Evidence map›Paper›PMID 38863076›Full record

ArticleTrials2024

Colchicine to reduce coronavirus disease-19-related inflammation and cardiovascular complications in high-risk patients post-acute infection with SARS-COV-2-a study protocol for a randomized controlled trial.

Shani S Thankachen, Niveditha Devasenapathy, Abhinav Bassi, Arpita Ghosh, Sumaiya Arfin, Balaji Gummidi, Aneesh Basheer, Ashfak Bangi, Dibakar Sahu, Ashish Bhalla and 3 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Shani S ThankachenThe George Institute for Global Health India, UNSW, New Delhi, India.
Niveditha DevasenapathyThe George Institute for Global Health India, UNSW, New Delhi, India.
Abhinav BassiThe George Institute for Global Health India, UNSW, New Delhi, India.
Arpita GhoshThe George Institute for Global Health India, UNSW, New Delhi, India.
Sumaiya ArfinThe George Institute for Global Health India, UNSW, New Delhi, India.
Balaji GummidiThe George Institute for Global Health India, UNSW, New Delhi, India.
Aneesh BasheerDepartment of General Medicine, Dr. Moopen's Medical College, Wayanad, India.
Ashfak BangiDepartment of General Medicine, Jivenrekha Multispeciality Hospital, Pune, India.
Dibakar SahuDepartment of Pulmonary Medicine, Sleep and Critical Care, All India Institute of Medical Science, Raipur, India.
Ashish BhallaDepartment of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Merlin BlessonDepartment of General Medicine, Amrita Institute of Medical Science, Kochi, India.
Manish JainDepartment of Pulmonary Medicine, Maharaja Agrasen Hospital, Jaipur, India.
Vivekanand JhaThe George Institute for Global Health India, UNSW, New Delhi, India. v.jha@imperial.ac.uk.ORCID http://orcid.org/0000-0002-8015-9470

Funding

Indian Council of Medical Research ECD/CSTPU/Adhoc/COVID-19/13/2021-22
6 · The paper itself

Abstract

backgroundThere is no known effective pharmacological therapy for long COVID, which is characterized by wide-ranging, multisystemic, fluctuating, or relapsing symptoms in a large proportion of survivors of acute COVID. This randomized controlled trial aims to assess the safety and efficacy of an anti-inflammatory agent colchicine, to reduce symptoms among those at high risk of developing long COVID.

methodsThis multi-centre, parallel arm, 1:1 individual randomized, placebo-controlled, double-blind superiority trial will enrol 350 individuals with persistent post-COVID symptoms. Participants will be randomized to either colchicine 0.5 mg once daily (< 70 kg) or twice daily (≥ 70 kg) or matched placebo for 26 weeks and will be followed up until 52 weeks after randomization. The primary trial objective is to demonstrate the superiority of colchicine over a placebo in improving distance walked in 6 min at 52 weeks from baseline. The secondary objectives are to assess the efficacy of colchicine compared to placebo with respect to lung function, inflammatory markers, constitutional symptoms, and mental health state. In a sub-sample of 100 participants, cardiac biomarkers of myocardial injury and myocardial oedema using MRI will be compared. DISCUSSION: Persistent inflammatory response following SARS-CoV-19 is one of the postulated pathophysiological mechanisms of long COVID. Colchicine, a low-cost anti-inflammatory agent, acts via multiple inflammatory pathways and has an established safety profile. This trial will generate evidence for an important health priority that can rapidly translate into practice.

trial registrationThis clinical trial has been registered prospectively on www. CLINICALTRIALS: gov with registration CTRI/2021/11/038234 dated November 24, 2021.

Indexed as

ColchicineCOVID-19COVID-19 Drug TreatmentAdultAnti-Inflammatory AgentsCardiovascular DiseasesDouble-Blind MethodEquivalence Trials as TopicHumansInflammationMulticenter Studies as TopicPost-Acute COVID-19 SyndromeRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeAnti-Inflammatory AgentsColchicineColchicineInflammationLong COVIDLung functionRandomized controlled trial

Identifiers

PMID38863076
PMCPMC11167886

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Registered trials

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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.