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Study to Evaluate the Efficacy and Safety of Colchicine Tablets in Patients With COVID-19

Primary Purpose

Covid19, Colchicine

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Colchicine Tablets
Standard therapy
Sponsored by
Shanghai Public Health Clinical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring COVID-19, Colchicine Tablets, IIT Study

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. At the time of signing ICF, the subjects were 18 to 65 years old (including 18 and 65 years old), both men and women;
  2. Within 72 hours before screening, any samples confirmed by the laboratory were positive for SARS-CoV-2;
  3. Clinical classification was ordinary type according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition);
  4. Symptoms appeared ≤ 5 days before randomization; Such as fever, cough, shortness of breath, sore throat and diarrhea;
  5. Subjects were able to communicate well with the investigator, and understand and comply with the requirements of this study, understand and sign the ICF.

Exclusion Criteria:

  1. Severe type patients who comply with any of the following:

    • Shortness of breath, RR ≥ 30 times/min;
    • In the resting state, the oxygen saturation is less than or equal to 93%;
    • Arterial oxygen partial pressure (PaO2)/oxygen inhalation concentration (FiO2) ≤ 300 mmHg (1mmHg=0.133kPa). Note: At high altitudes (above 1000 m), PaO2/FiO2 shall be corrected according to the following formula: PaO2/FiO2 × [760/atmospheric pressure (mmHg)];
    • Pulmonary imaging shows that patients with obvious lesion progression > 50% within 24-48 hours.
  2. Critical type patients who comply with any of the following:

    • Respiratory failure occurs and mechanical ventilation is required;
    • Shock;
    • ICU monitoring and treatment are required for other organ failure.
  3. People who are known to be allergic to the test drug and its components;
  4. People with inflammatory bowel disease, chronic diarrhea, malabsorption;
  5. People with previous neuromuscular disease;
  6. People with severe renal insufficiency (glomerular filtration rate <30 mL/min/1.73m2);
  7. People with medical history of liver cirrhosis, active chronic hepatitis, or severe liver disease with serum GOT or GPT 3 times higher than the normal upper limit;
  8. Patients who are taking colchicine or have a history of colchicine treatment (mainly chronic prescriptions for familial Mediterranean fever or gout);
  9. People who have used immunosuppressants, corticosteroids, interleukin-1 inhibitors, or interleukin-6 inhibitors within 30 days before screening;
  10. People who test positive for anti-SARS-CoV-2 immunoglobulin G (IgG);
  11. People who have been vaccinated against COVID-19;
  12. Any comorbidities that require surgery within 7 days before screening, or life-threatening comorbidities within 30 days before screening;
  13. Suffering from malignant tumor diseases (excluding malignant tumors that have been cured and have not recurred in the past 5 years, completely resected basal cell and squamous cell skin cancers, and any type of cancer in situ that has been completely resected);
  14. Suffering from any serious concomitant systemic disease, condition or disorder that the researcher believes should be prevented from participating in this study;
  15. Pregnant or lactating women who have a positive human chorionic gonadotropin (hCG) test;
  16. People who have a fertility plan or do not consent to effective non-drug contraception during the signing of the ICF to 6 months after the end of the trial;
  17. Participated in other clinical studies within 30 days before screening;
  18. People who have other factors that the researcher believes are not suitable for inclusion.

Sites / Locations

  • Shanghai Public Health Clinical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Colchicine group

Standard therapy group

Arm Description

The colchicine treatment includes an initial dose of 1 mg (1 mg and 0.5 mg two hours after), followed by 0.5 mg every 12 hours during the next 6 days and 0.5 mg every 24 hours until the completion of 10 days of total treatment. + standard therapy for COVID-19 according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition).

Standard therapy for COVID-19 according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition).

Outcomes

Primary Outcome Measures

Recovery rate of clinical symptoms (fever, cough, expectoration, chest tightness, shortness of breath, dyspnea) and virus negative conversion rate (RT-PCR) at day 7

Secondary Outcome Measures

Changes in the patients' clinical status through the WHO Clinical Progression Scale (scores 0-10) at day 7
The scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead)
Changes in the patients' clinical status through the WHO Clinical Progression Scale (scores 0-10) at day 10
The scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead)
Ventilator usage rate, usage time at day 7
Ventilator usage rate, usage time at day 10
Recovery rate and virus negative conversion rate (RT-PCR) of 10-day clinical symptoms (fever, cough, sputum expectoration, chest tightness, shortness of breath, dyspnea)
Time for the virus negative conversion (RT-PCR)
Time for observation in hospital
Length of hospital stay
Number of days in the intensive care unit
Changes in inflammatory markers at day 7: C-reactive protein
Changes in inflammatory markers at day 10: C-reactive protein
Changes in inflammatory markers at day 7: TNF-alfa
Changes in inflammatory markers at day 10: TNF-alfa
Changes in inflammatory markers at day 7: IL-6
Changes in inflammatory markers at day 10: IL-6
Changes in inflammatory markers at day 7: IL-1β
Changes in inflammatory markers at day 10: IL-1β
Changes in severity markers at day 7: D-dimer
Changes in severity markers at day 10: D-dimer
Changes in myocardial damage at day 7: hs-cTn
Changes in myocardial damage at day 10: hs-cTn
Changes in myocardial damage at day 7: NT-proBNP
Changes in myocardial damage at day 10: NT-proBNP

Full Information

First Posted
September 5, 2021
Last Updated
September 7, 2021
Sponsor
Shanghai Public Health Clinical Center
Collaborators
Kunming Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05038449
Brief Title
Study to Evaluate the Efficacy and Safety of Colchicine Tablets in Patients With COVID-19
Official Title
An IIT, Randomized, Single-Center, Open-Lable, Standard Therapy Controlled Study to Evaluate the Efficacy and Safety of Colchicine Tablets in Patients With COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 6, 2021 (Anticipated)
Primary Completion Date
June 1, 2023 (Anticipated)
Study Completion Date
September 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai Public Health Clinical Center
Collaborators
Kunming Pharmaceuticals, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study is designed for single-center, randomized, open label, standard therapy controlled. 60 COVID-19 subjects with a treatment period of 10 days and follow-up until 28 days after enrollment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, Colchicine
Keywords
COVID-19, Colchicine Tablets, IIT Study

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Colchicine group
Arm Type
Experimental
Arm Description
The colchicine treatment includes an initial dose of 1 mg (1 mg and 0.5 mg two hours after), followed by 0.5 mg every 12 hours during the next 6 days and 0.5 mg every 24 hours until the completion of 10 days of total treatment. + standard therapy for COVID-19 according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition).
Arm Title
Standard therapy group
Arm Type
Placebo Comparator
Arm Description
Standard therapy for COVID-19 according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition).
Intervention Type
Drug
Intervention Name(s)
Colchicine Tablets
Intervention Description
Colchicine Tablets (Each tablet contains colchicine 0.5mg)
Intervention Type
Drug
Intervention Name(s)
Standard therapy
Intervention Description
Standard therapy for COVID-19 according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition)
Primary Outcome Measure Information:
Title
Recovery rate of clinical symptoms (fever, cough, expectoration, chest tightness, shortness of breath, dyspnea) and virus negative conversion rate (RT-PCR) at day 7
Time Frame
Day 7
Secondary Outcome Measure Information:
Title
Changes in the patients' clinical status through the WHO Clinical Progression Scale (scores 0-10) at day 7
Description
The scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead)
Time Frame
Day 7
Title
Changes in the patients' clinical status through the WHO Clinical Progression Scale (scores 0-10) at day 10
Description
The scale provides a measure of illness severity across a range from 0 (not infected) to 10 (dead)
Time Frame
Day 10
Title
Ventilator usage rate, usage time at day 7
Time Frame
Day 7
Title
Ventilator usage rate, usage time at day 10
Time Frame
Day 10
Title
Recovery rate and virus negative conversion rate (RT-PCR) of 10-day clinical symptoms (fever, cough, sputum expectoration, chest tightness, shortness of breath, dyspnea)
Time Frame
Day 10
Title
Time for the virus negative conversion (RT-PCR)
Time Frame
Up to day 28
Title
Time for observation in hospital
Time Frame
Up to day 28
Title
Length of hospital stay
Time Frame
Up to day 28
Title
Number of days in the intensive care unit
Time Frame
Up to day 28
Title
Changes in inflammatory markers at day 7: C-reactive protein
Time Frame
Day 7
Title
Changes in inflammatory markers at day 10: C-reactive protein
Time Frame
Day 10
Title
Changes in inflammatory markers at day 7: TNF-alfa
Time Frame
Day 7
Title
Changes in inflammatory markers at day 10: TNF-alfa
Time Frame
Day 10
Title
Changes in inflammatory markers at day 7: IL-6
Time Frame
Day 7
Title
Changes in inflammatory markers at day 10: IL-6
Time Frame
Day 10
Title
Changes in inflammatory markers at day 7: IL-1β
Time Frame
Day 7
Title
Changes in inflammatory markers at day 10: IL-1β
Time Frame
Day 10
Title
Changes in severity markers at day 7: D-dimer
Time Frame
Day 7
Title
Changes in severity markers at day 10: D-dimer
Time Frame
Day 10
Title
Changes in myocardial damage at day 7: hs-cTn
Time Frame
Day 7
Title
Changes in myocardial damage at day 10: hs-cTn
Time Frame
Day 10
Title
Changes in myocardial damage at day 7: NT-proBNP
Time Frame
Day 7
Title
Changes in myocardial damage at day 10: NT-proBNP
Time Frame
Day 10

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: At the time of signing ICF, the subjects were 18 to 65 years old (including 18 and 65 years old), both men and women; Within 72 hours before screening, any samples confirmed by the laboratory were positive for SARS-CoV-2; Clinical classification was ordinary type according to the Novel Coronavirus Pneumonia Diagnosis and Treatment Plan (Trial 8th Edition); Symptoms appeared ≤ 5 days before randomization; Such as fever, cough, shortness of breath, sore throat and diarrhea; Subjects were able to communicate well with the investigator, and understand and comply with the requirements of this study, understand and sign the ICF. Exclusion Criteria: Severe type patients who comply with any of the following: Shortness of breath, RR ≥ 30 times/min; In the resting state, the oxygen saturation is less than or equal to 93%; Arterial oxygen partial pressure (PaO2)/oxygen inhalation concentration (FiO2) ≤ 300 mmHg (1mmHg=0.133kPa). Note: At high altitudes (above 1000 m), PaO2/FiO2 shall be corrected according to the following formula: PaO2/FiO2 × [760/atmospheric pressure (mmHg)]; Pulmonary imaging shows that patients with obvious lesion progression > 50% within 24-48 hours. Critical type patients who comply with any of the following: Respiratory failure occurs and mechanical ventilation is required; Shock; ICU monitoring and treatment are required for other organ failure. People who are known to be allergic to the test drug and its components; People with inflammatory bowel disease, chronic diarrhea, malabsorption; People with previous neuromuscular disease; People with severe renal insufficiency (glomerular filtration rate <30 mL/min/1.73m2); People with medical history of liver cirrhosis, active chronic hepatitis, or severe liver disease with serum GOT or GPT 3 times higher than the normal upper limit; Patients who are taking colchicine or have a history of colchicine treatment (mainly chronic prescriptions for familial Mediterranean fever or gout); People who have used immunosuppressants, corticosteroids, interleukin-1 inhibitors, or interleukin-6 inhibitors within 30 days before screening; People who test positive for anti-SARS-CoV-2 immunoglobulin G (IgG); People who have been vaccinated against COVID-19; Any comorbidities that require surgery within 7 days before screening, or life-threatening comorbidities within 30 days before screening; Suffering from malignant tumor diseases (excluding malignant tumors that have been cured and have not recurred in the past 5 years, completely resected basal cell and squamous cell skin cancers, and any type of cancer in situ that has been completely resected); Suffering from any serious concomitant systemic disease, condition or disorder that the researcher believes should be prevented from participating in this study; Pregnant or lactating women who have a positive human chorionic gonadotropin (hCG) test; People who have a fertility plan or do not consent to effective non-drug contraception during the signing of the ICF to 6 months after the end of the trial; Participated in other clinical studies within 30 days before screening; People who have other factors that the researcher believes are not suitable for inclusion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hongzhou Lu, Ph.D
Phone
+86-021-37990333
Ext
3222
Email
luhongzhou@fudan.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Hongzhou Lu, PI
Phone
+86-021-37990333
Ext
3222
Email
luhongzhou@fudan.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hongzhou Lu, PI
Organizational Affiliation
Shanghai Public Health Clinical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
201508
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Evaluate the Efficacy and Safety of Colchicine Tablets in Patients With COVID-19

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