Protocol summary

Study aim
Evaluation of the efficacy and safety of colchicine in the prevention for post-CABG atrial fibrillation
Design
A controlled, parallel-group, double-blind, randomized, phase 2 clinical trial on 172 patients. The rand function of Excel software was used for randomization.
Settings and conduct
This study will be held in Fatemeh Zahra Sari Heart Center, affiliated to Mazandaran University of Medical Sciences. a data collection form designed by the research team will be used to collect information. In the first part, demographic Characteristics of Patients and in the second part, related information. The patient will be recorded for Hospitalization and Treatment such as Atrial Fibrillation, number of Days hospitalized in the ICU, number of Days hospitalized and the incidence of complications due to Colchicine consumption such as gastrointestinal intolerance, etc. Patients and clinical invistigator and outcome analysts are blinded.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Patients between 18_80 years old with Coronary Artery Disease that are Candidates for Coronary Artery Bypass Grafting surgery
Intervention groups
In this Study, 172 Patients with inclusion criteria will be randomly divided into two Groups of Patients receiving Colchicine and the Control Group (placebo). Patients in the first Group, will be given 1 mg of Colchicine every 12 hours for 24 hours before surgery, then 0.5 mg daily if they weigh less than 70 kg, or 1mg daily if >70kg for 14 days. Patients in the second group will also be given a placebo, similar to the conditions in the first group.
Main outcome variables
Duration of ICU stays, Duration of hospitalization, POAF or Atrial fibrillation, inflammatory factors(CRP,IL6)

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200328046886N6
Registration date: 2024-07-25, 1403/05/04
Registration timing: registered_while_recruiting

Last update: 2024-07-25, 1403/05/04
Update count: 0
Registration date
2024-07-25, 1403/05/04
Registrant information
Name
Hamideh Abbaspour
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 11 4203 1035
Email address
dr.abbaspour1@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-22, 1403/05/01
Expected recruitment end date
2025-02-20, 1403/12/02
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the efficacy and safety of colchicine in the prevention for post-CABG atrial fibrillation: a randomized double-blind placebo- controlled trial
Public title
Evaluation of the efficacy and safety of colchicine in the prevention for post-CABG atrial fibrillation
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Patient between 18_80 years old Patient with CAD and candidate for CABG
Exclusion criteria:
Preoperative AF Patients with pacemakers Patient with Clcr<30ml/min Severe hepatic insufficiency or transaminase level more than 3 times higher than normal Breastfeeding or pregnancy Colchicine intolerance or allergy Lack of patients consent to participate in study Presences of sick Sinus syndrom Previous cardiac rhythm disorder,conduction blocks of any degree Co administration with strong pgp and 3A4 inhibitors (voiconazol,ketoconazole,fluconazole,itraconazole,clarithromycin,etc.) Taking anti arrhythmic medicines except beta blockers during past months of surgery
Age
From 18 years old to 80 years old
Gender
Both
Phase
2-3
Groups that have been masked
  • Participant
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 172
Randomization (investigator's opinion)
Randomized
Randomization description
The grouping of patients and the type of intervention received is at the disposal of the first executive of the plan. The patient, assistant clinical pharmacist and statistical analyst will not know about the grouping of patients. Clichesin and placebo drugs will be placed in an envelope based on predetermined codes and will be provided to the participants based on randomization. Patients will be randomly assigned using the online system https://www.sealedenvelope.com/simple-randomiser/v1/lists in 43 blocks of 4 as follows: ABBA, ABBA, BAAB, BBAA, ABBA, BAAB, AABB, ABAB, AABB, ABBA, BABA, AABB, BBAA, AABB, ABAB, BAAB, BABA, BAAB, ABBA, BAAB, BABA, ABAB, ABBA, ABAB, ABAB, AABB, BABA, BBAA, BAAB, BBAA, BBAA, BBAA, AABB, ABBA, BAAB, AABB, ABAB, BBAA, BAAB, BBAA, BBAA, ABBA, ABBA
Blinding (investigator's opinion)
Double blinded
Blinding description
This study will be double blind. In this way, the patient, the assistant clinical pharmacist and the statistical analyst will not know about the drug used (colchicine or placebo). The grouping of patients and the type of intervention received are at the disposal of the first executive of the project. Colchicine and placebo drugs will be placed in an envelope according to the predetermined codes and will be given to the participants based on randomization. Colchicine drug is prepared as a standard treatment by the operator. The preparation of colchcine and its brand is checked and approved by the project manager. An arrangement should be made so that all patients use clichicine from the same pharmaceutical company. Medicines and placebos will be procured from the same pharmaceutical company. The colchicine and placebo medicines will be placed in an envelope according to the predetermined codes and will be provided to the participants based on randomization.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Mazandaran University Of Medical Science
Street address
Faculty of pharmacy, Payambar Azam academic complex, 18 km of Khazar Abad Ave, Sari
City
Sari
Province
Mazandaran
Postal code
4763947444
Approval date
2024-06-09, 1403/03/20
Ethics committee reference number
IR.MAZUMS.REC.1403.161

Health conditions studied

1

Description of health condition studied
Atrial Fibrillation
ICD-10 code
I48.91
ICD-10 code description
Unspecified atrial fibrillation

Primary outcomes

1

Description
Atrial fibrilation
Timepoint
Monitoring up to 14 days
Method of measurement
ECG

Secondary outcomes

1

Description
Duration of hospitalization
Timepoint
From CABG surgery to hospital discharge
Method of measurement
Monitoring

2

Description
Inflammatory factors (CRP,IL6)
Timepoint
Day 1 and day 7
Method of measurement
Blood test

Intervention groups

1

Description
Intervention group: Patients in the intervention group will be given orally 1 mg of colchicine every 12 hours 24 hours before surgery, then 0.5 mg daily if they weigh less than 70 kg or 1mg daily if weight>70 kg until 14 days. The patients will be monitored during hospitalization and if any Atrial fibrillation or its absence and the duration of hospitalization and inflammatory factors are recorded in the patient's checklist.
Category
Treatment - Drugs

2

Description
Control group: Patients in the control group will be given a placebo similar to the conditions of the intervention group. Patients are monitored during hospitalization, and if atrial fibrillation occurs or not, and the duration of hospitalization and inflammatory factors is recorded in the patient checklist.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Fatemeh Zahra Hospital
Full name of responsible person
Hamideh abbaspour kasgari
Street address
Army Blvd, Imam Hossein Square
City
Sari
Province
Mazandaran
Postal code
۴۸۱۸۸۱۳۳۷۱
Phone
+98 11 3332 3023
Fax
+98 11 3332 8484
Email
Dr.abbaspour1@yahoo.com
Web page address
https://fatemehzahrahospital.mazums.ac.ir/

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Pedram Ebrahimnejad
Street address
Research Vice-Chancellor, Building No. 2 of the University, Moalem Square
City
Sari
Province
Mazandaran
Postal code
۴۸۱۵۷۳۳۹۷۱
Phone
+98 11 3304 4000
Fax
+98 11 3335 2725
Email
pebrahimnejad@mazums.ac.ir
Web page address
https://research.mazums.ac.ir/
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
Hamideh Abbaspour Kasgari
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
Faculty of pharmacy, Payambar Azam academic complex, 18 km of Khazar Abad Ave, Sari
City
Sari
Province
Mazandaran
Postal code
4763947444
Phone
+98 11 4203 1035
Email
dr.abbaspour1@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Hamideh Abbaspour Kasgari
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
Faculty of pharmacy, Payambar Azam academic complex, 18 km of Khazar Abad Ave, Sari
City
Sari
Province
Mazandaran
Postal code
4763947444
Phone
+98 11 4203 1035
Email
dr.abbaspour1@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Mazandaran University of Medical Sciences
Full name of responsible person
Hamideh Abbaspour Kasgari
Position
Assistant Professor
Latest degree
Specialist
Other areas of specialty/work
Medical Pharmacy
Street address
Faculty of pharmacy, Payambar Azam academic complex, 18 km of Khazar Abad Ave, Sari
City
Sari
Province
Mazandaran
Postal code
4763947444
Phone
+98 11 4203 1035
Email
dr.abbaspour1@yahoo.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
Yes - There is 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
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data can be shared
When the data will become available and for how long
After publishement
To whom data/document is available
Every one
Under which criteria data/document could be used
Without specific roules
From where data/document is obtainable
In addition to correspondence with the website of the magazine that publishes the project article, applicants can send their application to the executive or project manager if needed.
What processes are involved for a request to access data/document
Searching the databases of article publishers online After sending the application to the project manager via email or fax number or visiting in person at the mentioned address and confirmed by the project manager, the information will be available to the applicants. Hamideh Abbaspour Kasgari dr.abbaspour1@yahoo.com
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