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TerminatedNCT04375202COLVID-19Updated Nov 7, 2022

Colchicine in COVID-19: a Pilot Study

A Phase 2 interventional study of Colchicine 1 MG Oral Tablet in COVID-19, sponsored by University Of Perugia. Terminated at 2 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-07.

Sponsored by University Of Perugia · Phase 2, Interventional, and Treatment

Why this study was terminated
Insufficient rate of patient accrual and newly available scientific evidence
Phase
Phase 2
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This is an interventional, pilot, multicenter, randomized, open-label, phase 2 study, enrolling patients with COVID-19 disease. One-month rate of entering the critical stage (either a. Respiratory failure occurs and requires mechanical ventilation; b. Patients combined with other organ failure need ICU monitoring and treatment; c. Death) is the primary endpoint.

Read the detailed description

This is an interventional, pilot, multicenter, randomized, open-label, phase 2 study, enrolling patients with COVID-19 disease. Participants will be randomized in a 1:1 ratio to receive Colchicine plus current care versus current care.

One-month rate of entering the critical stage (either a. Respiratory failure occurs and requires mechanical ventilation; b. Patients combined with other organ failure need ICU monitoring and treatment; c. Death) is the primary endpoint. Secondary objectives are trend of White blood cell count, Change of the "Sequential Organ failure Assessment" (SOFA), Rate of biochemical criterion (CK, ALT,ferritin) recovery, Rate of disease remission and safety of Colchicine.

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Conditions studied

  • COVID-19

Keywords

  • COVID
  • COVID-19
  • CORONAVIRUS
  • SARS-COV-2
  • COLCHICINE
  • IL-1
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In context

COVID-19

7,774 studies on the registry are indexed under COVID-19; 482 are open to participants now.

This study's enrollment of 227 is above the median of 100 across 4,175 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

University Of Perugia is the lead sponsor of 54 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Informed consent for participation in the study
  • Virological diagnosis of SARS-CoV-2 infection (real-time PCR)
  • Hospitalized due to clinical/instrumental diagnosis of pneumonia
  • Oxygen saturation at rest in ambient air ≤94%
  • PaO2/FiO2 ratio of 350 to 200

Exclusion criteria

Exclusion Criteria:

  • Known hypersensitivity to colchicine or its excipients
  • Severe diarrhea
  • Patients who cannot take oral therapy
  • Pregnant and lactating patients
  • Patients with severe cardiac, renal insufficiency (creatinine clearance (CCL) \<30 mL / min)
  • Patients with kidney or liver damage [(AST or ALT> 5 times the normal limits in International Units (ULN)]; or are taking CYP3A4 enzyme - P glycoprotein inhibitors.
  • Known other clinical condition that contraindicates colchicine and cannot be treated or solved according to the judgement of the clinician
  • Neutrophils \<1.000 / mmc
  • Platelets \<50.000 / mmc
  • Bowel diverticulitis or perforation
  • Patients already in ICU or requiring mechanical ventilation
  • Patients receiving Tocilizumab
  • Patients already enrolled in other clinical trials
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    Colchicine plus current care

    Colchicine 0.5 mg three times a day if weight is less than 100 kg; 1 mg twice a day if weight is more than 100 kg for 30 days or up to discharge. Reduce based on gastrointestinal symptoms appearance at discretion of the Investigator.

    Drug: Colchicine 1 MG Oral Tablet

  • No intervention
    Current care alone

    Current care

Interventions

  • Tablets for oral administration, containing 1 mg of the active ingredient colchicine, administered 0.5 mg po every 8 hours x 30 days.

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What researchers measure

Primary outcomes

  1. Rate of entering the critical stage

    Comply with any of the followings: 1. Respiratory failure occurs and requires mechanical ventilation; 2. Patients combined with other organ failure need ICU monitoring and treatment 3. Death

    Time frame: [1 month]

Secondary outcomes

  1. Trend of White blood cell count

    Time frame: [up to 30 days]

  2. Change of the "Sequential Organ failure Assessment" (SOFA)

    Time frame: [up to 30 days]

  3. Rate of biochemical criterion (CK, ALT, ferritin) recovery

    Time frame: [up to 30 days]

  4. Rate of disease remission

    Comply with any of the followings: 1. No fever, cough and other symptoms; 2. SPO2\>94% or PaO2/FiO2 \>350mmHg without oxygen inhalation

    Time frame: [up to 30 days]

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Study locations

2 sites
  • Associazione Italiana Pneumologi Ospedalieri
    Milan, Italy
  • Società Italiana di Reumatologia
    Milan, Italy
08

References and documents

Publications

  • Perricone C, Triggianese P, Bartoloni E, Cafaro G, Bonifacio AF, Bursi R, Perricone R, Gerli R. The anti-viral facet of anti-rheumatic drugs: Lessons from COVID-19. J Autoimmun. 2020 Jul;111:102468. doi: 10.1016/j.jaut.2020.102468. Epub 2020 Apr 17. PubMed 32317220 ↗
  • Mikolajewska A, Fischer AL, Piechotta V, Mueller A, Metzendorf MI, Becker M, Dorando E, Pacheco RL, Martimbianco ALC, Riera R, Skoetz N, Stegemann M. Colchicine for the treatment of COVID-19. Cochrane Database Syst Rev. 2021 Oct 18;10(10):CD015045. doi: 10.1002/14651858.CD015045. PubMed 34658014 ↗

Related links

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04375202
Lead sponsor
University Of Perugia
Responsible party
Prof Roberto Gerli (Principal Investigator, University Of Perugia) — Principal investigator
First posted
May 5, 2020
Start date
Apr 18, 2020
Primary completion
Oct 31, 2021
Completion
Oct 31, 2021
Last update
Nov 7, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Colchicine

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