Hypertension

Effect of Colchicine on Arterial Stiffness in Patients With Hypertension: The COlchicine HypERtENsion Trial (COHERENT)

Eur J Prev CardiolPublished

Primary result · Change in carotid-femoral pulse wave velocity (cfPWV)Result — go to the resultBetween-group difference in ΔcfPWV −0.1 m/s 95% CI −0.5 to 0.3
  • randomized, double-blind, placebo-controlled trial

Authors' conclusion

Six months of colchicine did not affect arterial stiffness in pharmacologically treated hypertension without cardiovascular disease. Colchicine significantly decreased hsCRP.

Study context

Population
Adults with pharmacologically treated hypertension without cardiovascular diseaserandomized (75 per group) of 183 screened
Participants
150 adults
Comparison
colchicine compared with placebo
  • colchicinen = 75
  • placebon = 75
Primary endpoint
Change in carotid-femoral pulse wave velocity (cfPWV)
Follow-up
Six months

Primary result

As reported in the abstract

Change in carotid-femoral pulse wave velocity (cfPWV)

Between-group difference in ΔcfPWV

−0.1 m/s

95% CI −0.5 to 0.3

P = 0.53

Colchicine vs placebo
between-group difference in ΔcfPWV −0.1 m/s (95% CI −0.5 to 0.3); P = 0.53

Secondary outcomes

OutcomeBetween-group difference in Δoffice systolic BP (mmHg) (95% CI)P value
Change in office systolic BP · six months5.7 (1.0–10.5)P = 0.018
OutcomeBetween-group difference in % change in hsCRP (95% CI)P value
% change in hsCRP · six months−39.8% (−59.1 to −11.4%)P = 0.010
  • Change in office systolic blood pressure (BP): decreased significantly more in the placebo group than in the colchicine group
  • % change in hsCRP: decreased significantly in the colchicine group compared with the placebo group

Baseline characteristics

Mean age (±8.0) years
64.5
Female
53 (35.3%)
Mean systolic blood pressure (±15.6) mmHg
137.6

Left ventricular mass index, cardiac biomarkers

Left ventricular mass index or cardiac biomarkers did not differ between groups

Original publication

Effect of Colchicine on Arterial Stiffness in Patients With Hypertension: The COlchicine HypERtENsion Trial (COHERENT). Eur J Prev Cardiol. Published 16 October 2026. doi:10.1093/eurjpc/zwag527

Summarised from the published abstract; every number is checked against it