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.
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.
Drug: Colchicine
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.
Other Name: Immuno-modulatory
Drug: Placebo oral tablet
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.
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.
Mayo Clinic - Phoenix
Phoenix, Arizona, United States
Yuma Regional Medical Center Cancer Center
Yuma, Arizona, United States
Centric Health Resources Inc.
Bakersfield, California, United States
Westside Medical Associates of Los Angeles
Beverly Hills, California, United States
Rancho Research Institute
Downey, California, United States
University of California San Francisco - Zuckerberg San Francisco General Hospital
San Francisco, California, United States
Mayo Clinic - Jacksonville
Jacksonville, Florida, United States
South Florida Research Organization
Medley, Florida, United States
Miami Center for Advanced Cardiology
Miami Beach, Florida, United States
Mayo Clinic - Rochester
Rochester, Minnesota, United States
North Mississippi Medical Clinics, Inc.
Tupelo, Mississippi, United States
New York Langone Health
New York, New York, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
Baylor Scott & White Research Institute - Pharmacy
Dallas, Texas, United States
University of Texas(UT) Southwestern Medical Center
Dallas, Texas, United States
Spring Clinical Research
Houston, Texas, United States
Instituto do Coração (InCor), School of Medicine, University of Sao Paulo
São Paulo, Sao Paulo, Brazil
Hospital Universitário Bragança Paulista
Bragança Paulista, Brazil
Instituto Cruzaltense de Cardiologia
Cruz Alta, Brazil
Hospital de Clínicas de Passo Fundo
Passo Fundo, Brazil
Hospital de Clinicas de Porto Alegre
Porto Alegre, Brazil
Hospital Samaritano Higienópolis
São Paulo, Brazil
Montreal Heart Institute
Montreal, Quebec, Canada
University General Hospital of Athens "Attikon"
Chaïdári, Athens, Greece
General Hospital of Kozani "Mamatsio"
Kozáni, Greece
Tread Research, Tygerberg Hospital
Cape Town, South Africa
Hospital Universitario La Paz, IdiPaz
La Paz, Madrid, Spain
Hospital Universitario de La Princesa
Madrid, Spain
Hospital Universitario Ramón y Cajal
Madrid, Spain
Fundación Jiménez Díaz
Madrid, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Hospital Universitario Puerta de Hierro Majadahonda
Madrid, Spain