About this trial
This study aims to evaluate whether daily low-dose colchicine (0.5 mg), administered in addition to the standard secondary prevention regimen recommended in clinical guidelines after coronary artery bypass grafting (CABG), can further prevent graft failure after CABG through a prospective, randomized, double-blind, placebo-controlled clinical trial.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be male or female, aged 18 years or older;
Within 3 days after successful isolated coronary artery bypass grafting (CABG);
Sign informed consent;
Disqualifiers
Severe valvular heart disease requiring concomitant or staged valvular surgery;
History of non-skin cancer in the past 3 years;
Inflammatory bowel disease or chronic diarrhea;
Neuromuscular diseases or non-transient creatine kinase levels greater than 3 times the upper limit of the normal range (except those associated with myocardial infarction);
Trial design
Parallel
Treatments tested in this trial
Colchicine Pill
DrugColchicine 0.5 mg once daily will be given on the basis of guideline-recommended standard secondary prevention therapy after CABG for 24 months.
Placebo
DrugPlacebo one tablet once daily will be given on the basis of guideline-recommended standard secondary prevention therapy after CABG for 24 months.
Treatment groups
Trial outcomes
Primary outcomes
graft failure rate
At 24 months postoperatively, all patients who complete the study will undergo coronary computed tomographic angiography (CCTA) to assess graft patency, calculated as 1 minus graft failure rate, where graft failure rate = (number of grafts graded B or O according to the Fitzgibbon classification / total number of grafts) × 100%.
Secondary outcomes
MACCE
Major adverse cardiovascular and cerebrovascular events include cardiovascular death, non-fatal ischemic stroke, non-fatal spontaneous (non-operating-related) myocardial infarction, readmission for acute coronary syndrome, and Coronary revascularization
Sponsors and contacts
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