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Status unknownNCT06025071RIGHTUpdated Sep 6, 2023

Residual Inflammatory Risk-Guided colcHicine in Elderly Trial

A Phase 4 interventional study of colchicine in Percutaneous Coronary Intervention, Multivessel Coronary Artery Disease and Elderly Patients, sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital. Status unknown at 1 site in China. Open to participants aged 60 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-09-06.

Sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2023), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
800
Allocation
Randomized
Ages
60 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to compare low-dose colchicine (0.5 mg Once Daily) with no specific intervention in selected elderly patients (60-80 years old) with residual inflammatory risk (hs-CRP≥ 2mg/L) and multivessel coronary artery disease. The main questions it aims to answer are:

  • Whether the intervention is effective in reducing ischemic events
  • Whether the intervention is effective in reducing inflammatory biomarkers' level
  • Whether the intervention is safe for elderly patients

Participants will be randomized to receive low-dose colchicine (0.5 mg Once Daily) or no specific intervention for one year. Patients enrolled should complete one-year follow-up in the form of clinic visit or telephone call.

02

Conditions studied

  • Percutaneous Coronary Intervention
  • Multivessel Coronary Artery Disease
  • Elderly Patients
  • C-Reactive Protein

Keywords

  • multivessel coronary artery disease
  • percutaneous coronary intervention
  • elderly patients
  • colchicine
  • high sensitive-C reactive protein
  • efficacy and safety
03

In context

Lead sponsor

Chinese Academy of Medical Sciences, Fuwai Hospital is the lead sponsor of 146 studies on the registry; 50 are open to participants now.

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

04

Who can participate

Ages eligible
60 Years to 80 Years
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

  • Aged 60-80 years old
  • Baseline plasma hs-CRP≥2 mg/L
  • Hospitalized patients with coronary artery disease with multi-vessel lesions (multi-vessel lesions are defined as at least 2 major epicardial coronary arteries with ≥50% stenosis in their main branch diameter confirmed by coronary CT or coronary angiography, with or without left main artery disease)
  • Patients with myocardial ischemia-related symptoms or objective evidence are successfully treated with PCI, and the condition is relatively stable
  • Received standard drug therapies based on their condition at baseline (including antiplatelet, lipid-lowering, blood pressure control, blood glucose control, and other treatments recommended by guidelines)
  • Subjects or legal representatives have signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Patients who have acute myocardial infarction within 30 days
  • Patients who have taken colchicine and have a clear history of allergy or intolerance
  • Patients with renal insufficiency, eGFR \<30 ml/min/1.73 m\^2 (calculated by MDRD formula) or blood creatinine levels exceeding 2 times the upper normal limit
  • Patients with cirrhosis, chronic active hepatitis, liver function impairment (alanine aminotransferase exceeding 3 times the upper normal limit or total bilirubin exceeding 2 times the upper normal limit) or cholestasis
  • Patients with a known history of hypomyelodysplasia
  • Patients with heart failure (NYHA Class III-IV) or severe valvular disease
  • Patients with concomitant neoplastic or cancer disease
  • Patients with chronic obstructive pulmonary disease or other chronic pulmonary disease
  • Patients with poorly controlled disease, such as current cardiogenic shock, hemodynamic instability, heart failure (NYHA Class III-IV), left ventricular ejection fraction less than 35%, recent stroke (within the past 3 months), or any other condition in which the investigator believes that participation in this study puts the patient at risk
  • Patients with inflammatory bowel disease (Crohn's disease or ulcerative colitis) or chronic diarrhea
  • Patients with hemoglobin less than 115 g/L, white blood cell count less than 4.0*10\^9/L, or platelet count less than 110*10\^9/L
  • Patients are currently using or plan to begin chronic systemic steroid therapy (oral or intravenous) during the study period (topical or inhaled steroids are allowed)
  • Patients with acute inflammation or viral infection
  • Female patients who are currently pregnant, planning to become pregnant, or breastfeeding
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
800 participants (estimated)

Study arms

  • Experimental
    Colchicine group

    Drug: Colchicine; Dosage form: Tablets; Dosage: 0.5mg; Frequency: Once daily; Duration: From randomization to one-year follow-up is completed.

    Drug: colchicine

  • No intervention
    Control group

    No intervention

Interventions

  • Dosage form: Tablets; Dosage: 0.5mg; Frequency: Once daily; Duration: From randomization to one-year follow-up is completed.

06

What researchers measure

Primary outcomes

  1. Major Adverse Cardiovascular and Cerebrovascular Events (MACCE)

    Composite events including cardiovascular death, spontaneous (nonprocedural) myocardial infarction, ischemia-driven coronary revascularization, and ischemic stroke

    Time frame: From randomization to occurence of first event, assessed up to one year

Secondary outcomes

  1. Cardiovascular death

    Number of participants with cardiovascular death.

    Time frame: From randomization to occurence of first event, assessed up to one year

  2. Spontaneous (nonprocedural) myocardial infarction

    Number of participants with spontaneous (nonprocedural) myocardial infarction.

    Time frame: From randomization to occurence of first event, assessed up to one year

  3. Ischemia-driven coronary revascularization

    Number of participants with ischemia-driven coronary revascularization.

    Time frame: From randomization to occurence of first event, assessed up to one year

  4. Ischemic stroke

    Number of participants having had a ischemic stroke.

    Time frame: From randomization to occurence of first event, assessed up to one year

  5. Change of hs-CRP

    Change of hs-CRP comparing to the baseline

    Time frame: From randomization to treatment at one month and one year

  6. Change of white blood cell count

    Change of white blood cell count comparing to the baseline

    Time frame: From randomization to treatment at one month and one year

  7. Change of neutrophil count

    Change of neutrophil count comparing to the baseline

    Time frame: From randomization to treatment at one month and one year

  8. Change of monocyte count

    Change of monocyte count comparing to the baseline

    Time frame: From randomization to the end of treatment at one year

Other outcomes

  1. Nausea

    Treatment-related adverse events as nausea

    Time frame: From randomization to treatment at one month and one year

  2. Vomiting

    Treatment-related adverse events as vomiting

    Time frame: From randomization to treatment at one month and one year

  3. Diarrhea

    Treatment-related adverse events as diarrhea

    Time frame: From randomization to treatment at one month and one year

  4. Abdominal pain

    Treatment-related adverse events as abdominal pain

    Time frame: From randomization to treatment at one month and one year

  5. Muscle pain

    Treatment-related adverse events as muscle pain

    Time frame: From randomization to treatment at one month and one year

  6. Neuritis

    Treatment-related adverse events as neuritis

    Time frame: From randomization to treatment at one month and one year

  7. Rash

    Treatment-related adverse events as rash

    Time frame: From randomization to treatment at one month and one year

  8. Gout

    Treatment-related adverse events as gout

    Time frame: From randomization to treatment at one month and one year

  9. Hospitalization for infections

    Treatment-related adverse events as hospitalization for infections

    Time frame: From randomization to treatment at one month and one year

  10. New tumors

    Treatment-related adverse events as new tumors

    Time frame: From randomization to treatment at one month and one year

  11. Blood pressure

    Both systolic and diastolic blood pressure

    Time frame: From randomization to treatment at one month and one year

  12. Heart rate

    Time frame: From randomization to treatment at one month and one year

  13. White blood cell count

    Time frame: From randomization to treatment at one month and one year

  14. Neutrophil count

    Time frame: From randomization to treatment at one month and one year

  15. Monocyte count

    Time frame: From randomization to treatment at one month and one year

  16. Hematocrit

    Time frame: From randomization to treatment at one month and one year

  17. Hemoglobin level

    Time frame: From randomization to treatment at one month and one year

  18. Platelet count

    Time frame: From randomization to treatment at one month and one year

  19. Alanine aminotransferase

    Time frame: From randomization to treatment at one month and one year

  20. Aspartate aminotransferase

    Time frame: From randomization to treatment at one month and one year

  21. Gamma-glutamyltransferase

    Time frame: From randomization to treatment at one month and one year

  22. Total bilirubin

    Time frame: From randomization to treatment at one month and one year

  23. Direct bilirubin

    Time frame: From randomization to treatment at one month and one year

  24. Serum albumin

    Time frame: From randomization to treatment at one month and one year

  25. Total serum protein

    Time frame: From randomization to treatment at one month and one year

  26. Serum creatinine

    Time frame: From randomization to treatment at one month and one year

  27. Blood urea nitrogen

    Time frame: From randomization to treatment at one month and one year

  28. Creatine Kinase

    Time frame: From randomization to treatment at one month and one year

07

Study locations

1 site
  • Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS & PUMC
    Beijing, Beijing Municipality 100037, China
    • Xueyan Zhao, M.D. · Contact · zhao_xueyan@sina.com · 86-10-88322051
    • Xueyan Zhao, M.D. · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06025071
Responsible party
Xueyan Zhao (Chief physician, M.D., FACC, FESC, Doctoral supervisor, Chinese Academy of Medical Sciences, Fuwai Hospital) — Principal investigator
First posted
Sep 6, 2023
Start date
Sep 2023 (estimated)
Primary completion
Sep 2025 (estimated)
Completion
Oct 2025 (estimated)
Last update
Sep 6, 2023

Study contacts

Xueyan Zhao, M.D.
Contact
zhao_xueyan@sina.com
86-10-88322051
Xueyan Zhao, M.D.
principal investigator · Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS & PUMC

Oversight

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

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This study is status unknown, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Colchicine

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