conditions studied

  • Acute Coronary Syndrome
  • Drug-Eluting Stents

Keywords

  • Platelet Aggregation Inhibitors
  • Colchicine
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In context

Acute Coronary Syndrome

1,461 studies on the registry are indexed under Acute Coronary Syndrome; 267 are open to participants now.

This study's enrollment of 200 is close to the median of 200 across 869 interventional studies indexed under Acute Coronary Syndrome.

Browse Acute Coronary Syndrome studies →

Lead sponsor

Wonkwang University Hospital is the lead sponsor of 26 studies on the registry; 1 is open to participants now.

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

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Who can participate

Ages eligible
19 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Successful PCI with drug-eluting stent for NSTE-ACS or STEMI
  • Provision of written informed consent

Exclusion criteria

Exclusion Criteria:

  • Cardiac arrest or cardiogenic shock
  • Age \<19 or >90 years old
  • Severe liver impairment
  • Severe renal impairment (eGFR \<30 mL/min/1.73 m2)
  • Atrial fibrillation requiring anticoagulation therapy
  • Intolerance of prasugrel, ticagrelor, or colchicine
  • History of intracranial hemorrhage
  • Active bleeding
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    Mono Antiplatelet and Colchicine Therapy

    Aspirin-free, single P2Y12 inhibitor (prasugrel or ticagrelor) and colchicine treatment

    Drug: Aspirin · Drug: Colchicine

Interventions

  • DrugAspirin

    Aspirin is discontinued the day after drug-eluting stent implantation

    Also known as: Aspirin stop

  • DrugColchicine

    Colchicine is started the day after drug-eluting stent implantation

    Also known as: Colchicine start

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What researchers measure

Primary outcomes

  1. Clinical outcomes - Definite, probable, and possible stent thrombosis (Academic Research Consortium)

    Definite, probable, and possible stent thrombosis (Academic Research Consortium)

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

Secondary outcomes

  1. Clinical outcomes - Target vessel failure

    Composite time-to-first event rate of cardiac death, target vessel-myocardial infarction (TV-MI), or ischemia driven-target vessel revascularization (ID-TVR)

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  2. Clinical outcomes - Target lesion failure

    Composite time-to-first event rate of cardiac death, TV-MI, or ischemia driven-target lesion revascularization (ID-TLR)

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  3. Clinical outcomes - All-cause mortality

    All-cause mortality

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  4. Clinical outcomes - Cardiac and non-cardiac mortality

    Cardiac and non-cardiac mortality

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  5. Clinical outcomes - All myocardial infarction

    All myocardial infarction

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  6. Clinical outcomes - TV-MI and non-TV-MI

    TV-MI and non-TV-MI

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  7. Clinical outcomes - All revascularization

    All revascularization

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  8. Clinical outcomes - ID-TVR, ID-TLR and ID-non-TLR TVR

    ID-TVR, ID-TLR and ID-non-TLR TVR

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  9. Clinical outcomes - Type 1, type 2, type 3, type 4, and type 5 bleeding (Bleeding Academic Research Consortium)

    Type 1, type 2, type 3, type 4, and type 5 bleeding (Bleeding Academic Research Consortium)

    Time frame: Assessed at hospital stay and 30/90 days after stent implantation

  10. Laboratory outcomes - P2Y12 reaction unit

    P2Y12 reaction unit using VerifyNow P2Y12 rapid analyzer

    Time frame: Assessed at hospital stay

  11. Laboratory outcomes - Percent platelet inhibition

    Percent platelet inhibition using VerifyNow P2Y12 rapid analyzer

    Time frame: Assessed at hospital stay

  12. Laboratory outcomes - C-reactive protein

    C-reactive protein

    Time frame: Assessed at hospital stay and 30 days after stent implantation

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Study locations

1 site
  • Wonkwang University Hospital
    Iksan, 54538, Korea, Republic of
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 4, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04949516
Lead sponsor
Wonkwang University Hospital
Responsible party
Seung-Yul Lee (Associate Professor, Wonkwang University Hospital) — Principal investigator
First posted
Jul 2, 2021
Start date
Jun 15, 2021
Primary completion
Dec 31, 2022
Completion
Dec 31, 2022
Last update
Jan 4, 2023

Study contacts

Seung-Yul Lee, MD
principal investigator · Wonkwang University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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