Colchicine efficacy and safety on clinical symptoms improvement in patients with COVID-19
Design
Two arm parallel group randomized, double blind clinical trial on 110 patients. Permuted block will be used for randomization.
Settings and conduct
Adult patients( over 18 years) with COVID-19 diagnosis according inclusion criteria and have been admitted to to Ibn Sina Hospital, randomly assigned to colchicine or placebo. Both groups will receive therapeutic regimen including subcutaneous injection of 250 microgram interferon beta 1b every other day and remdesivir 200 mg for first day then 100 mg daily for 5 days, Physician, patients and assessor will be blinded.
Participants/Inclusion and exclusion criteria
Inclusion criteria are adults over the age of 18 with a diagnosis of COVID-19 based on clinical criteria or PCR
Exclusion criteria: The presence of any underlying disease that increases the likelihood of side effects from colchicine
Intervention groups
The recruited patients will be candidate to receive colchicine of Modava pharmaceutical company or placebo for one week according to randomization table. Colchicine will be administered 2 milligrams as loading dose and then one milligram daily for seven days and in control group placebo tablets with same size and color will be administered. Placebo will produce in pharmacy faculty.
Main outcome variables
Determination of colchicine effects on clinical improvement of COVID-19 symptoms
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20190804044429N5
Registration date:2021-02-18, 1399/11/30
Registration timing:prospective
Last update:2021-02-18, 1399/11/30
Update count:0
Registration date
2021-02-18, 1399/11/30
Registrant information
Name
Monireh Ghazaeian
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8863 6864
Email address
ghazaeianm@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-02-22, 1399/12/04
Expected recruitment end date
2021-03-24, 1400/01/04
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Efficacy and safety of colchicine on clinical improvement in patients with COVID-19: A randomized, double blind clinical trial
Public title
Colchicine effects on treatment of COVID-19
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Inclusion criteria are adults over the age of 18 with a diagnosis of COVID-19 based on clinical criteria (presence of any symptoms of cough, shortness of breath, fever, and CT scan of the lung for evidence of involvement consistent with COVID-19 infection) or PCR and
Had clinical symptoms of COVID-19 within two weeks
Exclusion criteria:
Pregnancy and lactation
Severe hepatic insufficiency (Child-pugh C)
Renal insufficiency (GFR less than 30 ml/min)
Allergy history of colchicine
Thrombocytopenia (Platelets less than 100,000 /mm3)
Not consent
Age
From 18 years old
Gender
Both
Phase
2-3
Groups that have been masked
Participant
Care provider
Investigator
Outcome assessor
Sample size
Target sample size:
110
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization using the block method by a person who is not related to the study. Packages containing the drug and placebo are completely similar in shape and color. Randomization of serial numbers of drug packages and placebo by a person who is not involved in the project according to randomized table. The number of the bottle corresponded with the number of the patient.
Blinding (investigator's opinion)
Double blinded
Blinding description
This study is double blind. Outcome elevator and participant are blinded (double blind) and aware from grouping (intervention or placebo). The medicinal substance and placebo are completely similar in shape and color
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Mazandaran University of Medical Sciences
Street address
Ibn Sina Hospital, Pasdaran Blvd
City
Sari
Province
Mazandaran
Postal code
4816864193
Approval date
2021-02-16, 1399/11/28
Ethics committee reference number
IR.MAZUMS.REC.1399.914
Health conditions studied
1
Description of health condition studied
COVID-19 pneumonia
ICD-10 code
U07.1
ICD-10 code description
COVID-19, virus identified
Primary outcomes
1
Description
respiratory rate
Timepoint
Before intervention and daily during the study
Method of measurement
physical exam
2
Description
blood oxygen saturation
Timepoint
Before intervention and daily during the study
Method of measurement
pulse oximeter
3
Description
fever recovery
Timepoint
Before intervention and daily during the study
Method of measurement
thermometer
4
Description
therapeutic regimen safety
Timepoint
Daily during the study
Method of measurement
Incidence of any side effects
5
Description
CRP
Timepoint
before intervention and then three times weekly during the study
Method of measurement
CRP laboratory kite
6
Description
lymphocyte count
Timepoint
before intervention and then daily during the study
Method of measurement
Cell blood count test
Secondary outcomes
1
Description
Hospital stay duration
Timepoint
End of treatment
Method of measurement
Patient file
2
Description
Mortality rate
Timepoint
Daily during the study
Method of measurement
patient file
Intervention groups
1
Description
Intervention group: Medication regimen including 250 mcg interferon beta 1 b subcutaneous injection every other day for at least 3 doses plus remdesivir 200 mg as first dose then 100 mg daily for 5 days with Colchicine tablet of Mofid company at dose of 2mg as loading dose then 1 mg daily for 7 days
Category
Treatment - Drugs
2
Description
Control group: Patients with inclusion criteria who received therapeutic regimen of 250 mcg interferon beta 1 b as every other day subcutaneous injection for at least 3 doses and remdesivir 200 mg as first dose then 100 mg daily for 5 days.
Category
Placebo
Recruitment centers
1
Recruitment center
Name of recruitment center
Ibn Sina Hospital
Full name of responsible person
Monireh Ghazaeian
Street address
Ibn Sina hospital, Pasdaran Blvd
City
Sari
Province
Mazandaran
Postal code
4816864193
Phone
+98 11 3334 3011
Email
ghazaeianm@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Majid Saeedi
Street address
Vice Chancellor for Research, Mazandaran University of Medical Sciences, Joybar 3way
City
Sari
Province
Mazandaran
Postal code
4816864193
Phone
+98 11 3448 4800
Email
majsaeedi@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mazandaran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
ئخدهقثا لاشظشثهشد
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Clinical pharmacy
Street address
Ibn Sina hospital, Pasdaran Blvd, Sari
City
Sari
Province
Mazandaran
Postal code
4816864193
Phone
+98 11 3334 3011
Email
ghazaeianm@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Monireh Ghazaeian
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Clinical pharmacy
Street address
Ibn Sina hospital, Pasdaran Blvd
City
Sari
Province
Mazandaran
Postal code
4816864193
Phone
+98 11 3334 3010
Email
ghazaeianm@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Monireh Ghazaeian
Position
Assistant professor
Latest degree
Specialist
Other areas of specialty/work
Clinical pharmacy
Street address
Ibn Sina hospital, Pasdaran Blvd
City
Sari
Province
Mazandaran
Postal code
48157-33971
Phone
+98 11 3334 3010
Email
ghazaeianm@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
IPD collected for the primary outcome measures are to be shared.
When the data will become available and for how long
The data will be available one year after publication
To whom data/document is available
Academic researchers, medical team and scientific institutes
Under which criteria data/document could be used
Requests for sharing data should be sent to the person responsible for general inquiries.
From where data/document is obtainable
Dr. Monireh Ghazaeian, Faculty of pharmacy, Mazandaran University of Medical Sciences.
What processes are involved for a request to access data/document
Person in charge of scientific study will reply to the request within 10 days. ghazaeianm@gmail.com