MedPath

A randomised trial of colchicine for osteoarthritis of the hand (COLAH)

Phase 2
Completed
Conditions
Hand Osteoarthritis
Musculoskeletal - Osteoarthritis
Registration Number
ACTRN12617001524381
Lead Sponsor
Dr Catherine Hill
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
61
Inclusion Criteria

1)Aged between 40 and 80 years old
2)Men and women with significant hand pain within the last 48 hours (defined as a VAS greater than or equal to 40 mm) with a history of Hand pain for minimum of 6 months.
3)Radiological OA (Kellgren and Lawrence (KL) grade > 1) in > 1 joint
4)Meet American College of Rheumatology (ACR) clinical criteria for hand OA

Exclusion Criteria

1.Concomitant inflammatory rheumatic disease
2.Contraindication to colchicine. This includes renal dysfunction (eGFR <50, abnormal LFT, haematologic condition
3.Chronic glucocorticoid, DMARD or immunosuppressant therapy for arthritis or other indications
4.Women who are pregnant or breast feeding
5.Use of any investigational drug(s) and/or devices within 30 days prior to randomisation
6.Presence of any serious medical illness that may preclude 24 week follow up.
7.Inability to provide informed consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
VAS pain scores[0 weeks, 6 weeks, 12 weeks and 16 weeks ]
Secondary Outcome Measures
NameTimeMethod
AUSCAN score[0 weeks, 6 weeks, 12 weeks and 16 weeks];Ultrasound measured synovitis[0 weeks and 12 weeks];Adverse effects (measured by patient report, renal, haematological and hepatic function) [Week 6, Week 12 and Week 16];C-reactive protein (from blood samples) at week 0 and week 12[Week 12];Grip strength measured by dynamometer at week 0 and week 12. [Week 12];Number of tender joints of affected hand at week 0 and week 12[Week 12];Number of swollen joints at week 0 and week 12[Week 12]
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