Valvular & structural heart disease

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

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with moderate AS
Participants
150 patients
Planned comparison
Low-dose colchicine vs placebo
Primary endpoint
Change in aortic valve calcium score on CT
Follow-up
24 months
Methodological detailsrationale, design and baseline characteristics, investigator-initiated, placebo-controlled, double-blind, multicentre, 1:1 randomisation, 2-week run-in phase, Baseline coronary computed tomography (CT) angiography, 18F-NaF PET-CT and echocardiography, repeated after 24 months, Secondary endpoints: change in aortic valve 18F-NaF uptake on PET-CT (target-to-background ratio corrected); change in peak aortic jet velocity on echocardiography
  • Rationale, design and baseline characteristics
  • Investigator-initiated
  • Placebo-controlled
  • Double-blind
  • Multicentre
  • 1:1 randomisation
  • 2-week run-in phase
  • Baseline coronary CT angiography, 18F-NaF PET-CT and echocardiography, repeated after 24 months
  • Secondary endpoints: change in aortic valve 18F-NaF uptake on PET-CT (target-to-background ratio corrected); change in peak aortic jet velocity on echocardiography

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

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. Am Heart J. Published 12 July 2025. doi:10.1016/j.ahj.2025.07.010

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