Evidence map›Paper›PMID 32732245›Full record

ArticleAnnals of the rheumatic diseases2020

Association between treatment with colchicine and improved survival in a single-centre cohort of adult hospitalised patients with COVID-19 pneumonia and acute respiratory distress syndrome.

Mirko Scarsi, Silvia Piantoni, Enrico Colombo, Paolo Airó, Donata Richini, Marco Miclini, Valeria Bertasi, Marta Bianchi, Damiano Bottone, Patrizia Civelli and 18 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04667780 (Study to Investigate the Treatment Effect of Colchicine in Patients With COVID-19), which is not on this map. Cited by 96 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 17 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04667780 phase3completednot on this map

Study to Investigate the Treatment Effect of Colchicine in Patients With COVID-19

TypeinterventionalSponsorAyub Teaching HospitalRan2020 to 2021Enrolled102ConditionsCOVID-19ArmsColchicine, Standard COVID-19 care
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 17 syntheses or guidelines pooled it, 162 citations in OpenAlex.

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  16. Impact of colchicine on mortality in patients with COVID-19: A meta-analysis.Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
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  19. The effects of colchicine on hospitalized COVID-19 patients: A randomized, double-blind, placebo-controlled clinical trial.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2023
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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 4 institutions in 2 countries.

Mirko ScarsiInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy m.scarsi@asst-valcamonica.it.
Silvia PiantoniDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Lombardia, Italy.ORCID 0000-0003-0913-0197
Enrico ColomboInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Paolo AiróRheumatology and Clinical Immunology Unit, ASST Spedali Civili di Brescia, Brescia, Lombardia, Italy.ORCID 0000-0001-5241-1918
Donata RichiniInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Marco MicliniInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Valeria BertasiCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Marta BianchiCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Damiano BottoneCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Patrizia CivelliCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Maria-Sofia CotelliCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Ezio DamioliniCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Gloria GalbassiniInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Diego GattaCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Maria-Laura GhirardelliInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Roberto MagriCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Paola MalamaniInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Monia MendeniInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Stefano MolinariInternal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Andrea MorottiCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Luisa SaladaCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Marinella TurlaCOVID Unit - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Angiola VenderHospital Pharmacy - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Angela TincaniDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Lombardia, Italy.
Antonio BrucatoDepartment of Biomedical and Clinical Sciences "Sacco", University of Milano, Ospedale Fatebenefratelli, Milano, Italy.ORCID 0000-0002-7566-5600
Franco FranceschiniDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Lombardia, Italy.ORCID 0000-0003-3678-6124
Roberto Furloni *Internal Medicine Department - Hospital of Esine, ASST della Valcamonica, Esine, Lombardia, Italy.
Laura Andreoli *Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Lombardia, Italy.ORCID 0000-0002-9107-3218
Lombardia Informatica (Italy) · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Milan · ITValmet Automotive (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe outbreak of COVID-19 posed the issue of urgently identifying treatment strategies. Colchicine was considered for this purpose based on well-recognised anti-inflammatory effects and potential antiviral properties. In the present study, colchicine was proposed to patients with COVID-19, and its effects compared with 'standard-of-care' (SoC).

methodsIn the public hospital of Esine, northern Italy, 140 consecutive inpatients, with virologically and radiographically confirmed COVID-19 admitted in the period 5-19 March 2020, were treated with 'SoC' (hydroxychloroquine and/or intravenous dexamethasone; and/or lopinavir/ritonavir). They were compared with 122 consecutive inpatients, admitted between 19 March and 5 April 2020, treated with colchicine (1 mg/day) and SoC (antiviral drugs were stopped before colchicine, due to potential interaction).

resultsPatients treated with colchicine had a better survival rate as compared with SoC at 21 days of follow-up (84.2% (SE=3.3%)

conclusionThis proof-of-concept study may support the rationale of use of colchicine for the treatment of COVID-19. Efficacy and safety must be determined in controlled clinical trials.

Indexed as

AgedAged, 80 and overAnti-Inflammatory AgentsAntiviral AgentsBetacoronavirusCase-Control StudiesCohort StudiesColchicineCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDexamethasoneDrug CombinationsEnzyme InhibitorsFemaleHospitalizationAnti-Inflammatory AgentsAntiviral AgentsColchicineDexamethasoneDrug CombinationsEnzyme InhibitorsHydroxychloroquineLopinavirlopinavir-ritonavir drug combinationRitonaviranti-inflammatory agents, non-steroidalantirheumatic agentscommunicable diseases, importedinflammationtherapeutics

Identifiers

PMID32732245
PMCPMC7509521
OpenAlexW3046179299

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.