Colchicine to reduce inflammation after proximal deep vein thrombosis
Official title: Colchicine to Quench the Inflammatory Response After Deep Vein Thrombosis: A Randomized Controlled Pilot Trial
Run by Ottawa Hospital Research Institute · NCT06440694 · Data updated 2026-11-12
This trial will try daily low‑dose colchicine (0.5 mg) versus a matching placebo in adults with a first proximal lower‑leg DVT to see if it lowers the chance of developing post‑thrombotic syndrome.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Ottawa Hospital Research Institute Academic / other |
| Locations | 4 sites (Ottawa, Ontario and 3 other locations) |
| Status | Recruiting |
| Started | July 7, 2025 |
| Main results expected | December 1, 2027 |
| Study ends | December 1, 2027 |
| Registry record updated | July 23, 2026 |
| Trial ID | NCT06440694 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with a first, acute, symptomatic proximal (popliteal vein or above) objectively confirmed lower‑extremity DVT who can start the study drug within seven days of beginning anticoagulation and agree to one year of follow‑up.
✕Probably not a fit
Patients with active cancer, severe liver disease, active or recent infections, inflammatory bowel disease or chronic diarrhea, blood dyscrasias, current need for colchicine, or recent systemic immunosuppression are excluded and therefore unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a double‑blind, randomized (1:1), placebo‑controlled pilot trial testing colchicine 0.5 mg daily started within seven days of initiating anticoagulation for acute, symptomatic proximal lower‑extremity DVT. Participants receive study drug for 180 days (+/‑ 7 days) with clinical follow‑up continued to 365 days (+/‑ 7 days); anticoagulant type and dosing are determined by the treating clinician. Randomization is central and web‑based and study drug begins within 24 hours of randomization. The pilot is designed to test feasibility and gather preliminary data to inform a potential full‑scale Phase 3 trial.
Why it matters
Potential benefit: If successful, colchicine could lower the risk of post‑thrombotic syndrome after proximal DVT, reducing long‑term leg pain, swelling, and disability.
How similar studies have gone: Low‑dose colchicine has shown benefit in reducing inflammation and adverse outcomes in cardiovascular disease trials, but using colchicine specifically to prevent post‑thrombotic syndrome after DVT is novel and not yet proven in large trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Consenting patients 18 years of age or older with a first, acute, symptomatic proximal (popliteal vein or more proximal) objectively confirmed DVT of the lower extremity will be eligible to participate in the study. Exclusion Criteria: 1. History of an allergic reaction or significant sensitivity to colchicine. 2. Requirement of colchicine for other indications. 3. Active or chronic diarrhea, or documented inflammatory bowel disease (i.e., Crohn's disease or ulcerative colitis), collagenous colitis or irritable bowel syndrome or existing blood dyscrasias. 4. Known or suspected, recent (\<30 days) or active infections (acute or chronic). 5. History of cirrhosis, chronic active hepatitis, or severe liver disease. 6. Recent (\<30 days) or chronic use of systemic (oral, intravenous) immunosuppressive drugs (including but not limited to steroids, tumor necrosis factor-alpha blockers, cyclosporine). 7. Known active cancer. 8. Any of the following as measured within the past 1-3 months or at screening: alanine, or aspartate aminotransferase \>3 times the upper limit of normal, total bilirubin \>2 times the upper limit of normal and a creatinine clearance by Cockcroft-Gault formula \<30 mL/min. 9. Pregnancy, breast feeding or may be considering pregnancy during the study period or women of childbearing potential unwilling to use appropriate contraception during sex; 10. The use of medication with known drug-to-drug interactions (including but not limited to erythromycin or clarithromycin). 11. Unable or unwilling to provide consent.
Where it's running
-
The Ottawa Hospital General Campus
Ottawa, Ontario, Canada Recruiting -
Windsor Regional Hospital
Windsor, Ontario, Canada Recruiting -
Centre de recherche du Centre hospitalier de l'Université de Montréal
Montreal, Quebec, Canada Recruiting -
The Sir Mortimer B. Davis Jewish General Hospital
Montreal, Quebec, Canada Not yet recruiting
Study contacts
- Principal investigator: Marc Carrier, MD,MSc,FRCPC — Ottawa Hospital Research Institute / Division of Hematology- The Ottawa Hospital
- Study coordinator: Marc Carrier, MD,MSc,FRCPC
- Email: mcarrier@toh.ca
- Phone: 6137378899
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.