E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
Patients with stable coronary artery disease |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10011082 |
E.1.2 | Term | Coronary artery disorders |
E.1.2 | System Organ Class | 10007541 - Cardiac disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to evaluate clinical efficacy of treatment with colchicine 0.5mg once daily as compared to placebo in patients with stable coronary artery disease on the incidence of first occurrence of the composite of cardiovascular death, myocardial infarction, ischemic stroke, or ischemia-driven revascularization. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study are to evaluate clinical efficacy of treatment with colchicine 0.5mg once daily as compared to placebo in patients with stable coronary artery disease on the incidence of first occurrence of 1. Myocardial infarction 2. Ischemia-driven revascularization 3. Cardiovascular death or myocardial infarction 4. Cardiovascular death 5. Death from any cause 6. the composite of sudden cardiac death, non-fatal out of hospital cardiac arrest, myocardial infarction or unstable angina irrespective of revascularization, or atherosclerotic ischemic stroke (the composite endpoint of the first LoDoCo trial), 7. the composite of cardiovascular death, non-fatal myocardial infarction or non-fatal ischemic stroke, 8. Acute coronary syndromes related to stent or graft disease, irrespective of revascularization
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Study title: Coronary artery inflammation measured with 68Ga-DOTATATE PET/CT in patients with stable coronary artery disease treated with low-dose colchicine version 1.0, August 2017
Primary Objective: The aim of this study is to identify differences in coronary artery wall inflammation as assessed with 68G-DOTATATE in patients with stable coronary artery disease after treatment with colchicine 0.5 mg once daily.
Protocol v2.6 dated 26 July 2019 included two substudie. One biobanking substudies for 2000 participants at selected trial sites and one imaging substudy for 200 participants at selected trial sites. |
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E.3 | Principal inclusion criteria |
1. Age >35 and <82 years 2. Proven coronary artery disease; as evidenced by coronary angiography, CT coronary angiography or a Coronary Artery Calcium Score (Agatston score >400). Individuals with a history of bypass surgery are only eligible if they have undergone coronary artery bypass surgery more than 10 years before, or have angiographic evidence of graft failure or have undergone percutaneous intervention since their bypass surgery 3. Clinically stable for at least six months
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E.4 | Principal exclusion criteria |
1. Women who are pregnant, breast feeding or may be considering pregnancy during the study period 2. Renal impairment as evidenced by a serum creatinine >150 µmol/l or estimated glomerular filtration rate (eGFR) <50mL/min/1.73m2 3. Severe heart failure – systolic or diastolic New York Heart Association Functional classification 3 or 4 4. Moderate or severe valvular heart disease considered likely to require intervention 5. Dependency or frailty or an estimated life expectancy < 5 years 6. Peripheral neuritis, myositis or marked myo-sensitivity to statins 7. Requirement for long term colchicine therapy for any other reason 8. Current enrollment in another trial.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary objective of this study is to evaluate clinical efficacy of treatment with colchicine 0.5mg once daily as compared to placebo in patients with stable coronary artery disease on the incidence of first occurrence of the composite of cardiovascular death, myocardial infarction, ischemic stroke, or ischemia-driven revascularization. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
75% and 100% of necessary endpoints |
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E.5.2 | Secondary end point(s) |
The secondary objectives of this study are to evaluate clinical efficacy of treatment with colchicine 0.5mg once daily as compared to placebo in patients with stable coronary artery disease on the incidence of first occurrence of 1. Myocardial infarction 2. Ischemia-driven revascularization 3. Cardiovascular death or myocardial infarction 4. Cardiovascular death 5. Death from any cause 6. the composite of sudden cardiac death, non-fatal out of hospital cardiac arrest, myocardial infarction or unstable angina irrespective of revascularization, or atherosclerotic ischemic stroke (the composite endpoint of the first LoDoCo trial), 7. the composite of cardiovascular death, non-fatal myocardial infarction or non-fatal ischemic stroke, 8. Acute coronary syndromes related to stent or graft disease, irrespective of revascularization
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
at 100% of the expected events |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 40 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |