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    Clinical Trial Results:
    COLIN Intérêt de la COLchicine dans la prise en charge de l’INfarctus aigu du myocarde avec activité inflammatoire importante. -Etude pilote

    Summary
    EudraCT number
    2014-002739-32
    Trial protocol
    FR  
    Global end of trial date
    05 Aug 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    29 Jun 2022
    First version publication date
    29 Jun 2022
    Other versions
    Summary report(s)
    Princeps article

    Trial information

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    Trial identification
    Sponsor protocol code
    UF9439
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02363725
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    UH of Montpellier
    Sponsor organisation address
    Avenue du Doyen Gaston Giraud, Montpellier, France,
    Public contact
    Anne VERCHERE, Direction de la Recherche et de l'Innovation, 00 33467330812, depotac@chu-montpellier.fr
    Scientific contact
    Anne VERCHERE, Direction de la Recherche et de l'Innovation, 00 33467330812, depotac@chu-montpellier.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Oct 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    17 May 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    05 Aug 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Etudier l'impact de la colchicine prise en complément du traitement conventionnel dans la réduction de l'inflammation lors de la prise en charge hospitalière (jusqu’à 7 jours) de l'infarctus du myocarde par rapport au traitement conventionnel seul. La réduction de l’inflammation sera évaluée par la cinétique de la CRP entre J0 et la sortie d’hospitalisation (J5 à J7).
    Protection of trial subjects
    Patients were followed-up by investigator and had investigator contact in case of emergency. Colchicine dose adaptation were described in the protocol in case of poor tolerance.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Dec 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 44
    Worldwide total number of subjects
    44
    EEA total number of subjects
    44
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    29
    From 65 to 84 years
    15
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    All patients admitted for ST-elevationmyocardial infarction (STEMI), with occlusion of one of themain coronary arteries (thrombolysis in myocardial infarc-tion [TIMI] grade 0 or 1 flow), and successfully treatedwith primary percutaneous coronary intervention (PCI),were considered fo

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Conventional treatment
    Arm description
    -
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Colchicine
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    colchicine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    colchicine 1 mg per day for 1 month

    Number of subjects in period 1
    Conventional treatment Colchicine
    Started
    21
    23
    Completed
    21
    23

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Conventional treatment
    Reporting group description
    -

    Reporting group title
    Colchicine
    Reporting group description
    -

    Reporting group values
    Conventional treatment Colchicine Total
    Number of subjects
    21 23 44
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    14 15 29
        From 65-84 years
    7 8 15
        85 years and over
    0 0 0
    Gender categorical
    Units: Subjects
        Female
    5 4 9
        Male
    16 19 35

    End points

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    End points reporting groups
    Reporting group title
    Conventional treatment
    Reporting group description
    -

    Reporting group title
    Colchicine
    Reporting group description
    -

    Primary: CRP peak

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    End point title
    CRP peak
    End point description
    End point type
    Primary
    End point timeframe
    between inclusion and 5 days
    End point values
    Conventional treatment Colchicine
    Number of subjects analysed
    21
    23
    Units: mg/L
        arithmetic mean (standard deviation)
    21.86 ± 25.39
    29.03 ± 25.56
    Statistical analysis title
    aA
    Comparison groups
    Conventional treatment v Colchicine
    Number of subjects included in analysis
    44
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.79
    Method
    ANOVA
    Parameter type
    Mean difference (final values)
    Point estimate
    2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -13.24
         upper limit
    17.24
    Variability estimate
    Standard error of the mean
    Dispersion value
    5.08

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    upon knowledge of the adverse event
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    ALL PATIENTS
    Reporting group description
    -

    Serious adverse events
    ALL PATIENTS
    Total subjects affected by serious adverse events
         subjects affected / exposed
    15 / 44 (34.09%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Investigations
    coronarography
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Epidermoid carcinoma
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    crescendo angina
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    decompensation cardiac
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Left ventricular dysfunction
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ventricular fibrillation
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Angioplasty
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Double vessel bypass graft
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    implatable defibrillator insertion
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    implantable defibrillator removal
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatrist consultation
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Radiotherapy
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Syncope
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    5 / 44 (11.36%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    implantable cardiac defibrillator infection
         subjects affected / exposed
    1 / 44 (2.27%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    ALL PATIENTS
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    31 / 44 (70.45%)
    Injury, poisoning and procedural complications
    bruising of arm
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2
    Vascular disorders
    thrombus
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Cardiac disorders
    Pericardial disease
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Pericardial effusion
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2
    Surgical and medical procedures
    Therapy cessation
         subjects affected / exposed
    4 / 44 (9.09%)
         occurrences all number
    4
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    5 / 44 (11.36%)
         occurrences all number
    3
    Fatigue
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2
    Unevaluable event
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    9 / 44 (20.45%)
         occurrences all number
    9
    Vomiting
         subjects affected / exposed
    3 / 44 (6.82%)
         occurrences all number
    3
    Musculoskeletal and connective tissue disorders
    painful arm
         subjects affected / exposed
    2 / 44 (4.55%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    14 Nov 2014
    Identification of DSMB members
    05 Jan 2015
    Modification of premature end of trial; Modification of patients follow-up; Modification of labels of experimental treatment
    22 Jun 2015
    Modification of DSMB members
    13 May 2016
    Additionnal blood analysis added for all patients included

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/28065445
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
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