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Colchicine Coronavirus SARS-CoV2 Trial (COLCORONA) (COVID-19)

Primary Purpose

Corona Virus Infection

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Colchicine
Placebo oral tablet
Sponsored by
Montreal Heart Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Corona Virus Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Males and females, at least 40 years of age, capable and willing to provide informed consent;
  2. Patient must have received a diagnosis of COVID-19 infection within the last 24 hours;
  3. Outpatient setting (not currently hospitalized or under immediate consideration for hospitalization);
  4. Patient must possess at least one of the following high-risk criteria: 70 years or more of age, obesity (BMI ≥ 30 kg/m2), diabetes mellitus, uncontrolled hypertension (systolic blood pressure ≥150 mm Hg), known respiratory disease (including asthma or chronic obstructive pulmonary disease), known heart failure, known coronary disease, fever of ≥38.4°C within the last 48 hours, dyspnea at the time of presentation, bicytopenia, pancytopenia, or the combination of high neutrophil count and low lymphocyte count;
  5. Female patient is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile, or is of childbearing potential and practicing at least one method of contraception and preferably two complementary forms of contraception including a barrier method (e.g. male or female condoms, spermicides, sponges, foams, jellies, diaphragm, intrauterine device (IUD)) throughout the study and for 30 days after study completion;
  6. Patient must be able and willing to comply with the requirements of this study protocol.

Exclusion Criteria:

  1. Patient currently hospitalized or under immediate consideration for hospitalization;
  2. Patient currently in shock or with hemodynamic instability;
  3. Patient with inflammatory bowel disease (Crohn's disease or ulcerative colitis), chronic diarrhea or malabsorption;
  4. Patient with pre-existent progressive neuromuscular disease;
  5. Estimated Glomerular filtration rate (eGFR), using the MDRD equation for all subjects being considered for enrollment, with a cut-off of < 30 mL/m in/1.73m2;
  6. Patient with a history of cirrhosis, chronic active hepatitis or severe hepatic disease;
  7. Female patient who is pregnant, or breast-feeding or is considering becoming pregnant during the study or for 6 months after the last dose of study medication;
  8. Patient currently taking colchicine for other indications (mainly chronic indications represented by Familial Mediterranean Fever or gout);
  9. Patient with a history of an allergic reaction or significant sensitivity to colchicine;
  10. Patient undergoing chemotherapy for cancer;
  11. Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study.

Sites / Locations

  • Mayo Clinic - Phoenix
  • Yuma Regional Medical Center Cancer Center
  • Centric Health Resources Inc.
  • Westside Medical Associates of Los Angeles
  • Rancho Research Institute
  • University of California San Francisco - Zuckerberg San Francisco General Hospital
  • Mayo Clinic - Jacksonville
  • South Florida Research Organization
  • Miami Center for Advanced Cardiology
  • Mayo Clinic - Rochester
  • North Mississippi Medical Clinics, Inc.
  • New York Langone Health
  • University of North Carolina at Chapel Hill
  • Baylor Scott & White Research Institute - Pharmacy
  • University of Texas(UT) Southwestern Medical Center
  • Spring Clinical Research
  • Instituto do Coração (InCor), School of Medicine, University of Sao Paulo
  • Hospital Universitário Bragança Paulista
  • Instituto Cruzaltense de Cardiologia
  • Hospital de Clínicas de Passo Fundo
  • Hospital de Clinicas de Porto Alegre
  • Hospital Samaritano Higienópolis
  • Montreal Heart Institute
  • University General Hospital of Athens "Attikon"
  • General Hospital of Kozani "Mamatsio"
  • Tread Research, Tygerberg Hospital
  • Hospital Universitario La Paz, IdiPaz
  • Hospital Universitario de La Princesa
  • Hospital Universitario Ramón y Cajal
  • Fundación Jiménez Díaz
  • Hospital Universitario 12 de Octubre
  • Hospital Universitario Puerta de Hierro Majadahonda

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Colchicine

Placebo

Arm Description

Patients will receive study medication colchicine 0.5 mg per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.

Patients will receive a placebo per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.

Outcomes

Primary Outcome Measures

Number of Participants Who Died or Were Hospitalized Due to COVID-19 Infection in the 30 Days Following Randomization.
The primary endpoint will be the composite of death or hospitalization due to COVID-19 infection in the 30 days following randomization.

Secondary Outcome Measures

Number of Deaths in the 30 Days Following Randomization.
The secondary endpoint consisted of two components of the composite primary endpoint and included death in the 30 days following randomization.
Number of Participants Who Were Hospitalized Due to COVID-19 Infection in the 30 Days Following Randomization.
The secondary endpoint consisted of two components of the composite primary endpoint and included hospitalization due to COVID-19 infection in the 30 days following randomization.
Number of Participants Who Required Mechanical Ventilation in the 30 Days Following Randomization.
The secondary endpoint is the need for mechanical ventilation in the 30 days following randomization.

Full Information

First Posted
March 23, 2020
Last Updated
September 3, 2021
Sponsor
Montreal Heart Institute
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Bill and Melinda Gates Foundation, The Government of Quebec, DACIMA Software
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1. Study Identification

Unique Protocol Identification Number
NCT04322682
Brief Title
Colchicine Coronavirus SARS-CoV2 Trial (COLCORONA)
Acronym
COVID-19
Official Title
Colchicine Coronavirus SARS-CoV2 Trial (COLCORONA)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Terminated
Why Stopped
Due to several considerations (logistical, human and budgetary), the study was stopped early.
Study Start Date
March 23, 2020 (Actual)
Primary Completion Date
January 21, 2021 (Actual)
Study Completion Date
January 21, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Montreal Heart Institute
Collaborators
National Heart, Lung, and Blood Institute (NHLBI), Bill and Melinda Gates Foundation, The Government of Quebec, DACIMA Software

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a phase 3, randomized, double-blind, placebo-controlled multicenter study to evaluate the efficacy and safety of colchicine in adult patients diagnosed with COVID-19 infection and have at least one high-risk criterion. Approximately 6000 subjects meeting all inclusion and no exclusion criteria will be randomized to receive either colchicine or placebo tablets for 30 days.
Detailed Description
The primary objective of this study is to determine whether short-term treatment with colchicine reduces the rate of death and lung complications related to COVID-19. The secondary objective is to determine the safety of treatment with colchicine in this patient population. Approximately 6000 patients will be enrolled to receive either colchicine or placebo (1:1 allocation ratio) for 30 days. Follow-up assessments will occur at 15 and 30 days following randomization for evaluation of the occurrence of any trial endpoints or other adverse events. Safety and efficacy will be based on data from randomized patients. An independent data and safety monitoring board (DSMB) will periodically review study results as well as the overall conduct of the study, and will make recommendations to the study Executive Steering Committee (ESC) to continue, stop or modify the study protocol.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Corona Virus Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
This will be a randomized, double-blind, placebo-controlled, multi-center study. Following signature of the informed consent form, approximately 6000 subjects meeting all inclusion and no exclusion criteria will be randomized to receive either colchicine or placebo (1:1 allocation ratio) for 30 days. Follow-up phone or video assessments will occur at 15 and 30 days following randomization for evaluation of the occurrence of any trial endpoints or other adverse events.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
4506 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Colchicine
Arm Type
Active Comparator
Arm Description
Patients will receive study medication colchicine 0.5 mg per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Patients will receive a placebo per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.
Intervention Type
Drug
Intervention Name(s)
Colchicine
Other Intervention Name(s)
Immuno-modulatory
Intervention Description
Patients in this arm will receive study medication colchicine 0.5 mg per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.
Intervention Type
Drug
Intervention Name(s)
Placebo oral tablet
Intervention Description
Patients will receive the placebo 0.5 mg per os (PO) twice daily for the first 3 days and then once daily for the last 27 days. If a dose is missed, it should not be replaced.
Primary Outcome Measure Information:
Title
Number of Participants Who Died or Were Hospitalized Due to COVID-19 Infection in the 30 Days Following Randomization.
Description
The primary endpoint will be the composite of death or hospitalization due to COVID-19 infection in the 30 days following randomization.
Time Frame
30 days post randomization
Secondary Outcome Measure Information:
Title
Number of Deaths in the 30 Days Following Randomization.
Description
The secondary endpoint consisted of two components of the composite primary endpoint and included death in the 30 days following randomization.
Time Frame
30 days post randomization
Title
Number of Participants Who Were Hospitalized Due to COVID-19 Infection in the 30 Days Following Randomization.
Description
The secondary endpoint consisted of two components of the composite primary endpoint and included hospitalization due to COVID-19 infection in the 30 days following randomization.
Time Frame
30 days post randomization
Title
Number of Participants Who Required Mechanical Ventilation in the 30 Days Following Randomization.
Description
The secondary endpoint is the need for mechanical ventilation in the 30 days following randomization.
Time Frame
30 days post randomization
Other Pre-specified Outcome Measures:
Title
Number of Participants Who Died or Were Hospitalized Due to COVID-19 Infection in the 30 Days Following Randomization in the Subgroup of Patients With PCR-confirmed COVID-19.
Description
In the prespecified analysis of the 4159 patients with Covid-19 confirmed by PCR, the primary endpoint (composite of death or hospitalization due to Covid-19 infection in the 30 Days following randomization) was compared between the two treatment groups.
Time Frame
30 Days post randomization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females, at least 40 years of age, capable and willing to provide informed consent; Patient must have received a diagnosis of COVID-19 infection within the last 24 hours; Outpatient setting (not currently hospitalized or under immediate consideration for hospitalization); Patient must possess at least one of the following high-risk criteria: 70 years or more of age, obesity (BMI ≥ 30 kg/m2), diabetes mellitus, uncontrolled hypertension (systolic blood pressure ≥150 mm Hg), known respiratory disease (including asthma or chronic obstructive pulmonary disease), known heart failure, known coronary disease, fever of ≥38.4°C within the last 48 hours, dyspnea at the time of presentation, bicytopenia, pancytopenia, or the combination of high neutrophil count and low lymphocyte count; Female patient is either not of childbearing potential, defined as postmenopausal for at least 1 year or surgically sterile, or is of childbearing potential and practicing at least one method of contraception and preferably two complementary forms of contraception including a barrier method (e.g. male or female condoms, spermicides, sponges, foams, jellies, diaphragm, intrauterine device (IUD)) throughout the study and for 30 days after study completion; Patient must be able and willing to comply with the requirements of this study protocol. Exclusion Criteria: Patient currently hospitalized or under immediate consideration for hospitalization; Patient currently in shock or with hemodynamic instability; Patient with inflammatory bowel disease (Crohn's disease or ulcerative colitis), chronic diarrhea or malabsorption; Patient with pre-existent progressive neuromuscular disease; Estimated Glomerular filtration rate (eGFR), using the MDRD equation for all subjects being considered for enrollment, with a cut-off of < 30 mL/m in/1.73m2; Patient with a history of cirrhosis, chronic active hepatitis or severe hepatic disease; Female patient who is pregnant, or breast-feeding or is considering becoming pregnant during the study or for 6 months after the last dose of study medication; Patient currently taking colchicine for other indications (mainly chronic indications represented by Familial Mediterranean Fever or gout); Patient with a history of an allergic reaction or significant sensitivity to colchicine; Patient undergoing chemotherapy for cancer; Patient is considered by the investigator, for any reason, to be an unsuitable candidate for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jean-Claude Tardif, MD
Organizational Affiliation
Montreal Heart Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Zohar Bassevitch, B.SC.
Organizational Affiliation
Montreal Health Innovations Coordinating Center
Official's Role
Study Director
Facility Information:
Facility Name
Mayo Clinic - Phoenix
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Facility Name
Yuma Regional Medical Center Cancer Center
City
Yuma
State/Province
Arizona
ZIP/Postal Code
85364
Country
United States
Facility Name
Centric Health Resources Inc.
City
Bakersfield
State/Province
California
ZIP/Postal Code
93308
Country
United States
Facility Name
Westside Medical Associates of Los Angeles
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Rancho Research Institute
City
Downey
State/Province
California
ZIP/Postal Code
90242
Country
United States
Facility Name
University of California San Francisco - Zuckerberg San Francisco General Hospital
City
San Francisco
State/Province
California
ZIP/Postal Code
94110
Country
United States
Facility Name
Mayo Clinic - Jacksonville
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Facility Name
South Florida Research Organization
City
Medley
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
Miami Center for Advanced Cardiology
City
Miami Beach
State/Province
Florida
ZIP/Postal Code
33140
Country
United States
Facility Name
Mayo Clinic - Rochester
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
North Mississippi Medical Clinics, Inc.
City
Tupelo
State/Province
Mississippi
ZIP/Postal Code
38801
Country
United States
Facility Name
New York Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10010
Country
United States
Facility Name
University of North Carolina at Chapel Hill
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
Baylor Scott & White Research Institute - Pharmacy
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
University of Texas(UT) Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Spring Clinical Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77002
Country
United States
Facility Name
Instituto do Coração (InCor), School of Medicine, University of Sao Paulo
City
São Paulo
State/Province
Sao Paulo
ZIP/Postal Code
05403-900
Country
Brazil
Facility Name
Hospital Universitário Bragança Paulista
City
Bragança Paulista
ZIP/Postal Code
12916-542
Country
Brazil
Facility Name
Instituto Cruzaltense de Cardiologia
City
Cruz Alta
ZIP/Postal Code
98005-020
Country
Brazil
Facility Name
Hospital de Clínicas de Passo Fundo
City
Passo Fundo
ZIP/Postal Code
99010-260
Country
Brazil
Facility Name
Hospital de Clinicas de Porto Alegre
City
Porto Alegre
ZIP/Postal Code
90035-903
Country
Brazil
Facility Name
Hospital Samaritano Higienópolis
City
São Paulo
ZIP/Postal Code
01232-010
Country
Brazil
Facility Name
Montreal Heart Institute
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 1C8
Country
Canada
Facility Name
University General Hospital of Athens "Attikon"
City
Chaïdári
State/Province
Athens
ZIP/Postal Code
12462
Country
Greece
Facility Name
General Hospital of Kozani "Mamatsio"
City
Kozáni
ZIP/Postal Code
50131
Country
Greece
Facility Name
Tread Research, Tygerberg Hospital
City
Cape Town
ZIP/Postal Code
7500
Country
South Africa
Facility Name
Hospital Universitario La Paz, IdiPaz
City
La Paz
State/Province
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Hospital Universitario de La Princesa
City
Madrid
ZIP/Postal Code
28006
Country
Spain
Facility Name
Hospital Universitario Ramón y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Fundación Jiménez Díaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Hospital Universitario Puerta de Hierro Majadahonda
City
Madrid
ZIP/Postal Code
28222
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
34658014
Citation
Mikolajewska A, Fischer AL, Piechotta V, Mueller A, Metzendorf MI, Becker M, Dorando E, Pacheco RL, Martimbianco ALC, Riera R, Skoetz N, Stegemann M. Colchicine for the treatment of COVID-19. Cochrane Database Syst Rev. 2021 Oct 18;10(10):CD015045. doi: 10.1002/14651858.CD015045.
Results Reference
derived
PubMed Identifier
34051877
Citation
Tardif JC, Bouabdallaoui N, L'Allier PL, Gaudet D, Shah B, Pillinger MH, Lopez-Sendon J, da Luz P, Verret L, Audet S, Dupuis J, Denault A, Pelletier M, Tessier PA, Samson S, Fortin D, Tardif JD, Busseuil D, Goulet E, Lacoste C, Dubois A, Joshi AY, Waters DD, Hsue P, Lepor NE, Lesage F, Sainturet N, Roy-Clavel E, Bassevitch Z, Orfanos A, Stamatescu G, Gregoire JC, Busque L, Lavallee C, Hetu PO, Paquette JS, Deftereos SG, Levesque S, Cossette M, Nozza A, Chabot-Blanchet M, Dube MP, Guertin MC, Boivin G; COLCORONA Investigators. Colchicine for community-treated patients with COVID-19 (COLCORONA): a phase 3, randomised, double-blinded, adaptive, placebo-controlled, multicentre trial. Lancet Respir Med. 2021 Aug;9(8):924-932. doi: 10.1016/S2213-2600(21)00222-8. Epub 2021 May 27.
Results Reference
derived

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Colchicine Coronavirus SARS-CoV2 Trial (COLCORONA)

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