- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05250596
COLchicine On-admission to Reduce Inflammation in Acute Coronary Syndrome (COLOR-ACS) (COLOR-ACS)
On-admission Low-dose Colchicine in Addition to Atorvastatin to Reduce Inflammation in Acute Coronary Syndrome
Study Overview
Status
Intervention / Treatment
Detailed Description
On-admission all statin naive NSTEACS patients are randomized to receive either standard treatment of atorvastatin 80 mg or standard treatment plus colchicine (1 mg loading dose followed by 0.5 mg/day).
Inflammatory biomarker high sensitivity C reactive protein (hs-CRP) is measured in all patients on-admission and every 24 hours thereafter until discharge.
Cardiac and renal function parameters are evaluated to evidence the possible beneficial effects of the administration of colchicine in addition to atorvastatin alone both short- and medium-term (up to 30 days).
Colchicine tolerance is also investigated through monitoring for clinical side effects.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Anna Toso, MD
- Phone Number: 0039 574 803732
- Email: anna.toso@libero.it
Study Contact Backup
- Name: Mario Leoncini, MD
- Phone Number: 0039 574 803732
- Email: leoncini.mario@tiscali.it
Study Locations
-
-
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Pescia, Italy, 59100
- Recruiting
- Gaia Chiara Selvaggia Magnaghi
-
Contact:
- Gaia CS Magnaghi, MD
- Phone Number: 0039 572460254
- Email: gaiachiaraselvaggia.magnaghi@uslcentro.toscana.it
-
Sub-Investigator:
- Duccio Rossini, MD
-
Pistoia, Italy, 51100
- Recruiting
- Marco Comeglio
-
Contact:
- Marco Comeglio, MD
- Phone Number: 0039 5733521
- Email: marco.comeglio@uslcentro.toscana.it
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Contact:
- Francesco Biagini, MD
- Phone Number: 0039 573351027
- Email: francesco.biagini@uslcentro.toscana.it
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Sub-Investigator:
- Francesco Biagini, MD
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Prato, Italy, 59100
- Recruiting
- Anna Toso
-
Sub-Investigator:
- Francesco Bellandi, MD
-
Sub-Investigator:
- Mauro Maioli, MD
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Contact:
- Anna Toso, MD
- Phone Number: 0039 574803732
- Email: anna.toso@libero.it
-
Sub-Investigator:
- Mario Leoncini, MD
-
Sub-Investigator:
- Elisa Vignini, MD
-
Sub-Investigator:
- Francesco Pestelli, MD
-
Sub-Investigator:
- Gabriele Grippo, MD
-
Sub-Investigator:
- Massimiliano Nieri, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- non-ST elevation acute coronary syndrome;
- ≥ 18 years;
- statin-naive.
Exclusion Criteria:
- prior statin therapy and/or colchicine treatment;
- known allergy or hypersensitivity to colchicine or statins;
- current treatment with potent inhibitors of CYP3A4 or P-glycoprotein (eg., Cyclosporin, antiretroviral drugs, antimycotics, erythromicin and clarythromycin);
- previous or scheduled administration of any immunosuppressive therapy;
- known active malignancy;
- severe kidney disease (creatinine > 3 mg/dl or dialysis)
- severe liver disease (ALT and/or AST, > double ref. normal values in case of (a) total bilirubin > double ref. normal values, or (b) alteration in coagulation (INR> 1,5);
- severe heart failure (NYHA class ≥ 3 or cardiogenic shock) at hospital presentation;
- severe acute or chronic gastro-intestinal disease (nausea, vomiting, diarrhea, malabsorption disease, malnutrition);
- pregnancy or lactation;
- current COVID-19 or other infectious disease;
- refusal of consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Colchicine and Atorvastatin
Colchicine 1 mg (0.5 mg for patients ≤ 70 Kg) on-admission followed by 0.5 mg/day until discharge plus Atorvastatin 80 mg on admission followed by 80 mg/day until discharge.
|
Colchicine 1 mg (0.5 mg for patients ≤ 70 Kg) on-admission followed by 0.5 mg/day until discharge.
Atorvastatin 80 mg on admission followed by 80 mg/day until discharge.
|
Active Comparator: Atorvastatin
Atorvastatin 80 mg on admission followed by 80 mg/day until discharge.
|
Atorvastatin 80 mg on admission followed by 80 mg/day until discharge.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
hsCRP change between admission and discharge
Time Frame: Average 4 days: from admission to discharge
|
Effect of colchicine plus atorvastatin in limiting hsCRP changes compared to atorvastatin alone
|
Average 4 days: from admission to discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Delta variation in creatinine value from baseline to peak
Time Frame: Creatinine value is measured daily during hospitalization - average 4 days
|
Delta variation (absolute and relative) in creatinine value from baseline value to peak value
|
Creatinine value is measured daily during hospitalization - average 4 days
|
Acute kidney injury incidence
Time Frame: Creatinine value is measured daily during hospitalization - average 4 days
|
Creatinine increase >= 0.3 mg/dl within 48 hours after angiography
|
Creatinine value is measured daily during hospitalization - average 4 days
|
CK-MB peak value
Time Frame: CK-MB value is measured daily during hospitalization - average 4 days
|
Comparison of CK-MB peak values in the two arms
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CK-MB value is measured daily during hospitalization - average 4 days
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Glomerular filtration rate changes at 30 days after discharge
Time Frame: Approximately 30 days
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Delta variation in the glomerular filtration rate from baseline to 30 days after discharge
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Approximately 30 days
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Adverse clinical events from admission to 30 days after discharge
Time Frame: Approximately 30 days
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Myocardial infarction, glomerular filtration rate deterioration or all-cause death from admission to 30 days after discharge
|
Approximately 30 days
|
Tolerance to colchicine
Time Frame: From admission to discharge - Approximately 4 days
|
Percentage of patients who do not manifest side effects to colchicine treatment
|
From admission to discharge - Approximately 4 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Anna Toso, MD, Santo Stefano Hospital, Prato, Italy
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Disease
- Syndrome
- Inflammation
- Acute Coronary Syndrome
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Antimetabolites
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Anticholesteremic Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Hydroxymethylglutaryl-CoA Reductase Inhibitors
- Gout Suppressants
- Atorvastatin
- Colchicine
Other Study ID Numbers
- ID 20426
- 2021-000637-13 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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