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Acute Coronary SyndromePhase 4MACT IINCT06543082

MACT (Mono Antiplatelet and Colchicine Therapy) Prospective Multicenter Study

A Phase 4 study testing Colchicine 0.6 mg in people with Acute Coronary Syndrome, run by CHA University at 9 sites in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial 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 after percutaneous coronary intervention (PCI) in addition to potent P2Y12 inhibitors in patients with acute coronary… Read more about this study

Who is it for?
Ages 20 to 90 years
Conditions the study is for
Acute Coronary Syndrome
What is being tested?
Colchicine 0.6 mg
Could I receive a placebo?
No, everyone receives an active treatment
How many people
490 participants
Where
9 sitesSouth Korea
Study dates
5 Aug 2024to Dec 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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.
Show all 16Show fewer
  • Currently taking colchicine for another condition.
  • Requiring anticoagulant therapy.
  • Liver disease classified as Child-Pugh class B or C.
  • Renal disease with creatinine clearance <30 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).
  • Patients receiving regular administration of systemic steroids, immunosuppressants, or biological agents (e.g., TNF-alpha inhibitors)
  • Patients with active infectious diseases

Trial locations and contacts

9 sites in 1 country. Contact the study team or a site near you to ask about taking part.

9 sites in 1 country

South Korea9 sites, 9 recruiting
  • Keimyung University Dongsan Hospital

    Daegu

    Hyuck-Jun Yoon, +82-1577-6622, hippsons@dsmc.or.kr

    Recruiting
  • Wonkwang University Hospital

    Iksan

    Jung-Tae Byeon, +82-063-859-1114, overchaos12@gmail.com

    Recruiting
  • Myongji Hospital

    Ilsan

    Yong-Sung Suh, +82-31-810-5114, yongsung.seo@gmail.com

    Recruiting
  • National Health Insurance Service Ilsan Hospital

    Ilsan

    Ji-Yong Jang, +82-31-900-0114, dogkkoma@gmail.com

    Recruiting
  • Seoul National University Bundang Hospital

    Seongnam

    Ki-Hyun Jeon, +82-1588-3366, imcardio@gmail.com

    Recruiting
  • CHA Bundang Medical Center

    Seongnam-si, Gyeonggi-do, 13496

    Seung-Yul Lee, MD, 82-31-780-5858, seungyul79@gmail.com

    Recruiting
  • Ewha Womans University Seoul Hospital

    Seoul

    Choongki Kim, +82-1522-7000, splennov26@gmail.com

    Recruiting
  • Gangnam Severance Hospital

    Seoul

    Sungsoo Cho, +82-1599-6114, drsscho@gmail.com

    Recruiting
  • Wonju Severance Christian Hospital

    Wŏnju

    Joong-Hee Lee, +82-33-741-2114, seranflute@gmail.com

    Recruiting

Other trials in South Korea

About this study

Official title: Clinical Outcomes of Colchicine Therapy Following Percutaneous Coronary Intervention in Patients With Acute Coronary Syndrome: the MACT (Mono Antiplatelet and Colchicine Therapy) Prospective Multicenter Study

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 after percutaneous coronary intervention (PCI) in addition to potent P2Y12 inhibitors in patients with acute coronary syndrome (ACS). However, the efficacy and safety of MACT have not yet been investigated. The goal of this clinical trial is to evaluate the clinical outcomes of ticagrelor P2Y12 inhibitor monotherapy combined with colchicine immediately after PCI in patients with ACS. The main questions it aims to answer are:

  • What is the frequency of the composite endpoint of cardiovascular death, nonfatal spontaneous myocardial infarction, nonfatal ischemic stroke, unplanned hospitalization leading to urgent revascularization, and major bleeding at 12 months post-intervention?
  • What is the frequency of stent thrombosis at 12 months post-intervention?
Read more

For pre-specified analyses, researchers will compare MACT to less than 1 month, 3-month, and 12-month dual antiplatelet therapy (individual patient data from the T-PASS [NCT03797651] and TICO [NCT02494895] trials) to determine if MACT is effective in treating ACS.

Participants will:

  • Take low-dose colchicine in addition to ticagrelor maintenance therapy, discontinuing aspirin the day after PCI.
  • Take a high-sensitivity C-reactive protein (hs-CRP) test 1 month after PCI.
  • Discontinue colchicine if the hs-CRP level is less than 2 mg/L, or continue colchicine if it is not.
  • Visit the clinic for check-ups at 1, 3, 6, 9, and 12 months after PCI.
Being tested
Colchicine 0.6 mg
Keywords
Colchicine
Medical subject headings
Acute Coronary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Colchicine 0.6 mgDrug

    Participants will take low-dose colchicine (0.6 mg once daily) in addition to ticagrelor maintenance therapy (90 mg twice daily), and discontinue aspirin the day after PCI. They will have an hs-CRP test 1 month after PCI. If the hs-CRP level is below 2 mg/L, colchicine will be discontinued 1 month after PCI. If it is 2 mg/L or higher, colchicine will be continued for 12 months after PCI.

Study groups in NCT06543082
Study groupRoleWhat they receive
MACTExperimentalMono Antiplatelet and Colchicine Therapy
Receives: Drug: Colchicine 0.6 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy Outcome: Net adverse clinical event

    The composite of cardiovascular death, nonfatal spontaneous (nonprocedural) myocardial infarction, nonfatal ischemic stroke, unplanned hospitalization leading to urgent revascularization, and major bleeding

    Measured: 12 months post-intervention

  2. Safety Outcome: Stent thrombosis

    Definite, probable, or possible stent thrombosis according to the Academic Research Consortium

    Measured: 12 months post-intervention

Secondary outcomes (10)
  1. Cardiovascular death

    The composite of cardiac and vascular death. Any death due to proximate cardiac cause (eg, myocardial infarction, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, and all procedure-related deaths, including those related to concomitant treatment, will be classified as cardiac death. Death caused by noncoronary vascular causes, such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular diseases will be classified as vascular death.

    Measured: 12 months post-intervention

  2. Nonfatal spontaneous (nonprocedural) myocardial infarction

    Myocardial infarction is defined as symptoms, electrocardiographic changes, or abnormal imaging findings, combined with a creatine kinase MB fraction above the upper normal limits or a troponin T or troponin I level greater than the 99th percentile of the upper normal limit. Myocardial infarction that are not associated with a revascularization procedure will be classified as nonfatal spontaneous myocardial infarction.

    Measured: 12 months post-intervention

  3. Nonfatal ischemic stroke

    Cerebrovascular event resulting in a neurologic deficit within 24 hours or the presence of acute infarction as demonstrated by imaging studies will be classified as nonfatal ischemic stroke.

    Measured: 12 months post-intervention

  4. Unplanned hospitalization leading to urgent revascularization

    This event will be present only if the participant is hospitalized unexpectedly because of persisting or increasing complaints of chest pain (with or without ST-T changes, with or without elevated biomarkers) and a revascularization is performed within the same hospitalization. It should be clearly distinguished from the revascularization procedure which is performed on non-urgent basis.

    Measured: 12 months post-intervention

  5. Major bleeding

    Bleeding Academic Research Consortium type 3 or 5

    Measured: 12 months post-intervention

  6. High residual inflammation

    Participant with hs-CRP of ≥2 mg/L

    Measured: 1 month, 6 months, and 12 months post-intervention

  7. High residual platelet reactivity

    Participant with P2Y12 reaction units of >208

    Measured: 1 month and 12 months post-intervention

  8. Low residual platelet reactivity

    Participant with P2Y12 reaction units of <85

    Measured: 1 month and 12 months post-intervention

  9. Thrombogenicity

    This will be measured using R, K, Angle, A10, MA, and Ly30 through thromboelastography.

    Measured: 1 month and 12 months post-intervention

  10. Adverse drug reaction to colchicine

    Response to a colchicine which is noxious and unintended and which occurs during the administration period.

    Measured: 1 month, 3 months, 6 months, 9 months, and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Aug 2024
  2. Study start5 Aug 2024
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
490 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06543082
Sponsor's protocol ID
CHAMC IRB 2024-01-057-009
Acronym
MACT II
Status last verified
Feb 2026
First submitted
3 Aug 2024
Last updated
18 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lee SY, Jeong YH, Yun KH, Cho JY, Gorog DA, Angiolillo DJ, Kim JW, Jang Y. P2Y12 Inhibitor Monotherapy Combined With Colchicine Following PCI in ACS Patients: The MACT Pilot Study. JACC Cardiovasc Interv. 2023 Aug 14;16(15):1845-1855. doi: 10.1016/j.jcin.2023.05.035.

    PubMed 37587591
  • Lee SY, Cho JY, Gorog DA, Angiolillo DJ, Yun KH, Ahn JH, Koh JS, Park Y, Hwang SJ, Hwang JY, Kim JW, Jang Y, Jeong YH. Inflammation and platelet reactivity during adjunctive colchicine versus aspirin in patients with acute coronary syndrome treated with potent P2Y12 inhibitor. Front Med (Lausanne). 2024 Apr 19;11:1349577. doi: 10.3389/fmed.2024.1349577. eCollection 2024.

    PubMed 38841588
  • Kim BK, Hong SJ, Cho YH, Yun KH, Kim YH, Suh Y, Cho JY, Her AY, Cho S, Jeon DW, Yoo SY, Cho DK, Hong BK, Kwon H, Ahn CM, Shin DH, Nam CM, Kim JS, Ko YG, Choi D, Hong MK, Jang Y; TICO Investigators. Effect of Ticagrelor Monotherapy vs Ticagrelor With Aspirin on Major Bleeding and Cardiovascular Events in Patients With Acute Coronary Syndrome: The TICO Randomized Clinical Trial. JAMA. 2020 Jun 16;323(23):2407-2416. doi: 10.1001/jama.2020.7580.

    PubMed 32543684
  • Hong SJ, Lee SJ, Suh Y, Yun KH, Kang TS, Shin S, Kwon SW, Lee JW, Cho DK, Park JK, Bae JW, Kang WC, Kim S, Lee YJ, Ahn CM, Kim JS, Kim BK, Ko YG, Choi D, Jang Y, Hong MK; T-PASS (Ticagrelor Monotherapy in Patients Treated With New-Generation Drug-Eluting Stents for Acute Coronary Syndrome) Investigators. Stopping Aspirin Within 1 Month After Stenting for Ticagrelor Monotherapy in Acute Coronary Syndrome: The T-PASS Randomized Noninferiority Trial. Circulation. 2024 Feb 20;149(8):562-573. doi: 10.1161/CIRCULATIONAHA.123.066943. Epub 2023 Oct 25.

    PubMed 37878786
  • Cutlip DE, Windecker S, Mehran R, Boam A, Cohen DJ, van Es GA, Steg PG, Morel MA, Mauri L, Vranckx P, McFadden E, Lansky A, Hamon M, Krucoff MW, Serruys PW; Academic Research Consortium. Clinical end points in coronary stent trials: a case for standardized definitions. Circulation. 2007 May 1;115(17):2344-51. doi: 10.1161/CIRCULATIONAHA.106.685313.

    PubMed 17470709
  • Mehran R, Rao SV, Bhatt DL, Gibson CM, Caixeta A, Eikelboom J, Kaul S, Wiviott SD, Menon V, Nikolsky E, Serebruany V, Valgimigli M, Vranckx P, Taggart D, Sabik JF, Cutlip DE, Krucoff MW, Ohman EM, Steg PG, White H. Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation. 2011 Jun 14;123(23):2736-47. doi: 10.1161/CIRCULATIONAHA.110.009449. No abstract available.

    PubMed 21670242
  • Jang JY, Suh Y, Kim C, Byoun JT, Yun KH, Lee JH, Jeon KH, Cho S, Yoon HJ, Kim JW, Lee B, Kang SH, Kim SH, Moon JY, Jang Y, Lee SY. Efficacy and safety of mono antiplatelet therapy with colchicine in acute coronary syndrome patients following percutaneous coronary intervention: rationale and design of the MACT II trial. Front Cardiovasc Med. 2025 Oct 27;12:1662392. doi: 10.3389/fcvm.2025.1662392. eCollection 2025.

    PubMed 41221450

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Colchicine 0.6 mg in people with Acute Coronary Syndrome, run by CHA University at 9 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 18 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hwa-In Kim (82-31-780-5858, niawhz23@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy Outcome: Net adverse clinical event (time frame: 12 months post-intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06543082, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2026.

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