Could a common gout drug save hearts? colchicine trial targets valve disease
NCT ID NCT05162742
First seen Jun 26, 2026 · Last updated Aug 28, 2026 · Updated 2 times
Summary
This phase 3 trial tests whether colchicine, an anti-inflammatory drug, can slow the progression of aortic valve stenosis—a narrowing of the heart's aortic valve that currently has no drug treatment. The study enrolls 150 people with moderate, symptom-free valve disease. Participants receive either colchicine or a placebo for up to 2 years, and researchers track changes in valve calcium buildup and other measures. If successful, colchicine could become the first medical therapy for this condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- colchicine
- What this could lead to
- If it works, this could be the first drug to slow aortic valve stenosis, potentially delaying or avoiding the need for valve replacement surgery.
- What could go wrong
- This is a relatively small phase 3 trial (150 people) testing a drug already used for other conditions. The effect may be modest or not significant, and colchicine can cause side effects like stomach upset.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2022
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
50 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criterion: • Asymptomatic moderate aortic valve stenosis on recent (\<6 months) echocardiography (based on peak velocity, mean gradient, aortic valve area). The severity of AS will be quantified according to current EACVI / ASE guidelines. Exclusion Criteria: * Heavily calcified aortic valve on echocardiography (defined as grade 4 calcification: extensive thickening/calcification of all cusps as described in the articles by Rosenhek et al.); * a planned aortic valve replacement in the next six months; * severe mitral valve stenosis (MVA \< 1cm2); * severe mitral or aortic valve regurgitation; * rheumatic aortic valve disease; * bicuspid aortic valve; * valvular disease due to history of chest radiation; * left ventricular dysfunction (LVEF \< 35%); * renal impairment (eGFR \<30 ml/min/1.73m2); * patients aged \<50 and \>80 years; * pre-existing chronic gastro-intestinal complaints which may obscure signs of colchicine intolerance; * child-bearing potential without the use of contraception; * use of CYP3A4 (e.g. verapamil) or P-glycoprotein inhibitors; * use of bisphosphonate or denosumab; * chronic use of immunosuppressants or anti-inflammatory drugs including colchicine and NSAID's (excl. acetylsalicylic acid); * active or chronic liver disease; * the presence of a pacemaker or internal cardiac defibrillator; * life expectancy \<2 years.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Radboudumc
Nijmegen, The Netherlands, Netherlands
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