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
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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