Clinical trial • Phase IV • Cardiology

COLCHICINE for Ischemic heart disease | Coronary artery disease | Chronic coronary syndrome

Phase IV trial of COLCHICINE for Ischemic heart disease | Coronary artery disease | Chronic coronary syndrome.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Ischemic heart disease | Coronary artery disease | Chronic coronary syndrome
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
11-03-2026
First CTIS Authorization Date
06-05-2026

Trial design

PLACEBO (film-coated tablet), oral; dose not specified.-controlled Phase IV trial across 1 site in Denmark.

Comparator
PLACEBO (film-coated tablet), oral; dose not specified.
Target Sample Size
70
Trial Duration For Participant
180

Eligibility

Recruits 70 No vulnerable population selected (isVulnerablePopulationSelected: false). Participants are adults able to provide informed consent; assent procedures for minors are not applicable..

Pregnancy Exclusion
Premenopausal or surgically sterile patients; male patients planning to impregnate their partner during the study or within 6 months after the last dose; male patients having intercourse with fertile women who are unwilling to use contraception;
Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected: false). Participants are adults able to provide informed consent; assent procedures for minors are not applicable.

Inclusion criteria

  • {"criterion_text":"-Patients with stable ischemic heart disease (myocardial infarction or PCI within 1–12 months), evidence of low-grade inflammation (hs-CRP ≥ 2 mg/L), left ventricular ejection fraction (LVEF) > 45%, age ≥ 50 years, and the ability to provide informed consent."}

Exclusion criteria

  • {"criterion_text":"-Premenopausal or surgically sterile patients; patients with severe heart valve disease; patients with type 1 diabetes mellitus or uncontrolled type 2 diabetes mellitus; patients with an active cancer diagnosis; patients with body weight >130 kg; patients with inflammatory bowel disease (Crohn’s disease or ulcerative colitis) or chronic diarrhea; patients with liver disease regardless of liver function tests (including a history of cirrhosis, chronic active hepatitis, or severe hepatic disease); patients with lactose intolerance; patients with a history of clinically significant drug or alcohol abuse within the past year requiring pharmacological or non-pharmacological treatment; patients with any of the following non-transient abnormalities documented within the past 30 days and confirmed on repeat testing: anaemia, thrombocytopenia, leukopenia, liver disease, or kidney disease: defined as haemoglobin <6 mmol/L, white blood cell count <3.0 × 10⁹/L, platelet count <110 × 10⁹/L, ALT >3 times the upper limit of normal, total bilirubin >2 times the upper limit of normal, or eGFR <35 mL/min; male patients planning to impregnate their partner during the study or within 6 months after the last dose; male patients having intercourse with fertile women who are unwilling to use contraception; patients currently using or planning to initiate chronic systemic steroid therapy (oral or intravenous) during the study (topical or inhaled steroids permitted); patients currently taking colchicine for other indications (e.g., familial Mediterranean fever or gout), with no wash-out required for those who discontinued colchicine prior to enrolment; patients with a history of allergic reaction or significant sensitivity to colchicine; patients with unstable angina pectoris; patients receiving potent CYP3A4 and/or P-gp inhibitors (including amiodarone, amprenavir, atazanavir, clarithromycin, diltiazem, erythromycin, telithromycin, azithromycin, fluvoxamine, fosamprenavir, indinavir, itraconazole, ketoconazole, lopinavir, saquinavir, nelfinavir, ritonavir, verapamil, voriconazole, pyridamole, roxithromycin, ciclosporin) or with excessive grapefruit consumption; and any patient considered by the investigator, for any reason, to be an unsuitable candidate for the study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"-The primary endpoint is the change in arterial inflammation from baseline to 6 months, assessed by target-to-background ratio (TBR) of [¹⁸F]-FDG PET/CT in the carotid arteries.","definition_or_measurement_approach":"Change from baseline to 6 months measured by target-to-background ratio (TBR) on [¹⁸F]-FDG PET/CT of the carotid arteries."}

Recruitment

Planned Sample Size
70
Recruitment Window Months
30
Consent Approach
Informed consent to be obtained from each participant (adult participants). Subject information and informed consent forms are listed in the documents (e.g. 'L1 SIS and ICF adults Ver 11', 'Mergei DI_SIS Samtykkeeklring', 'Supplementary Informed Consent Form Future Unspecified Research Biobank'). No assent procedures for minors are indicated.

Geography

Total Number Of Sites
1
Total Number Of Participants
70

Denmark

Earliest CTIS Part Ii Submission Date
21-04-2026
Latest Decision Or Authorization Date
06-05-2026
Processing Time Days
15
Number Of Sites
1
Number Of Participants
70

Sites

Site Name
Region Hovedstaden
Department Name
Dept of Cardiology
Principal Investigator Name
Eva Prescott
Principal Investigator Email
eva.irene.bossano.prescott@regionh.dk
Contact Person Name
Eva Prescott
Number Of Participants
70

Sponsor

Primary sponsor

Full Name
Region Hovedstaden
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Region Hovedstaden","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
COLCHICINE
Active Substance
COLCHICINE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised medicinal product (trial justification notes dose exceeds SmPC)
Maximum Dose
1 mg per day
Investigational Product Name
PLACEBO
Active Substance
PLACEBO
Modality
Other
Routes Of Administration
ORAL
Route
ORAL

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