The goal of this clinical trial is to compare low-dose colchicine (0.5 mg Once Daily) with no specific intervention in selected elderly patients (60-80 years old) with residual inflammatory risk (hs-CRP≥ 2mg/L) and multivessel coronary artery disease. The main questions it aims to answer are: * Whether the intervention is effective in reducing ischemic events * Whether the intervention is effective in reducing inflammatory biomarkers' level * Whether the intervention is safe for elderly patients Participants will be randomized to receive low-dose colchicine (0.5 mg Once Daily) or no specific intervention for one year. Patients enrolled should complete one-year follow-up in the form of clinic visit or telephone call.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
800
Dosage form: Tablets; Dosage: 0.5mg; Frequency: Once daily; Duration: From randomization to one-year follow-up is completed.
Fuwai Hospital, National Center for Cardiovascular Diseases, CAMS & PUMC
Beijing, Beijing Municipality, China
Major Adverse Cardiovascular and Cerebrovascular Events (MACCE)
Composite events including cardiovascular death, spontaneous (nonprocedural) myocardial infarction, ischemia-driven coronary revascularization, and ischemic stroke
Time frame: From randomization to occurence of first event, assessed up to one year
Cardiovascular death
Number of participants with cardiovascular death.
Time frame: From randomization to occurence of first event, assessed up to one year
Spontaneous (nonprocedural) myocardial infarction
Number of participants with spontaneous (nonprocedural) myocardial infarction.
Time frame: From randomization to occurence of first event, assessed up to one year
Ischemia-driven coronary revascularization
Number of participants with ischemia-driven coronary revascularization.
Time frame: From randomization to occurence of first event, assessed up to one year
Ischemic stroke
Number of participants having had a ischemic stroke.
Time frame: From randomization to occurence of first event, assessed up to one year
Change of hs-CRP
Change of hs-CRP comparing to the baseline
Time frame: From randomization to treatment at one month and one year
Change of white blood cell count
Change of white blood cell count comparing to the baseline
Time frame: From randomization to treatment at one month and one year
Change of neutrophil count
Change of neutrophil count comparing to the baseline
Time frame: From randomization to treatment at one month and one year
Change of monocyte count
Change of monocyte count comparing to the baseline
Time frame: From randomization to the end of treatment at one year
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