GRECCO-19: The GReek Study in the Effects of Colchicine in Covid-19 cOmplications Prevention
Study Details
Study Description
Brief Summary
Based on data regarding the effect of colchicine on the inflammasome NLP3 and microtubule formation and associations thereof with the pathogenetic cycle of SARS-COV-2, the question arises whether colchicine, administered in a relatively low dose, could potentially have an effect the patients' clinical course by limiting the myocardial necrosis and pneumonia development in the context of COVID-19. If present, this effect would be attributed to its potential to inhibit inflammasome and (less probably) to the process of SARS-CoV-2 endocytosis in myocardial and endothelial respiratory cells.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Intervention Colchicine, on top of standard treatment |
Drug: Colchicine
Low-dose colchicine treatment, 0.5 mg bid
Drug: Standard treatment
Standard treatment
|
Active Comparator: Control Standard treatment, including all medications recommedned by the National Public Health Organization |
Drug: Standard treatment
Standard treatment
|
Outcome Measures
Primary Outcome Measures
- Clinical deterioration in the semiquantitative ordinal scale suggested by the WHO R&D committee [3 weeks]
Time to clinical deterioration (2 levels in the WHO R&D Blueprint scale)
- Maximal concentration of cardiac troponin [10 days]
Maximal concentration of high-sensitivity cardiac troponin
Eligibility Criteria
Criteria
Inclusion Criteria:
Patients >18 years old with laboratory confirmed SARS-CoV-2 infection (RT PCR) AND body temperature >37.5 degrees centigrade AND at least two of: i. sustained coughing, ii. sustained throat pain, iii. anosmia and/or ageusia, iv. fatigue/tiredness, v. PaO2<95 mmHg.
Exclusion Criteria:
-
pregnancy, lactation;
-
known hypersensitivity to colchicine
-
known hepatic failure
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eGFR<20 ml/min
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clinical estimation that the patient will require mechanical respiratory support in less than 24 hours
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any clinical estimation of the attending physician under which the patient shall be excluded
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QTc > 450 msec (colchicine is not known to significantly prolong QTc, but may interact with other medications which prolong QTc).
-
participation in another clinical trial
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under colchicine treatment for other indications
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patient who is not likely to comply to study procedures
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | National and Kapodistrian University of Athens | Athens | Greece |
Sponsors and Collaborators
- National and Kapodistrian University of Athens
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 906295542