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PREEMPTIVE THERAPY WITH COLCHICINE IN PATIENTS OLDER THAN 60 YEARS WITH HIGH RISK OF SEVERE PNEUMONIAE DUE TO CORONAVIRUS (COLCHI-COVID)

Primary Purpose

SARS-CoV-2 Infection (COVID-19)

Status
Unknown status
Phase
Phase 3
Locations
Spain
Study Type
Interventional
Intervention
Colchicine plus symptomatic treatment (paracetamol)
Symptomatic treatment (paracetamol or best symptomatic treatment based on doctor recommendations)
Sponsored by
Instituto de Investigación Marqués de Valdecilla
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for SARS-CoV-2 Infection (COVID-19) focused on measuring colchicine

Eligibility Criteria

60 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients of both sexes who are at least 60 years old.
  2. Diagnosis of COVID-19 infection in the last 72 hours and confirmed by PCR
  3. Patient in outpatient follow-up (not hospitalized or under consideration) or institutionalized in senior centers/residences
  4. The patient must possess at least two of the following high-risk criteria

    1. 60 years of age or older AND
    2. Any of the following: Diabetes mellitus, high blood pressure, known pulmonary disease (including asthma or chronic obstructive pulmonary disease), known heart failure, known coronary disease, bicytopenia, pancytopenia, or the existence of simultaneous neutrophilia and lymphopenia
  5. The patient must be able and willing to comply with the requirements of this study protocol.

Exclusion Criteria:

  1. Hospitalized patient or under immediate consideration of doing so
  2. Patient taking colchicine for other indications
  3. Patient with history of allergic reaction or sensitivity to colchicine
  4. Patient with inflammatory bowel disease, gastric ulcer, chronic diarrhea or malabsorption
  5. Patient with pre-existing progressive neuromuscular disease
  6. Patient with kidney damage and estimated glomerular filtrate rate <30 ml/m at 1732
  7. Patient undergoing chemotherapy for cancer, including haematological malignancies.
  8. Patients being treated with CYP3A4 and/or glycoprotein inhibitor drugs
  9. Immunosuppressive treatment
  10. History of cirrhosis, chronic active hepatitis, severe chronic disease defined by GOT or GPT values exceeding 3 times the upper limit of normal.
  11. If the investigator considers it, for any reason, to be an inadequate candidate.
  12. Patient and/or legal representative will not have signed the informed consent form.

Sites / Locations

  • Atención primaria (Área 2)Recruiting
  • Gerencia de atención primaria (Área 3)Recruiting
  • Atencion primaria (AREA 1)Recruiting
  • Gerencia de atención primaria (área 4)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Colchicine plus symptomatic treatment (paracetamol).

Symptomatic treatment

Arm Description

Patients in this arm will receive study medication colchicines 0.5 mg orally (PO) twice daily for the first 3 days and then once daily for the last 18 days. If a dose is missed, it should not be replaced. All patients should also receive best symptomatic treatment (mainly paracetamol), based on clinical practice.

Symptomatic treatment (paracetamol or best symptomatic treatment based on doctor recommendations).

Outcomes

Primary Outcome Measures

Number of participants who die due to COVID-19 infection
Number of participants who require hospitalization due to COVID-19 infection

Secondary Outcome Measures

Full Information

First Posted
June 3, 2020
Last Updated
September 8, 2021
Sponsor
Instituto de Investigación Marqués de Valdecilla
Collaborators
Gerencia de atención primaria área 1, Gerencia de atención primaria área 2, Gerencia Atencion Primaria Area 3, Gerencia de atención primaria área 4
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1. Study Identification

Unique Protocol Identification Number
NCT04416334
Brief Title
PREEMPTIVE THERAPY WITH COLCHICINE IN PATIENTS OLDER THAN 60 YEARS WITH HIGH RISK OF SEVERE PNEUMONIAE DUE TO CORONAVIRUS
Acronym
COLCHI-COVID
Official Title
PREEMPTIVE THERAPY WITH COLCHICINE IN PATIENTS OLDER THAN 60 YEARS WITH HIGH RISK OF SEVERE PNEUMONIAE DUE TO CORONAVIRUS SARS-CoV2 (COVID-19)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Unknown status
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
December 25, 2021 (Anticipated)
Study Completion Date
December 31, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Instituto de Investigación Marqués de Valdecilla
Collaborators
Gerencia de atención primaria área 1, Gerencia de atención primaria área 2, Gerencia Atencion Primaria Area 3, Gerencia de atención primaria área 4

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase 3 clinical trial, randomized, single-center, opened, controlled, to evaluate efficacy and safety of early administration of colchicines in patients older than 60 years, with high risk of pulmonary complications due to coronavirus SARS-CoV2 (COVID-19). An approximately number of 954 subjects meeting all inclusion and none exclusion criteria will be randomized either to receive colchicines or symptomatic treatment with paracetamol during 21 days.
Detailed Description
The primary objective of the study is to determine whether short term course of colchicines reduces number of deaths due to COVID-19 and severe complications due to the virus in elderly patients with comorbidities. The secondary objective is to determine the safety of colchicines in this patient population. Approximately 954 subjects who meet all inclusion criteria and none exclusion criteria will be randomized either to receive colchicines or symptomatic treatment (2:1 allocation ratio) during 21 days. Follow-up assessments will occur every 48 hours and always at day 10, 21 and 61 following randomization for evaluation of the occurrence of any trial endpoints or other adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV-2 Infection (COVID-19)
Keywords
colchicine

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
954 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Colchicine plus symptomatic treatment (paracetamol).
Arm Type
Experimental
Arm Description
Patients in this arm will receive study medication colchicines 0.5 mg orally (PO) twice daily for the first 3 days and then once daily for the last 18 days. If a dose is missed, it should not be replaced. All patients should also receive best symptomatic treatment (mainly paracetamol), based on clinical practice.
Arm Title
Symptomatic treatment
Arm Type
Active Comparator
Arm Description
Symptomatic treatment (paracetamol or best symptomatic treatment based on doctor recommendations).
Intervention Type
Drug
Intervention Name(s)
Colchicine plus symptomatic treatment (paracetamol)
Intervention Description
Colchicine plus symptomatic treatment (paracetamol).
Intervention Type
Drug
Intervention Name(s)
Symptomatic treatment (paracetamol or best symptomatic treatment based on doctor recommendations)
Intervention Description
Symptomatic treatment (paracetamol or best symptomatic treatment based on doctor recommendations).
Primary Outcome Measure Information:
Title
Number of participants who die due to COVID-19 infection
Time Frame
21 days post-randomization
Title
Number of participants who require hospitalization due to COVID-19 infection
Time Frame
21 days post-randomization
Other Pre-specified Outcome Measures:
Title
A confirmed diagnosis from COVID-19 infection (by positive PCR test) will be mandatory .
Description
not delayed more than 48 hours from initial symptoms
Time Frame
48 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients of both sexes who are at least 60 years old. Diagnosis of COVID-19 infection in the last 72 hours and confirmed by PCR Patient in outpatient follow-up (not hospitalized or under consideration) or institutionalized in senior centers/residences The patient must possess at least two of the following high-risk criteria 60 years of age or older AND Any of the following: Diabetes mellitus, high blood pressure, known pulmonary disease (including asthma or chronic obstructive pulmonary disease), known heart failure, known coronary disease, bicytopenia, pancytopenia, or the existence of simultaneous neutrophilia and lymphopenia The patient must be able and willing to comply with the requirements of this study protocol. Exclusion Criteria: Hospitalized patient or under immediate consideration of doing so Patient taking colchicine for other indications Patient with history of allergic reaction or sensitivity to colchicine Patient with inflammatory bowel disease, gastric ulcer, chronic diarrhea or malabsorption Patient with pre-existing progressive neuromuscular disease Patient with kidney damage and estimated glomerular filtrate rate <30 ml/m at 1732 Patient undergoing chemotherapy for cancer, including haematological malignancies. Patients being treated with CYP3A4 and/or glycoprotein inhibitor drugs Immunosuppressive treatment History of cirrhosis, chronic active hepatitis, severe chronic disease defined by GOT or GPT values exceeding 3 times the upper limit of normal. If the investigator considers it, for any reason, to be an inadequate candidate. Patient and/or legal representative will not have signed the informed consent form.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Carlos Richard
Phone
942203333
Email
carlos.richard@scsalud.es
First Name & Middle Initial & Last Name or Official Title & Degree
Mar García, PhD
Phone
942203333
Email
mmar.garcia@scsalud.es
Facility Information:
Facility Name
Atención primaria (Área 2)
City
Laredo
State/Province
Cantabria
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juan Carlos Lopez Caro
Facility Name
Gerencia de atención primaria (Área 3)
City
Reinosa
State/Province
Cantabria
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jonatan Diaz
Facility Name
Atencion primaria (AREA 1)
City
Santander
State/Province
Cantabria
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
elena Bustamante
Facility Name
Gerencia de atención primaria (área 4)
City
Torrelavega
State/Province
Cantabria
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jose Ramon fonfria

12. IPD Sharing Statement

Citations:
PubMed Identifier
34488841
Citation
Estebanez EB, Alconero LL, Fernandez BJ, Marguello MG, Caro JCL, Vallejo JD, Sampedro MF, Cacho PM, Espiga CR, Saiz MMG. The effectiveness of early colchicine administration in patients over 60 years old with high risk of developing severe pulmonary complications associated with coronavirus pneumonia SARS-CoV-2 (COVID-19): study protocol for an investigator-driven randomized controlled clinical trial in primary health care-COLCHICOVID study. Trials. 2021 Sep 6;22(1):590. doi: 10.1186/s13063-021-05544-7.
Results Reference
derived

Learn more about this trial

PREEMPTIVE THERAPY WITH COLCHICINE IN PATIENTS OLDER THAN 60 YEARS WITH HIGH RISK OF SEVERE PNEUMONIAE DUE TO CORONAVIRUS

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