The present study examined the seismic performance of circular concrete-filled steel tube (CFST) columns infilled with ultra-high-strength concrete (UHSC >100 MPa) as well as the beneficial effect of embedded spiral confining (SC) reinforcement at high axial load ratios (0.53–0.70) in order to enhance the safety and structural integrity of high-rise buildings. Seven specimens, including four CFST columns and three SC-CFST columns, were investigated under combined high axial and quasi-static cyclic lateral loads. The test parameters included axial load ratio (0.53–0.70), concrete compressive strength (64–111 MPa), embedded spiral confining reinforcement (pitch of 30 mm and 60 mm), and concrete vibration state. The test results demonstrated that adding spiral reinforcement improved the deformation capacity of CFST columns, which was reduced by the increased concrete strength. By embedding spiral confining reinforcement (volumetric ratio 3.3 %), the SC-CFST columns attained a deformation capacity comparable to that of CFST columns with normal concrete (64 MPa) for an axial load ratio of 0.53. The higher axial load ratio and concrete strength of composite columns led to a significant P-Delta moment effect, resulting in a substantial drop in columns' lateral load capacity. Composite columns with UHSC showed a larger contribution from the column base rotation to the specimen's lateral deformation when compared to composite columns with normal-strength concrete because the rigidity offered by UHSC made the column more rigid and reduced its flexural deformation. The unvibrated core concrete of the CFST column did not influence the initial stiffness and energy dissipation capacity. However, during the later stages of loading, the damage in core concrete rapidly accumulated, resulting in instant degradation of the load capacity and stiffness, considerable axial shortening, and poor deformation capacity. The experimental investigation offered a reliable reference on the performance of CFST columns constructed under high-axial load ratios (0.53–0.7) using ultra-high-strength concrete (>100 MPa) and spiral confining reinforcement so as to promote their application in practical engineering.