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NCT05162742: CHIANTI

Colchicine and Inflammation in Aortic Stenosis

Active, enrolled Phase 3 Last updated 11 September 2025
What this trial tests

Phase 3 trial testing Colchicine in Aortic Valve Disease in 150 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
22 December 2022
Primary endpoint
22 December 2025
22 December 2025

Quick facts

Lead sponsorRadboud University Medical Center
PhasePhase 3
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingquadruple
Primary purposetreatment
Enrollment150
Start date22 December 2022
Primary completion22 December 2025
Estimated completion22 December 2025
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Radboud University Medical Center

Who can join

Adults 50 to 80, any sex, with Aortic Valve Disease or Aortic Valve Stenosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Aortic stenosis (AS) is the most common valvular heart disease in the developed world. Once symptomatic, untreated patients have a poor prognosis with five-year survival rate of 25%. Once at an advanced stage, AS will lead to the development of left ventricle hypertrophy, and eventually heart failure and death. At-present, there is no effective medical therapy for aortic stenosis. Current management of patients with AS consists of 'watchful waiting'. Valve replacement is needed when these patients (often acutely) become symptomatic. Recent studies have shown that inflammatory processes with similarities to atherosclerosis play an important role in AS. Therefore, we hypothesize that treatment with anti-inflammatory therapy, in the form of colchicine, could reduce the progression of AS. If positive, this trial will be the first to provide a potential therapeutic option for millions of people world-wide with AS.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Unraveling the Mechanisms of Valvular Heart Disease to Identify Medical Therapy Targets: A Scientific Statement From the American Heart Association.
    Small AM, Yutzey KE, Binstadt BA, Voigts Key K, et al · · 2024 · cited 40× · PMID 38881493 · DOI 10.1161/cir.0000000000001254
  2. Calcific aortic stenosis: omics-based target discovery and therapy development.
    Blaser MC, Bäck M, Lüscher TF, Aikawa E. · · 2025 · cited 13× · PMID 39656785 · DOI 10.1093/eurheartj/ehae829
  3. Circulating neutrophil-related proteins associate with incident heart failure and cardiac dysfunction: The ARIC study.
    Buckley LF, Dorbala P, Claggett BL, Libby P, et al · · 2023 · cited 12× · PMID 37608611 · DOI 10.1002/ejhf.3008
  4. Effects of interventions targeting the systemic inflammatory response to cardiac surgery on clinical outcomes in adults.
    Abbasciano RG, Tomassini S, Roman MA, Rizzello A, et al · · 2023 · cited 7× · PMID 37873947 · DOI 10.1002/14651858.cd013584.pub2
  5. Anti-inflammatory pharmacotherapy in patients with cardiovascular disease.
    Finocchiaro S, Mazzone PM, Ammirabile N, Bordonaro C, et al · · 2025 · cited 6× · PMID 40828623 · DOI 10.1093/ehjcvp/pvaf058
  6. The Haemodynamic and Pathophysiological Mechanisms of Calcific Aortic Valve Disease.
    Hanna L, Armour C, Xu XY, Gibbs R. · · 2022 · cited 4× · PMID 35740339 · DOI 10.3390/biomedicines10061317
  7. Navigating the Landscape of Translational Medicine of Calcific Aortic Valve Disease: Bridging Bench to Bedside.
    Qian X, Xu L, Geng B, Li F, et al · · 2025 · cited 2× · PMID 40180541 · DOI 10.1016/j.jacasi.2025.01.014
  8. The effects of low-dose colchicine on the progression of aortic valve stenosis: Rationale, design, and baseline characteristics of the Colchicine and Inflammation in Aortic Stenosis (CHIANTI) trial.
    Mohammadnia N, Vestjens LTW, Craig NJ, Tijssen JGP, et al · · 2025 · cited 1× · PMID 40659197 · DOI 10.1016/j.ahj.2025.07.010

Verify or expand the search:

Other trials of Colchicine

Trials testing the same drug.

Other recruiting trials for Aortic Valve Disease

Currently open trials in the same condition.

Other Radboud University Medical Center trials

Trials by the same sponsor.

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