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Effectiveness of Colchicine Among Patients With COVID-19 Infection

Phase 2
Completed
Conditions
Coronavirus Infection
Interventions
Drug: usual care treatment
Registration Number
NCT04867226
Lead Sponsor
Hawler Medical University
Brief Summary

In November 2019, there were a lot of cases of an acute respiratory illness (then named at February 11th as COVID_19) which first case was reported in Wuhan, China,The SARS COV-2 had been spread in a fast way to involve whole world, As it's obvious that Colchicine is a drug that is most commonly and widely used to treat and prevent acute attacks of Gout, other crystal induced arthropathy,colchicine has important role in inhibiting activation of NLRP3 inflammasome these lead to decrease cytokine production , aim of study To evaluate whether colchicine is effective in the treatment of COVID-19 cases. And to measure the effectiveness of colchicine in alleviating and controlling pulmonary and extra pulmonary complications of COVID-19

Detailed Description

this is an open label, randomize control clinical trial ,the participant will be randomly assign in to two groups ( Group A and Group B), colchicine (group A) will treat with colchicine tablet alone or add to their Current treatment,Colchicine 0.5 mg twice daily (reduce to 0.5 mg/day, in patients with low body weight or develop side effects like gastrointestinal symptoms ),For 14 days or until symptoms subsides, while the control group will treat according to usual treatment guideline in COVID-19.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

1.patients diagnosed clinically or by RT-PCR in nasopharyngeal swab specimens and/ or lung involvement confirm by computed tomography scan compatible with COVID-19patients 2.Age between 18 year and 70 years, 3.body weight > 50 kg, 4.with written informed consent from patients or relatives.

Exclusion Criteria 1 sensitivity to any medications of regimens, 2.e GFR less than 30. 3.pregnancy. 4.malignancy . 5.Participating in another clinical study and refusing to participate in the study at a later date or later, and they are already taking colchicine for other diseases .

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
usual careusual care treatmentcontrol group will receive usual care COVID-19 treatment according to Iraqi protocol guideline and will not receive colchicine.
colchicine drugColchicine 0.5 MGparticipant in this group will be given a colchicine tablet alone or add to their Current treatment, Colchicine 0.5 mg twice daily (reduced to 0.5 mg/day, in patients with low body weight or develop side effect like gastrointestinal symptoms ),For 14 days or until symptoms subsides.
Primary Outcome Measures
NameTimeMethod
need for invasive mechanical ventilation14 days following randomization

number of patients need invasive mechanical ventilation

length of hospital stay14 days following randomization

number of patients who admit to hospital and duration of stay

need for supplemental oxygen14 days following randomization

number of patients need supplemental oxygen

death rate14 days following randomization

number of patients who die during randomization

Secondary Outcome Measures
NameTimeMethod
change in inflammatory marker14 days following randomization

ferritin

change in severity marker14 days following randomization

D.Dimer

change in marker14 days following randomization

leukocyte

musculoskeletal symptoms14 days following randomization

participants who have back pain and myalgia measure by patient analogue scale of pain

adverse effect14 days following randomization

number of participants who develop adverse effect with treatment

oxygen saturation measurement14 days following randomization

Sp02 measurement by pulse oximetry

Trial Locations

Locations (1)

Hawler medical university ,Rozhawa emergency hospital

🇮🇶

Erbil, Iraq

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