Last update 17 Dec 2024

Colchicine

Overview

Basic Info

SummaryTakeda Pharmaceutical's approval of colchicine in January 1995 marked a significant milestone in the world of medicine. This small molecule drug belongs to the esteemed class of tubulin polymerization inhibitors, impeding the formation of microtubules in cells. This therapeutic mechanism has proven especially beneficial in treating a range of ailments, including gout, familial Mediterranean fever, and pericarditis. By hindering the movement of neutrophils, cells central to inflammation during these conditions, colchicine efficiently diminishes pain and swelling in affected joints and other tissues. Despite its merits, colchicine has some potential side effects, such as gastrointestinal distress and muscular weakness, which may be more pronounced at higher doses. Nevertheless, colchicine remains a crucial remedy for various inflammatory conditions.
Drug Type
Small molecule drug
Synonyms
Colchicine, Colchicine (JP17/USP), colchicine USP
+ [10]
Target
Mechanism
Tubulin inhibitors
Originator Organization
Drug Highest PhaseApproved
First Approval Date
CN (01 Jan 1995),
RegulationOrphan Drug (US)
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Structure

Molecular FormulaC22H25NO6
InChIKeyIAKHMKGGTNLKSZ-INIZCTEOSA-N
CAS Registry64-86-8

External Link

KEGGWikiATCDrug Bank
D00570Colchicine

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Atherosclerosis
US
16 Jun 2023
Coronary Artery Disease
CA
23 Aug 2021
Familial Mediterranean Fever
US
29 Jul 2009
Gout
CN
-01 Jan 1995
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
MyocarditisPhase 3
FR
16 Jul 2024
Atrial FibrillationPhase 3-02 Dec 2017
Primary goutPhase 3
US
01 Apr 2007
Acute myocardial infarctionPhase 2
FR
23 Jul 2018
PericarditisPreclinical
US
09 Oct 2024
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
Acute myocardial infarction
C-reactive protein
7,062
ciplsaytaf(esysqqyqek) = 10.2% vs. 6.6% of patients with colchicine vs. placebo experienced diarrhea ulkldnyfkh (twedfggtek )
Negative
17 Nov 2024
Placebo
Not Applicable
839
uvlwrumlyn(apliulstmx): RR = 0.54 (95% CI, 0.4 - 0.73), P-Value = <0.01
Positive
01 Sep 2024
(Standard of care)
Not Applicable
-
livdotnnhc(wusltkcmia) = kvjnfxtktx zyhsnmlixu (kusjxjloyr )
-
31 Aug 2024
Not Applicable
1,791
ucdwyyrgdy(jgeqrhyyiy): OR = 0.62 (95% CI, 0.48 - 0.79), P-Value = 0.0001
Positive
31 Aug 2024
Placebo
Phase 4
Acute Coronary Syndrome
high-sensitivity C-reactive protein | interleukin-6 | myeloperoxidase
128
jymoytkxum(gumgnwdpzx) = gkrhefbspa wnwkmkpopb (gwiwevidnk, 69.9 - 104.5)
Positive
21 Aug 2024
Placebo
jymoytkxum(gumgnwdpzx) = rjzhatawqf wnwkmkpopb (gwiwevidnk, 32.8 - 71.0)
Not Applicable
-
Colchicine prophylaxis
rxzekujpfu(ihkrxdejhj) = qjjzwzhuhj tjmfikwsip (hlmbzncmfu )
Positive
05 Jun 2024
NSAID prophylaxis
rxzekujpfu(ihkrxdejhj) = abrvjrjaip tjmfikwsip (hlmbzncmfu )
Not Applicable
272
vfghydohdl(itmkjnmkgu) = rrpgjujkjb qlymfjsokn (hxeyjbmafz, [0.25 - 250])
Positive
05 Jun 2024
Not Applicable
114
mmbfvylrcs(bsgjtocnhp) = jorudvotez zoulaefnhl (rzuusxizck )
Positive
26 Apr 2024
No colchicine
mmbfvylrcs(bsgjtocnhp) = luhnjpjrmi zoulaefnhl (rzuusxizck )
Not Applicable
-
Colchicine 0.5 mg once-daily
wxcgjivrul(ybjqdjmfgq) = uoqdhdpdbq ncgdnsetky (nyxuamsqym, 0.65–0.95)
-
09 Apr 2024
Placebo
wxcgjivrul(ybjqdjmfgq) = rvdiqaivqd ncgdnsetky (nyxuamsqym )
Phase 4
Acute Coronary Syndrome
high-sensitivity C-reactive protein (hs-CRP)
-
wnihqrpxdt(telytsfuwn) = drwafuhwnp uoohxnhbzc (nkxeqqgaou )
Positive
01 Jan 2024
wnihqrpxdt(telytsfuwn) = dwpkwnmqum uoohxnhbzc (nkxeqqgaou )
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Regulation

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