CClinicalTrials.gg
Not yet recruitingNCT07035405Updated Jun 27, 2025

Colchicine for Secondary Prevention After Ischemic Stroke (CHANCE-3 EX)

A Phase 3 interventional study of Colchicine 0.5 mg and Placebo colchicine in Stroke, sponsored by Beijing Tiantan Hospital. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-06-27.

Sponsored by Beijing Tiantan Hospital · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
7,500
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The role of colchicine in the secondary prevention of ischemic stroke has not been determinded. This multicenter, randomized, double-blind, placebo-controlled, event-driven clinical trial of CHANCE-3 EX was aimed to assess the efficacy and safety of low-dose colchicine versus placebo on reducing the risk of recurrent ischemic stroke, myocardial infarction and vascular death in patients with minor-to-moderate ischemic stroke.

02

Conditions studied

  • Stroke

Browse trials for

Keywords

  • stroke
  • colchicine
  • secondary prevention
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's planned enrollment of 7,500 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 465 studies on the registry; 282 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. An age of 18-80 years old
  2. Minor-to-moderate ischemic stroke (NIHSS\<15 at randomization; confirmed by CT or MRI)
  3. Within 7-30 days after the most recent qualifying stroke onset
  4. Informed consent signed

Exclusion criteria

Exclusion Criteria:

  1. Iatrogenic causes (angioplasty or surgery) of stroke
  2. mRS>3 at randomization
  3. Known allergy, sensitivity or intolerance to colchicine
  4. Inflammatory bowel disease (Crohn's or ulcerative colitis) or chronic diarrhea
  5. Symptomatic peripheral neuropathy or pre-existing progressive neuromuscular disease or with creatine kinase (CK) level > 3 times the upper limit of normal as measured within the past 30 days and determined to be non-transient through repeat testing
  6. A history of cirrhosis, chronic active hepatitis or severe hepatic disease
  7. Impaired hepatic (ALT or AST > three times the upper limit of normal range) or kidney (creatinine exceeding 1.5 times of the upper limit of normal range or eGFR less than 50 ml/min) function at randomization
  8. Anemia (haemoglobin \<10g/dL), thrombocytopenia (platelet count \<100×109/L) or leucopenia (white blood cell count \<3×109/L) at randomization
  9. Comorbid gout or other indications for colchicine use
  10. Active infection at randomization (including respiratory tract infection, urinary tract infection, or gastroenteritis)
  11. Requiring chronic immunosuppressant, glucocorticoid, or nonsteroidal anti-inflammatory drugs therapy (except aspirin) during the study
  12. Usage of contraindicated medications for colchicine at randomization: moderate or strong CYP3A4 inhibitors (clarithromycin, erythromycin, telithromycin, other macrolide antibiotics, ketoconazole, itraconazole, voriconazole, ritonavir, atazanavir, indinavir, other HIV protease inhibitors, verapamil, diltiazem, quinidine, digoxin, disulfiram, etc) or P-gp inhibitors (cyclosporine)
  13. Participating in another clinical trial with an investigational drug or device concurrently or during the last 30 days
  14. Women of childbearing age who were not practicing reliable contraception and did not have a documented negative pregnancy test
  15. Severe non-cardiovascular comorbidity, active malignant tumors or terminal-stage illnesses, with a life expectancy of less than 2 years
  16. Clinically significant drug or alcohol abuse in the past year
  17. Any other conditions deemed unsuitable for participation in this study or inability to complete study procedures, including but not limited to mental disorders, cognitive or emotional impairments, or physical conditions that may compromise compliance with study protocols and follow-up visits
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
7,500 participants (estimated)

Study arms

  • Experimental
    Colchicine Group

    Patients in this arm will receive low-dose colchicine in addition to standard medical care

    Drug: Colchicine 0.5 mg

  • Placebo comparator
    Placebo Colchicine Group

    Patients in this arm will receive placebo colchicine in addition to standard medical care

    Drug: Placebo colchicine

Interventions

  • DrugColchicine 0.5 mg

    Oral colchicine will be initiated with a dose of 0.5 mg per day.

  • DrugPlacebo colchicine

    Oral placebo colchicine will be initiated with a dose of 0.5 mg per day.

06

What researchers measure

Primary outcomes

  1. First Event of ischemic stroke, myocardial infarction and vascular death

    The descriptive statistics are the number of participants having at least one of the composites of the primary endpoint.

    Time frame: From randomization to occurrence of the first event, with a median follow-up time of 24 months

Secondary outcomes

  1. Ischemic stroke

    The descriptive statistics are presented as the number of participants having had ischemic stroke.

    Time frame: From randomization to event, with a median follow-up time of 24 months.

  2. Myocardial Infarction

    The descriptive statistics are presented as the number of participants having had myocardial infarction.

    Time frame: From randomization to event, with a median follow-up time of 24 months.

  3. Vascular death

    The descriptive statistics are presented as the number of participants having had a vascular death.

    Time frame: From randomization to death, with a median follow-up time of 24 months.

  4. mRS 0-1 at 1 year or ≥1-point improvement in mRS score from baseline to 1 year

    The descriptive statistics are presented as the number of participants having had mRS 0-1 at 1 year or ≥1-point improvement in mRS score from baseline to 1 year.

    Time frame: At 1 year

  5. mRS shift

    Time frame: At 1 year

Other outcomes

  1. Any serious adverse event

    The descriptive statistics are presented as the number of serious adverse events.

    Time frame: Through study completion, a median follow-up time of 24 months.

  2. Adverse events of special interest

    The descriptive statistics are presented as the number of adverse events of special interest, including gastrointestinal events (diarrhea, flatulence, nausea, vomiting), infection, impaired hepatic function, moderate or severe impaired renal function, myalgia, myopathy, peripheral neuropathy, myelosuppression, orthostatic hypotension, syncope, rash and alopecia.

    Time frame: Through study completion, a median follow-up time of 24 months.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Data collected for the study, including de-identified individual participant data and a data dictionary defining each field in the set, can be made available to other researchers on reasonable request and after signing appropriate data sharing agreements.

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 Jun 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07035405
Lead sponsor
Beijing Tiantan Hospital
Collaborators
Shenzhen Medical Academy of Research and Translation
Responsible party
Yongjun Wang (Principal Investigator, Beijing Tiantan Hospital) — Principal investigator
First posted
Jun 25, 2025
Start date
Jul 4, 2025 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jun 27, 2025

Study contacts

Jiejie Li, Ph.D
Contact
neverever1983@gmail.com
+86-18210895564
Yongjun Wang
principal investigator · Beijing Tiantan 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 not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

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

Start the discussion