Status:

RECRUITING

MACT (Mono Antiplatelet and Colchicine Therapy) Prospective Multicenter Study

Lead Sponsor:

CHA University

Collaborating Sponsors:

Biotronik SE & Co. KG

Conditions:

Acute Coronary Syndrome

Eligibility:

All Genders

20-90 years

Phase:

PHASE4

Brief Summary

The previous Mono Antiplatelet and Colchicine Therapy (MACT) pilot study (NCT04949516) demonstrated that it was feasible to discontinue aspirin therapy and administer low-dose colchicine on the day af...

Eligibility Criteria

Inclusion

  • Participants with positive troponin acute coronary syndrome who have undergone implantation of ultrathin bioresorbable polymer sirolimus-eluting stents (Orsiro; Biotronik AG).
  • Participants who have provided written informed consent.

Exclusion

  • Under 19 years of age.
  • Stent treatment failure lesions (stent restenosis or thrombosis).
  • Cardiac arrest or cardiogenic shock.
  • Currently taking or requiring strong CYP3A4 inhibitors (atazanavir, clarithromycin, darunavir/ritonavir, indinavir, itraconazole, ketoconazole, lopinavir/ritonavir, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, tipranavir/ritonavir) or P-glycoprotein inhibitors (cyclosporine, ranolazine).
  • Presence of any of the following concomitant conditions: myelosuppression, leukopenia, granulocytopenia, thrombocytopenia, pancytopenia, aplastic anemia, severe gastrointestinal diseases, or genetic disorders such as galactose intolerance.
  • Hypersensitivity to colchicine treatment.
  • Currently taking colchicine for another condition.
  • Requiring anticoagulant therapy.
  • Liver disease classified as Child-Pugh class B or C.
  • Renal disease with creatinine clearance \<50 mL/min.
  • Pregnant, breastfeeding, or women of childbearing age.
  • Currently has a malignancy or has a history of malignancy within the past 5 years.
  • Life expectancy of less than 5 years.
  • Contraindication for ticagrelor use (history of intracranial hemorrhage, active pathological bleeding, or liver disease classified as Child-Pugh class B or C).

Key Trial Info

Start Date :

August 5 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2028

Estimated Enrollment :

490 Patients enrolled

Trial Details

Trial ID

NCT06543082

Start Date

August 5 2024

End Date

December 31 2028

Last Update

December 19 2025

Active Locations (1)

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1

CHA Bundang Medical Center

Seongnam-si, Gyeonggi-do, South Korea, 13496