Randomized double-blind trial to study the benefit of Colchicine in Patients with Acutely Decompensated Heart Failure

2023-504165-23-00 Protocol IMIB-CO-2020-01 Therapeutic confirmatory (Phase III) Ended

Start 8 Feb 2021 · End 30 Apr 2024 · Status Ended · 2 EU/EEA countries · 12 sites · Protocol IMIB-CO-2020-01

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 302
Countries 2
Sites 12

Acute decompensated heart failure

To study if the administration of colchicine 0.5mg colchicine vs placebo in patients with decompensated HF is associated with decrease in NT-proBNP concentrations at 8 weeks after hospital discharge, as a biomarker of clinical stability and risk.

Key facts

Sponsor
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia, Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
8 Feb 2021 → 30 Apr 2024
Decision date (initial)
2023-05-19
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Instituto de Salud Carlos III

External identifiers

EU CT number
2023-504165-23-00
EudraCT number
2020-000941-15
ClinicalTrials.gov
NCT04705987

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

To study if the administration of colchicine 0.5mg colchicine vs placebo in patients with decompensated HF is associated with decrease in NT-proBNP concentrations at 8 weeks after hospital discharge, as a biomarker of clinical stability and risk.

Conditions and MedDRA coding

Acute decompensated heart failure

VersionLevelCodeTermSystem organ class
20.1 LLT 10064653 Acute decompensated heart failure 10007541

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. 1. Unscheduled visit for symptoms and / or congestive signs of HF that require treatment with intravenous diuretics (at least 40 mg intravenous furosemide)
  2. 2. Clinical evidence, by symptoms or signs, and / or radiological of congestion.
  3. 3. NT-proBNP concentration greater than 900 pg / ml at screening visit.
  4. 4. Age over 18 years
  5. 5. Patients who have given their informed consent in writing.

Exclusion criteria 15

  1. 1. Severe valve disease with indication for surgical repair.
  2. 2. Extracardiac disease with estimated vital prognosis of less than 1 year.
  3. 3. Inflammatory bowel disease (Crohn's disease or ulcerative colitis), diarrhea chronic or malabsorption.
  4. 4. Rheumatic inflammatory disease.
  5. 5. Serious gastrointestinal disorders
  6. 6. Stomach ulcer
  7. 7. Hematological disorders, such as blood dyscrasias
  8. 8. Previous neuromuscular disease
  9. 9. Severe renal failure (glomerular filtration rate <30 ml / kg / min / 1.73m2)
  10. 10. History of cirrhosis, chronic active hepatitis or severe liver disease, defined by GOT (AST) or GPT (ALT) values that exceed 3 x upper limit of normality
  11. 11. Patient who is taking colchicine for other indications (mainly chronic prescriptions for familial Mediterranean fever or gout). No washout period will be required for patients who have been treated with colchicine and have stopped treatment prior to randomization.
  12. 12. Patient with a history of allergic reactions or significant sensitivity to colchicine.
  13. 13. Chronic treatment with immunosuppressants, corticosteroids, interleukin-1 antagonists in the 6 months prior to inclusion.
  14. 14. Pregnant or lactating women, where pregnancy is defined as the state of a woman after conception and until the end of gestation, confirmed by a positive test result for human chorionic gonadotropin (hCG), or planned become pregnant or plan to breastfeed during study treatment or within 30 days of the end of study drug treatment.
  15. 15. Woman of childbearing potential who is unwilling to inform her partner of her participation in this clinical study or to use 2 effective contraceptive methods that are acceptable or to practice strict sexual abstinence (the investigator must assess the reliability of sexual abstinence and make it the preferred and usual lifestyle of the subject) during treatment with study drug (colchicine or placebo) and for an additional 30 days after the last dose of study drug.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Decreased NT-proBNP levels

Secondary endpoints 3

  1. Improvement of clinical stability
  2. Mortality rate reduction
  3. Total days of hospitalization

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

COLCHICINA SEID 0,5 mg comprimidos

PRD1784175 · Product

Active substance
Colchicine
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
2 mg milligram(s)
Max total dose
2 mg milligram(s)
Max treatment duration
56 Day(s)
Authorisation status
Authorised
ATC code
M04AC01 — COLCHICINE
Marketing authorisation
78947
MA holder
SEID, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia

Sponsor organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Address
Carretera De Cartagena S/n, El Palmar El Palmar
City
Murcia
Postcode
30120
Country
Spain

Scientific contact point

Organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Contact name
Clinical trials unit

Public contact point

Organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Contact name
Clinical trials unit

Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia

Sponsor organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Address
Carretera De Cartagena S/n, El Palmar El Palmar
City
Murcia
Postcode
30120
Country
Spain

Scientific contact point

Organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Contact name
Clinical trials unit

Public contact point

Organisation
Fundacion Para La Formacion E Investigacion Sanitaria De La Region De Murcia
Contact name
Clinical trials unit

Locations

2 EU/EEA countries · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ended 24 1
Spain Ended 278 11
Rest of world 0

Investigational sites

Italy

1 site · Ended
Fondazione Toscana Gabriele Monasterio
Cardiology, Via Trieste 41, 56126, Pisa

Spain

11 sites · Ended
Hospital Clinico Universitario De Valencia
Cardiology, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Universitario De Salamanca
Cardiology, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Universitario Fundacion Jimenez Diaz
Cardiology, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Ramon Y Cajal
Cardiology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital General Universitario Gregorio Maranon
Cardiology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Complexo Hospitalario Universitario De Santiago
Cardiology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitari Germans Trias I Pujol
Cardiology, Carretera Canyet 1a Planta, 08916, Badalona
Hospital De La Santa Creu I Sant Pau
Cardiology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Universitario 12 De Octubre
Cardiology, Bloque D, Avenida De Cordoba S/n, Madrid
University Clinical Hospital Virgen De La Arrixaca
Cardiology, Carretera De Cartagena S/n, El Palmar, Murcia
Hospital Universitario Reina Sofia
Cardiology, Avenida Menendez Pidal S/n, 14004, Cordoba

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2023-09-22 2024-04-30 2023-10-25 2024-03-18
Spain 2021-02-08 2024-05-17 2021-02-08 2024-03-18

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of results of the clinical trial
SUM-50542
2024-10-09T12:31:27 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of results 2025-05-07T12:39:43 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Resumen de resultados para personas legas_COLICA_es 1
Summary of results (for publication) Summary of results of the clinical trial 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-21 Spain Acceptable
2023-03-03
2023-03-03
2 SUBSEQUENT ADDITION OF MSC APP-2 2023-03-06 2023-05-19
3 NON SUBSTANTIAL MODIFICATION NSM-1 2023-05-25 2023-05-25