Multi-omics analysis of colchicine effects in acute coronary syndrome patients
Official title: Multi-omics Characterization and Model Construction of Colchicine Anti-inflammatory Therapy Efficacy in Acute Coronary Syndromes Patients
Run by Shanghai Tongji Hospital, Tongji University School of Medicine · NCT07064109 · Data updated 2026-11-12
This project will try to see if daily low-dose colchicine reduces inflammation and to find biological markers that predict who benefits among people with acute coronary syndrome.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 380 (estimated) |
| Sponsor | Shanghai Tongji Hospital, Tongji University School of Medicine Academic / other |
| Locations | 1 site (Shanghai) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | July 1, 2027 |
| Study ends | July 1, 2027 |
| Registry record updated | September 15, 2025 |
| Trial ID | NCT07064109 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with acute coronary syndrome (STEMI or NSTE-ACS) who can receive standardised drug therapy, are able to provide informed consent, and have no contraindication to colchicine.
✕Probably not a fit
People already on long-term colchicine, those with contraindications such as severe hepatic or renal impairment, thrombocytopenia, active uncontrollable infection, certain immune diseases, pregnant or breastfeeding women, or those unable to attend the Shanghai site are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective cohort will enroll adults (18–80) with STEMI or NSTE-ACS who receive standard therapy plus colchicine 0.5 mg daily and collect clinical data and biospecimens over time. Researchers will perform multi-omics profiling (for example genomics, transcriptomics, proteomics, and metabolomics) to map molecular changes associated with treatment response. The multi-omics data will be integrated to construct models that identify biological signatures of responders versus non-responders to colchicine. The work is based at Shanghai Tongji Hospital and emphasizes mechanism-driven patient stratification rather than only clinical endpoint testing.
Why it matters
Potential benefit: If successful, this could help doctors target colchicine to the ACS patients most likely to benefit, potentially reducing recurrent heart events and avoiding unnecessary side effects.
How similar studies have gone: Large randomized trials (for example COLCOT and LoDoCo2) have shown colchicine can reduce cardiovascular events in coronary disease, but using multi-omics to predict individual response is a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Between the ages of 18 and 80 * ACS (STEMI or NSTE-ACS) * Patients to receive standardised drug therapy * Able and willing to provide informed consent Exclusion Criteria: * Any contraindication to colchicine or known intolerance to colchicine * Has been using colchicine for a prolonged period of time for other medical conditions * Women of childbearing age who are pregnant, breastfeeding or not using effective contraception * Coronary artery bypass grafting within the last 3 years or planned * Severe hepatic impairment: elevated serum alanine aminotransferase and/or aminotransferase (ALT) and/or aminotransferase (AST) levels of up to three times the upper limit of normal * Severe renal impairment: eGFR \<30mL/min/1.73m2 * Thrombocytopenia (platelet count less than 100\*10⁹/L) * Active diarrhoea * Infectious diseases: presence of uncontrollable infectious diseases * Immune-related diseases: known immune diseases such as systemic lupus erythematosus, asthma, inflammatory bowel disease, gout, malignant tumours, etc. * Strong CYP3A4 or P glycoprotein inhibitors (e.g., cyclosporine, antiretrovirals, antifungals, erythromycin and clarithromycin) are already in use and no alternative medications can be administered * Planning to use systemic anti-inflammatory therapies such as NSAIDs, hormones, immunomodulators and chemotherapeutic agents
Where it's running
-
Shanghai Tongji Hospital
Shanghai, China Recruiting
Study contacts
- Study coordinator: Xuebo Liu
- Email: lxb70@hotmail.com
- Phone: 13801926702
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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.