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Not yet recruitingNCT06604611CHIPSUpdated Sep 19, 2024

Colchicine in Patients with Heart Failure with Preserved Ejection Fraction and Inflammation

A Phase 4 interventional study of Colchicine 0.5 MG Oral Tablet Once Daily in Heart Failure, Heart Failure with Preserved Ejection Fraction (HFPEF) and Chronic Inflammation, sponsored by Dongying Zhang. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Dongying Zhang · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of the CHIPS trial is to evaluate the efficacy and safety of colchicine in heart failure with preserved ejection fraction (HFpEF) patients with inflammation, including the effects of colchicine on circulating inflammatory markers, cardiac structure, cardiac function, clinical symptoms and exercise capacity in HFpEF patients.

Read the detailed description

HFpEF is a disease with complex pathophysiological mechanisms, and inflammation has been found to be strongly associated with the onset and progression of HFpEF. Anti-inflammatory treatments begin to cut a striking figure in cardiovascular disease therapy. The LoDoCo2 trial showed a significant prognostic improvement of colchicine in patients with chronic coronary artery disease, and the latest COLICA trial, showed that 8 weeks of colchicine treatment significantly reduced levels of circulating inflammatory markers in patients with decompensated heart failure without serious adverse effects. However, at present, the efficacy and safety of colchicine for the treatment of HFpEF remains unclear. The CHIPS trial is a multi-center, randomized, open-label clinical trial. The aim of the study is to evaluate the efficacy and safety of colchicine in patients with heart failure with preserved ejection fraction and inflammation. The investigators proposed to assess changes in KCCQ scores, NT-proBNP levels, echocardiography and plasma inflammatory marker levels in HFpEF patients treated with or without colchicine to evaluate the efficacy of colchicine in HFpEF treatment.

02

Conditions studied

  • Heart Failure
  • Heart Failure with Preserved Ejection Fraction (HFPEF)
  • Chronic Inflammation
  • Inflammation
  • Colchicine

Keywords

  • Heart Failure
  • Heart Failure with Preserved Ejection Fraction (HFpEF)
  • Inflammation
03

In context

Heart Failure

5,703 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's planned enrollment of 200 is above the median of 72 across 3,737 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Dongying Zhang is the lead sponsor of 7 studies on the registry; 3 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

Inclusion criteria

  • Left ventricular ejection fraction measured by echocardiography ≥ 50%
  • Objective evidence of structural of functional abnormalities measured by echocardiography: 1)LVMI≥95 g/m2 in female and ≥115 g/m2 in male or 2)LAVI greater than 29ml/m2 in sinus rhythm or greater than 40ml/m2 in atrial fibrillation or 3)Average E/e' greater than 14 or 4)TR velocity greater than 2.8 m/s
  • Patients with elevated NT-proBNP levels 24 hours after discontinuing intravenous diuretics: ≥300 pg/ml in patients with sinus heart rate; ≥600 pg/ml in patients with atrial fibrillation
  • Both outpatient and admitted patients can be considered for enrollment. All patients must occurred worsening heart failure event within 30 days prior to randomization and a current NYHA cardiac function class II-IV
  • Patients with CRP levels greater than 2mg/L
  • Patient agrees to join and signs a written informed consent form

Exclusion criteria

Exclusion Criteria:

  • Received colchicine treatment within one month prior to randomization
  • Acute coronary syndrome within 3 months prior to randomization, or history of pacemaker implantation, PCI, CABG within 3 months
  • eGFR less than 25 mL/min/1.73 m2
  • Liver function Child-Pugh class B or C
  • Patient has a history of previous allergy to colchicine or dapagliflozin / empagliflozin
  • Heart failure due to the following reasons: pericardial disease, pericardial effusion, myocarditis, hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, and other rare cardiomyopathies such as Fabry disease
  • Combined diagnosis of gastric ulcer, ulcerative colitis, Crohn disease and other digestive disorders or combined gastrointestinal tumors
  • Plan to undergo cardiac surgery such as coronary revascularization, radiofrequency ablation of arrhythmias, valve replacement or other surgical procedures
  • Pregnant or breastfeeding women
  • The patient who is cognitively impaired and is unable to accurately complete the assessment and completion of the KCCQ scale with the assistance of a physician
  • Autoimmune diseases such as systemic lupus erythematosus, long-term adrenocorticotropic hormone treatment for other diseases such as Schihan syndrome, or need to accept immunosuppressive drugs and monoclonal antibodies such as IL-1 and IL-6
  • Patient with combined active solid tumor or hematological malignancy
  • Patient comorbidity with other conditions that may be confused with HFpEF symptoms, such as acute exacerbation of COPD
  • Admission with a well-defined infection (symptoms or pathogenetic evidence of infection, and leukocytes greater than 10*109/L)
  • Previously diagnosed with HFrEF (initial assessment of LVEF less than 40%) or diagnosed with LVimpEF
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Colchicine Treatment Group

    This group is intended to include 100 patients, all of the patients will be given 5mg of once-daily the colchicine treatment on top of the SGLT2i treatment

    Drug: Colchicine 0.5 MG Oral Tablet Once Daily

  • No intervention
    Control Group

    The group is intended to include 100 patients, all of the patients will be given standard SGLT2i treatment

Interventions

  • DrugColchicine 0.5 MG Oral Tablet Once Daily

    The intervention in this study is colchicine, patients randomized to the experimental group will be given oral colchicine 5mg once a day in 12 weeks.

06

What researchers measure

Primary outcomes

  1. Change in KCCQ-CS scores

    Patients were assessed for symptom improvement by Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CS)

    Time frame: Up to 12 weeks

  2. Change in 6-MWD

    Improvement in patients exercise capacity assessed by 6-minuet walk distance

    Time frame: Up to 12 weeks

  3. Change in serum CRP levels

    Change in serum C-reactive protein levels

    Time frame: Up to 12 weeks

Secondary outcomes

  1. Change in serum NT-proBNP levels

    Change in serum N-terminal pro-B-type natriuretic peptide levels

    Time frame: Up to 12 weeks

  2. Change in serum IL-1β levels

    Change in serum interleukin-1β levels

    Time frame: Up to 12 weeks

  3. Change in serum IL-6 levels

    Change in serum interleukin-6 levels

    Time frame: Up to 12 weeks

  4. Change in serum TNF-α levels

    Change in serum tumor necrosis factor-α levels

    Time frame: Up to 12 weeks

  5. Change in cardiac structure

    Left ventricular mass index (LVMI) measured by echocardiography

    Time frame: Up to 12 weeks

  6. Change in cardiac structure

    Left atrial volume index (LAVI) measured by echocardiography

    Time frame: Up to 12 weeks

  7. Change in cardiac structure

    Left ventricular end-diastolic diameter (LVEDD) measured by echocardiography

    Time frame: Up to 12 weeks

  8. Change in cardiac function

    Tricuspid annular plane systolic excursion (TAPSE) measured by echocardiography

    Time frame: Up to 12 weeks

  9. Change in cardiac function

    Right ventricular ejection fraction (RVEF) measured by echocardiography

    Time frame: Up to 12 weeks

  10. Change in cardiac function

    Peak mitral inflow velocity and peak diastolic mitral annulus velocity measured by echocardiography

    Time frame: Up to 12 weeks

  11. Change in cardiac function

    Early diastolic mitral annular tissue velocity (e') measured by echocardiography

    Time frame: Up to 12 weeks

  12. Worsening heart failure events

    Time to first worsening heart failure events, including hospitalization due to heart failure or intravenous diuretic therapy

    Time frame: Up to 12 weeks

07

Study locations

1 site
  • The First Affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing 400000, China
08

References and documents

Publications

  • Heidenreich PA, Bozkurt B, Aguilar D, Allen LA, Byun JJ, Colvin MM, Deswal A, Drazner MH, Dunlay SM, Evers LR, Fang JC, Fedson SE, Fonarow GC, Hayek SS, Hernandez AF, Khazanie P, Kittleson MM, Lee CS, Link MS, Milano CA, Nnacheta LC, Sandhu AT, Stevenson LW, Vardeny O, Vest AR, Yancy CW; ACC/AHA Joint Committee Members. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022 May 3;145(18):e895-e1032. doi: 10.1161/CIR.0000000000001063. Epub 2022 Apr 1. PubMed 35363499 ↗
  • Nidorf SM, Fiolet ATL, Mosterd A, Eikelboom JW, Schut A, Opstal TSJ, The SHK, Xu XF, Ireland MA, Lenderink T, Latchem D, Hoogslag P, Jerzewski A, Nierop P, Whelan A, Hendriks R, Swart H, Schaap J, Kuijper AFM, van Hessen MWJ, Saklani P, Tan I, Thompson AG, Morton A, Judkins C, Bax WA, Dirksen M, Alings M, Hankey GJ, Budgeon CA, Tijssen JGP, Cornel JH, Thompson PL; LoDoCo2 Trial Investigators. Colchicine in Patients with Chronic Coronary Disease. N Engl J Med. 2020 Nov 5;383(19):1838-1847. doi: 10.1056/NEJMoa2021372. Epub 2020 Aug 31. PubMed 32865380 ↗
  • Pascual-Figal D, Nunez J, Perez-Martinez MT, Gonzalez-Juanatey JR, Taibo-Urquia M, Llacer Iborra P, Delgado J, Villar S, Mirabet S, Aimo A, Riquelme-Perez A, Anguita Sanchez M, Martinez-Selles M, Noguera-Velasco JA, Ibanez B, Bayes-Genis A; COLICA investigators. Colchicine in acutely decompensated heart failure: the COLICA trial. Eur Heart J. 2024 Aug 30;45(45):4826-36. doi: 10.1093/eurheartj/ehae538. Online ahead of print. PubMed 39211951 ↗

Individual participant data

Plan to share: No — The next study will be conducted at the end of this study, so the data cannot be shared.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06604611
Lead sponsor
Dongying Zhang
Collaborators
National Natural Science Foundation of China
Responsible party
Dongying Zhang (Director, Chongqing Medical University) — Sponsor-investigator
First posted
Sep 19, 2024
Start date
Oct 31, 2024 (estimated)
Primary completion
Dec 31, 2025 (estimated)
Completion
Mar 31, 2026 (estimated)
Last update
Sep 19, 2024

Study contacts

Junlong Chen, MD.
Contact
junlongchen2024@163.com
86-15111871817
Lei Gao, MD.
Contact
653161583@qq.com
86-15123908507
Dongying Zhang, MD. Ph.D.
study chair · First Affiliated Hospital of Chongqing Medical University

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 not yet recruiting, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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