ClinicalTrials.gg
RecruitingNCT06578182ECHOUpdated Feb 20, 2025

The Effect of ColcHicine on the Incidence of Knee or Hip Replacements

A Phase 3 interventional study of Colchicine and Placebo in Osteoarthritis, Knee and Osteoarthritis, Hip, sponsored by Sint Maartenskliniek. Recruiting at 1 site in Netherlands. Open to participants aged 45 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-02-20.

Sponsored by Sint Maartenskliniek · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,410
Allocation
Randomized
Ages
45 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the effect of treatment with colchicine 0.5mg once daily as compared to placebo in patients with knee or hip osteoarthritis on the incidence of first occurrence of knee or hip replacement. The main question it aims to answer is:

Does colchicine lower the number of knee or hip replacements in participants with osteoarthritis?

Researchers will compare colchicine to a placebo (a look-alike substance that contains no drug) to see if colchicine works to treat osteoarthritis.

Participants will:

  • take colchicine every day for 3 tot 4.5 years
  • visit the clinic every year for check-up and tests such as blood samples and x-rays
  • fill in questionnaires every 3 months
02

Conditions studied

  • Osteoarthritis, Knee
  • Osteoarthritis, Hip

Keywords

  • Colchicine
  • Knee replacement
  • Hip replacement
03

In context

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's planned enrollment of 1,410 is above the median of 68 across 2,714 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Sint Maartenskliniek is the lead sponsor of 29 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
45 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

  • clinical diagnosis of knee or hip OA
  • 45 ≤ age ≤ 80 (upper age limit is similar to that in the LoDoCo2 trial and takes in consideration the lower number of joint replacements in people older than 80 years)
  • documented radiographic changes typical for advanced knee/hip OA (Kellgren \& Lawrence score ≥ 2), or at least 2-year history of complaints due to OA in the hip and/or knee

Exclusion criteria

Exclusion Criteria:

  • On a waiting list for primary joint replacement surgery of the hip or knee, irrespective of cause
  • Any absolute for knee or hip replacement in the future
  • More than one previous hip or knee replacements
  • Other known medical disease that may affect joints
  • Known generalized pain syndromes such as fibromyalgia
  • Renal impairment as evidenced by serum creatinine >150µmol/l or estimated (eGFR) \<50mL/min/1.73m2
  • Liver function impairment as evidenced by serum alanine transferase (ALAT) > 3 (upper limit of normal)
  • Blood dyscrasia
  • High frailty (clinical frailty scale ≥ 7) or predicted \< 5 years
  • Peripheral neuritis, myositis or marked myo-sensitivity to statins
  • Current use of colchicine for another indication
  • Intolerance to colchicine
  • use of macrolide antibiotics (i.e. clarithromycin, erythromycin, azithromycin), antimycotics (i.e. ketoconazole, itraconazole and voriconazole), protease inhibitors \& anti-retroviral drugs (i.e. ritonavir, lopinavir, tipranavir, atazanavir, darunavir, indinavir, saquinavir, and cobicistat), anti-arrhythmic drugs (i.e. verapamil, diltiazem), or (i.e. cyclosporine)
  • Current enrollment in another trial
  • Incapacitated patients
  • Pregnant or breastfeeding female
  • Fertile female participants not taking sufficient anti-conception
  • Male participants unwilling to use effective during the study to prevent pregnancy
Terms in these criteria, in plain language(6)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,410 participants (estimated)

Study arms

  • Experimental
    Colchicine

    Drug: Colchicine

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Colchicine 0.5mg tablets once a day for 3 to 4.5 years

  • DrugPlacebo

    Placebo tablets once a day for 3 to 4.5 years

06

What researchers measure

Primary outcomes

  1. Time to first knee or hip replacement

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

Secondary outcomes

  1. Course of pain as assessed by NRS (numeric rating scale)

    The 11-point NRS ranges from '0' ("no pain") to '10' ("worst pain imaginable")

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  2. Course of pain as assessed by WOMAC (Western Ontario and McMaster Universities Arthritis Index)

    5 items are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). Higher scores indicate more pain

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  3. Course of physical function as assessed by WOMAC (Western Ontario and McMaster Universities Arthritis Index)

    17 items are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). Higher scores indicate more functional limitations

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  4. Course of joint space narrowing on X-ray

    Time frame: From baseline until the date of first documented knee or hip replacement or study end, whichever comes first, assessed up to 4.5 years

  5. Course of low-grade inflammation as assessed by hs-CRP

    Time frame: At enrolment, at baseline, 1 year thereafter, and at study completion (approximately 4.5 years)

  6. Course of quality of life as assessed by EQ-5D-5L (European Quality of Life 5 Dimensions)

    The EQ-5D-5L comprises 5 dimensions with each dimension having 5 response levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4), unable to/extreme problems (5). EQ-5D-5L health states can be represented by a single summary number (index value) (range -0.624 to 1.000). Higher scores equals better quality of life

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  7. Number of participants with clinical or radiological onset of OA in new joint group other than present at baseline over the trial period

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  8. Time to clinical or radiological onset of OA in new joint group other than present at baseline over the trial period

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  9. Number of participants using pain medication during the study registered per drug type (e.g. paracetamol, NSAIDs, opioids)

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  10. Onset of new cardiovascular events, defined as myocardial infarction, peripheral artery disease, ischemia-driven coronary revascularization, ischemic stroke, or cardiovascular death

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  11. Direct and indirect costs related to treatment and disease burden due osteoarthritis

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

Other outcomes

  1. The number of (serious) adverse events

    Adverse events are defined as any untoward medical occurrence in a subject to whom a medicinal product is administered, and which does not necessarily have a causal relationship with this treatment. Serious adverse event is any untoward medical occurrence in a patient or trial subject that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  2. The number of withdrawals due to (serious) adverse events

    Adverse events are defined as any untoward medical occurrence in a subject to whom a medicinal product is administered, and which does not necessarily have a causal relationship with this treatment. Serious adverse event is any untoward medical occurrence in a patient or trial subject that at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect

    Time frame: From randomization until the date of first documented knee or hip replacement, date of death, date of lost to follow-up, or study end-date, whichever comes first, assessed up to 4.5 years

  3. Changes in laboratory data (i.e. serum creatinine, estimated glomerular filtration rate, and alanine transferase)

    Time frame: At enrolment, at baseline, 1 year thereafter, and at study completion (approximately 4.5 years)

07

Study locations

1 of 1 sites recruiting
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 Feb 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06578182
Lead sponsor
Sint Maartenskliniek
Collaborators
ZonMw: The Netherlands Organisation for Health Research and Development, RSMK, Tiofarma, Dutch Arthritis Foundation Reuma Nederland
Responsible party
Sponsor
First posted
Aug 29, 2024
Start date
Jan 1, 2025
Primary completion
Mar 31, 2029 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Feb 20, 2025

Study contacts

Tim Massa
Contact
t.massa@maartenskliniek.nl
+31633036353

Oversight

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

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Studies of the drug tested here: Colchicine

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