Clinical trial • Phase II • Haematology
Colchicine for Deep vein thrombosis
Phase II trial of Colchicine for Deep vein thrombosis.
Overview
- Trial Therapeutic Area
- Haematology
- Trial Disease
- Deep vein thrombosis
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 10-12-2025
- First CTIS Authorization Date
- 23-04-2026
Trial design
Randomised, placebo (placebo colchicine tablets: lactose, extra-fine sugar, spray-dried acacia, and, magnesium stearate) identical formulation; colchicine 0.5 mg once daily po for 6 months versus placebo once daily for 6 months-controlled Phase II trial in Italy.
- Randomised
- Yes
- Comparator
- Placebo (Placebo Colchicine Tablets: lactose, extra-fine sugar, spray-dried acacia, and, magnesium stearate) identical formulation; Colchicine 0.5 mg once daily PO for 6 months versus placebo once daily for 6 months
- Target Sample Size
- 122
- Trial Duration For Participant
- 365
Eligibility
Recruits 122 No vulnerable population selected; participants must provide written informed consent. Subject information and informed consent form available for adults..
- Pregnancy Exclusion
- Pregnancy, breastfeeding or may be considering pregnancy during the study period or women of childbearing potential unwilling to use appropriate contraception during sex
- Vulnerable Population
- No vulnerable population selected; participants must provide written informed consent. Subject information and informed consent form available for adults.
Inclusion criteria
- {"criterion_text":"- 18 years of age or older\n- First, acute, symptomatic proximal (popliteal or more proximal vein) objectively-confirmed DVT of the lower extremity\n- Written informed consent"}
Exclusion criteria
- {"criterion_text":"- Any contraindication to colchicine as per summary of product characteristics (SmPC)\n- Known active cancer\n- Any of the following as measured within the past 1-3 months or at screening: alanine or aspartate aminotransferase >3x upper limit of normal (ULN); total bilirubin >2x ULN; creatinine clearance, calculated using Cockcroft-Gault formula, <30 mL/min\n- Presence of HIV infection\n- Hypersensitivity to the active substance or to any of the excipients\n- Participation in another interventional trial within the past 30 days or 5 half-lives of the study drug, whichever is longer\n- Unwilling to provide consent\n- Pregnancy, breastfeeding or may be considering pregnancy during the study period or women of childbearing potential unwilling to use appropriate contraception during sex\n- Use of medications with known significant drug-to-drug interactions with colchicine including but not limited to erythromycin or clarithromycin\n- History of an allergic reaction or significant sensitivity to colchicine\n- Requirement of colchicine for other indications\n- Active or chronic diarrhoea, or documented inflammatory bowel disease (i.e., Crohn’s disease or ulcerative colitis), collagenous colitis/irritable bowel syndrome, or existing blood dyscrasias\n- Known or suspected, recent (<30 days) or active infections (acute or chronic)\n- History of cirrhosis, chronic active hepatitis, or severe liver disease\n- Recent (<30 days) or chronic use of systemic (oral, intravenous) immunosuppressive drugs (including but not limited to steroids, tumor necrosis factor-alpha blockers, cyclosporine)"}
Endpoints
Primary endpoints
- {"endpoint_text":"- PTS (Villalta score ≥5) at 12 months","definition_or_measurement_approach":"Post-thrombotic syndrome defined as Villalta score ≥5 assessed at 12 months using the Villalta score."}
Secondary endpoints
- {"endpoint_text":"- Proportion of patients with PTS (Villalta score ≥5) at 6 months","definition_or_measurement_approach":"Proportion of patients meeting Villalta score ≥5 at 6 months."}
- {"endpoint_text":"- Proportion of patients according to the following PTS severity categories based on Villalta score category: mild (Villalta Score 5-9), moderate (Villalta score 10-14), severe (Villalta score ≥15 or presence of ulcer) at 6 and 12 months","definition_or_measurement_approach":"Categorisation by Villalta score: mild 5-9; moderate 10-14; severe ≥15 or presence of ulcer; assessed at 6 and 12 months."}
- {"endpoint_text":"- Mean Villalta score and mean change from baseline (based on continuous Villalta score) at 6 and 12 months to estimate the severity of PTS","definition_or_measurement_approach":"Mean Villalta score and mean change from baseline, treated as continuous variable, measured at 6 and 12 months."}
- {"endpoint_text":"- Incidence rate of recurrent venous thromboembolism (VTE) during follow-up (up to 12 months)","definition_or_measurement_approach":"Incidence rate of recurrent VTE events occurring during follow-up up to 12 months."}
- {"endpoint_text":"- Incidence rate of arterial thromboembolism (ATE) during follow-up (up to 12 months)","definition_or_measurement_approach":"Incidence rate of arterial thromboembolism events during follow-up up to 12 months."}
- {"endpoint_text":"- Incidence rate of composite of adverse vascular events (comprising PTS, recurrent VTE, ATE) during follow-up (up to 12 months)","definition_or_measurement_approach":"Incidence rate of the composite outcome (PTS, recurrent VTE, ATE) during follow-up up to 12 months."}
- {"endpoint_text":"- Incidence rate of major bleeding (as per International Society of Thrombosis and Haemostasis (ISTH) definition) during follow-up (up to 12 months)","definition_or_measurement_approach":"Incidence rate of major bleeding defined according to ISTH criteria during follow-up up to 12 months."}
- {"endpoint_text":"- Incidence rate of clinically relevant non-major bleeding (as per ISTH definition) during follow-up (up to 12 months)","definition_or_measurement_approach":"Incidence rate of clinically relevant non-major bleeding defined per ISTH during follow-up up to 12 months."}
- {"endpoint_text":"- All-cause mortality rate","definition_or_measurement_approach":"Rate of death from any cause during follow-up."}
- {"endpoint_text":"- Mean changes in patient-reported outcome measures (PROMs) from baseline to 6 and 12 months as assessed by functional scales (Patient reported Villalta-scale - PRV, Post-venous thromboembolism functional status - PVFS), and generic health-related and disease specific QOL questionnaires (EuroQoL-EQ-5D-5L, VEINES QOL/Sym, PEmb-QoL)","definition_or_measurement_approach":"Mean change from baseline in specified PROMs (PRV, PVFS, EQ-5D-5L, VEINES QOL/Sym, PEmb-QoL) at 6 and 12 months."}
- {"endpoint_text":"- Safety endpoints: 1.Number and incidence rate of gastrointestinal adverse events that result in study drug discontinuation 2.Number and incidence rate of muscle pain episodes that results in study drug discontinuation 3.Number and incidence rate of infections episodes leading to hospitalization. Other: renal insufficiency; neutropenia and/or neuropathy leading to study drug discontinuatio","definition_or_measurement_approach":"Safety endpoints include counts and incidence rates of specified adverse events (GI events, muscle pain leading to discontinuation, infections leading to hospitalization; renal insufficiency, neutropenia, neuropathy leading to discontinuation) during follow-up."}
Recruitment
- Planned Sample Size
- 122
- Recruitment Window Months
- 30
- Consent Approach
- Written informed consent required from participants; adult informed consent form available. No assent procedures specified (minors excluded).
Geography
- Total Number Of Sites
- 6
- Total Number Of Participants
- 122
Italy
- Earliest CTIS Part Ii Submission Date
- 10-04-2026
- Latest Decision Or Authorization Date
- 23-04-2026
- Processing Time Days
- 13
- Number Of Sites
- 6
- Number Of Participants
- 122
Sites
- Site Name
- Humanitas Mirasole S.p.A.
- Department Name
- U.O. Centro trombosi e malattie emorragiche
- Contact Person Name
- Corrado Lodigiani
- Contact Person Email
- corrado.lodigiani@humanitas.it
- Site Name
- Azienda Unita' Locale Socio Sanitaria N. 2 Marca Trevigiana
- Department Name
- Dipartimento di Medicina, Medicina Generale Castelfranco Veneto
- Contact Person Name
- Sabina Villalta
- Contact Person Email
- sabina.villalta@aulss2.veneto.it
- Site Name
- Azienda Ospedaliera di Padova
- Department Name
- UO Clinica Medica 1, Dipartimento di Medicina
- Contact Person Name
- Paolo Simioni
- Contact Person Email
- paolo.simioni@unipd.it
- Site Name
- Azienda Unita' Locale Socio Sanitaria N. 2 Marca Trevigiana
- Department Name
- UOC Angiologia, distretto di Asolo. Ospedale di Castelfranco Veneto
- Contact Person Name
- Beniamino Zalunardo
- Contact Person Email
- bzalunardo@yahoo.com
- Site Name
- Universita' Degli Studi G. D'Annunzio Di Chieti
- Department Name
- Ambulatorio di Medicina Vascolare, Medicina Generale II
- Contact Person Name
- Marcello Di nisio
- Contact Person Email
- mdinisio@unich.it
- Site Name
- Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
- Department Name
- Angiology and Blood Coagulation Unit SSD Angiologia e Malattie della Coagulazione
- Contact Person Name
- Benilde Cosmi
- Contact Person Email
- benilde.cosmi@unibo.it
Sponsor
Primary sponsor
- Full Name
- Universita' Degli Studi G. D'Annunzio Di Chieti
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Italy
Third parties
- {"country":"Italy","full_name":"Center For Outcomes Research And Clinical Epidemiology S.r.l.","duties_or_roles":"Codes: 1,10,12,6,7","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- COLCHICINA LIRCA 0.5 mg compresse
- Active Substance
- Colchicine
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- oral
- Authorisation Status
- Authorised in IT (marketingAuthNumber 009964040)
- Starting Dose
- 0.5 mg once daily
- Dose Levels
- 0.5 mg
- Frequency
- once daily
- Maximum Dose
- 0.5 mg
- Investigational Product Name
- Placebo Colchicine Tablets: lactose, extra-fine sugar, spray-dried acacia, and, magnesium stearate
- Modality
- Other
- Routes Of Administration
- Oral
- Route
- oral
- Frequency
- once daily
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