COL-PROBENECID (colchicine)
Colchicine is an alkaloid used to prevent and manage gout flares in adult patients. It also treats Familial Mediterranean fever in both adults and children four years of age and older. When used for gout, it helps patients by either preventing future attacks or addressing acute symptoms when taken at the first sign of a flare.
How COL-PROBENECID Works
This drug works by inhibiting β-tubulin polymerization, which disrupts the microtubules that allow neutrophils to move and release inflammatory triggers. It also appears to interfere with the assembly of the inflammasome complex, thereby reducing the activation of interleukin-1β in certain immune cells.
Details
- Status
- Prescription
- First Approved
- 1976-11-23
- Routes
- ORAL
- Dosage Forms
- TABLET
COL-PROBENECID Approval History
What COL-PROBENECID Treats
2 indicationsCOL-PROBENECID is approved for 2 conditions since its original approval in 1976. These indications span multiple therapeutic areas including oncology, immunology, and more.
- Gout flares (prevention and acute treatment)
- Familial Mediterranean fever (FMF)
COL-PROBENECID Competitive Set
ProThree rings of competition based on shared molecular targets and treated indications.
Indication competitors
Same indication, different mechanism — what else might this patient receive?
Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.
Clinical Trial Registry
107 trials| Trial | Sponsor ID | Phase | Status | Title |
|---|---|---|---|---|
| NCT05850091 PROACT 2 | 2023P000945 | Ph 4 | recruiting | Polygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine |
| NCT07571681 COLTHYR | MU-THY-COL-2026-01 MD-MU-IRB-R.24.11.2879 | Ph 2, Ph 3 | not yet recruiting | Colchicine for Autoimmune and Subacute Thyroiditis |
| NCT05637398 | 03-22 | Ph 1, Ph 2 | completed | Colchicine in Patients With Heart Failure and Preserved Left Ventricular Ejection Fraction |
| NCT05618353 POPCORN | CARA-003-22S I01CX002358-01A2 | Ph 4 | recruiting | The Peri-OPerative COlchicine to Reduce Negative Events (POPCORN) Trial |
| NCT04381936 RECOVERY | NDPHRECOVERY 2020-001113-21, ISRCTN50189673 | Ph 3 | recruiting | Randomised Evaluation of COVID-19 Therapy |
| NCT06158698 CMP-MYTHiC | CMP-MYTHiC PNRR-MAD-2022-12376225 | Ph 3 | recruiting | CMP-MYTHiC Trial and Registry - CardioMyoPathy With MYocarditis THerapy With Colchicine |
| NCT07462325 PIC-CHD | 2025-GSP-GG-13 | Ph 4 | not yet recruiting | Proteomic and Inflammatory Omics Changes With Colchicine Therapy in Coronary Heart Disease |
| NCT05633810 COLCOT-T2D | MHICC-2021-001 | Ph 3 | recruiting | COLchicine and Non-enteric Coated Aspirin in the Cardiovascular Outcomes Trial of Patients With Type 2 Diabetes |
| NCT05726019 COCAR | SDC 5302/21/077 | Ph 2 | completed | Colchicine in Patients Undergoing Coronary Artery Bypass Grafting After Acute Coronary Syndrome |
| NCT02939573 ARAMIS | VCRC5562 U54AR057319 | Ph 2 | recruiting | A Randomized Multicenter Study for Isolated Skin Vasculitis |
| NCT06802926 CoCAB-Pilot | KY-2025-777 | Ph 4 | recruiting | Pilot Trial of Colchicine for Graft Failure in CABG |
| NCT04916522 COHERENT | COHERENT 2020-004492-40 | Ph 2 | active not recruiting | The COlchicine HypERtENsion Trial |
| NCT07280572 RECLAIM | EUCT 2024-511580-28 D-25-500086 | Ph 3 | enrolling by invitation | RECLAIM Adaptive Platform Trial for PCC Treatments |
| NCT07145229 | ABP-745-201 | Ph 2 | recruiting | Safety and Efficacy of ABP-745 in Participants With an Acute Gout Flare |
| NCT04420624 COLD-MI | RECHMPL18_0459 2020-000098-25 | Ph 2, Ph 3 | terminated | COLchicine to Prevent Sympathetic Denervation After an Acute Myocardial Infarction |
| NCT04500665 | 2020P002468 K23HL150311 | Ph 2 | recruiting | Anti-Inflammatory Treatment of Uremic Cardiomyopathy With Colchicine |
| NCT05162742 CHIANTI | 112719 | Ph 3 | active not recruiting | Colchicine and Inflammation in Aortic Stenosis |
| NCT05017571 | 10000235 000235-CH | Ph 2 | completed | Colchicine to Suppress Inflammation and Improve Insulin Resistance in Adults and Adolescents With Obesity |
| NCT06090890 | 2023-GSP-GG-32 | Ph 4 | recruiting | Anti-inflammatory Therapy for Recurrent In-stent Restenosis |
| NCT04382443 ORCA | CECI-03 | Ph 4 | completed | Oral Colchicine in Argentina to Prevent Restenosis |
| NCT04870424 Co-STAR | Co-STAR | Ph 3 | completed | Colchicine for Patients With Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement |
| NCT05472337 | 210507002 | Ph 2 | recruiting | Effect of Colchicine on Coronary Reperfusion in Patients With Acute Coronary Syndrome |
| NCT05890664 COLECTRO-AF | 2023-00548, kt21sticherling | Ph 3 | recruiting | Colchicine After Electrocardioversion for Atrial Fibrillation |
| NCT06279000 COLCAT | CTU 22/025 | Ph 3 | recruiting | Colchicine in Patients at Cardiac Risk Undergoing Major Non-Cardiac Surgery |
| NCT06280976 ARTCAP | 23.0001 | Ph 4 | withdrawn | Aggressive Risk-Prevention Therapies for Coronary Atherosclerotic Plaque (ART-CAP) |
| NCT02898610 CONVINCE | 2015-004505-16 | Ph 3 | completed | Colchicine for Prevention of Vascular Inflammation in Non-cardio Embolic Stroke |
| NCT06203977 | REPAIR | Ph 1 | recruiting | Inflammation REduction to Prevent cArdiovascular Injury in Renal Disease (REPAIR) |
| NCT06578182 ECHO | SMaartenskliniek 10140262210012, 2024-511359-16-00 | Ph 3 | recruiting | The Effect of ColcHicine on the Incidence of Knee or Hip Replacements |
| NCT06813079 | ADOPT 24-5059 | Ph 2 | not yet recruiting | Using Tumor Models to Determine Treatments |
| NCT05936281 Gensci 048-202 | GenSci 048-202 | Ph 2 | completed | A Study of the Efficacy of Genakumab in Prevention of Acute Flares in Gout Patients Initiating Urate-lowering TherapyUrate-lowering (GenSci048-202) |
| NCT05279690 | STUDY-21-01175 | Ph 1 | completed | Pilot Trial of Colchicine in Urothelial Cancer and Other Solid Tumors |
| NCT04322682 COVID-19 results posted | MHIPS-2020-001 3R01HL146206-02S1 | Ph 3 | terminated | Colchicine Coronavirus SARS-CoV2 Trial (COLCORONA) |
| NCT06731595 PAPERS | PAPERS | Ph 2 | completed | Post-Ablation Pericarditis Reduction Study (PAPERS) |
| NCT05936268 Gensci 048-203 | GenSci048-203 | Ph 2 | completed | Safety and Efficacy of Genakumab for Injection in Patients With Gout Flare |
| NCT03048825 CLEAR SYNERGY | CLSYN.1702 OASIS-9 | Ph 3 | completed | Colchicine and Spironolactone in Patients with MI / SYNERGY Stent Registry |
| NCT05250596 COLOR-ACS | ID 20426 2021-000637-13 | Ph 2 | completed | COLchicine On-admission to Reduce Inflammation in Acute Coronary Syndrome (COLOR-ACS) |
| NCT05439356 | NCRC-2022-05 | Ph 3 | completed | Colchicine in High-risk Patients With Acute Minor-to-moderate Ischemic Stroke or Transient Ischemic Attack (CHANCE-3) |
| NCT02260206 | colchicine | Ph 4 | completed | Impact of Colchicine Therapy on Arrhythmia Recurrence After Acute Pericardial Effusion |
| NCT05928728 COLFIB | 2022-500850-40-01 | Ph 3 | recruiting | The COLchicine and Atrial FIBrillation Trial |
| NCT06081049 | COLHEART-PRESERVED | Ph 2 | recruiting | The COLchicine HEART Failure PRESERVED Trial (COLHEART-PRESERVED) |
| NCT04324463 ACTCOVID19 | PHRI.ACT.COVID19 | Ph 3 | completed | Anti-Coronavirus Therapies to Prevent Progression of Coronavirus Disease 2019 (COVID-19) Trial |
| NCT04848857 COLOCT | CTACS202001 | Ph 4 | completed | Colchicine for the Stability of Coronary Plaque in Acute Coronary Syndrome (COLOCT) |
| NCT03310125 COP-AF | 2017-001-COPAF | Ph 3 | completed | Colchicine For The Prevention Of Perioperative Atrial Fibrillation In Patients Undergoing Thoracic Surgery (COP-AF) |
| NCT03888846 | P104375V04 | Ph 2 | completed | Topical Pentoxifylline Gel on Behcet's Disease Oral Ulcers |
| NCT04857931 COLpEF | MP-33-2021-2929 | Ph 2 | terminated | Colchicine in HFpEF |
| NCT04218786 | STMU2020 | Ph 2 | withdrawn | Effect of Colchicine in Patients With Myocardial Infarction |
| NCT04492358 | 2020-002462-14 | Ph 2, Ph 3 | terminated | Treatment for Moderate/Severe COVID-19 in a Fragile and Vulnerable Population, Admitted to a Geriatric Hospital Unit or in a Transicional Care Center |
| NCT05130892 | NLRP3-CRP | Ph 4 | completed | Effect of Inflammasome Inhibitor on hsCRP in Patients After PCI |
| NCT04667780 | ATH/IRB/Colchicine/25.11.2020 | Ph 3 | completed | Study to Investigate the Treatment Effect of Colchicine in Patients With COVID-19 |
| NCT04949516 MACT | WKUH 2021-06-004 | Ph 4 | completed | Mono Antiplatelet and Colchicine Therapy |
Showing 50 of 107 trials
Active Pipeline
Ongoing clinical trials by development phase
Key Completed Trials
Completed studies with published results, ranked by significance
Trial Timeline
Full development history with FDA approval milestones
Understanding FDA Approval Types
| Count | Type | What it means |
|---|---|---|
| - | ORIG | Original approval - drug first enters market |
| - | SUPPL - Efficacy | New indication (new disease/condition approved) |
| - | SUPPL - Labeling | Label text changes (warnings, dosing updates) |
| - | SUPPL - Manufacturing | Production changes (new facility) |
| - | SUPPL - Chemistry | Formulation changes (new dosage strength) |
Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.
COL-PROBENECID FDA Label Details
Indications & Usage
COL-PROBENECID is indicated for the treatment of Gout flares (prevention and acute treatment); Familial Mediterranean fever (FMF).
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Data Sources
Data sourced from official FDA and NIH databases. Click links to verify on original sources.