Colchicine in Atrial Fibrillation to Prevent Stroke
CIAFS-1
Targeting Inflammation in Atrial Fibrillation to Prevent Ischemic Stroke: A Feasibility Study Evaluating the Effect of Colchicine on D-dimer and Hs-CRP in Anticoagulated Patients With Atrial Fibrillation
1 other identifier
interventional
80
1 country
1
Brief Summary
The purpose of this study is to determine the feasibility of performing a randomized controlled trial to investigate the efficacy of an anti-inflammatory drug, colchicine, at reducing well validated markers of thrombosis (D-dimer) and inflammation (hs-CRP).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3 atrial-fibrillation
Started Nov 2014
Longer than P75 for phase_3 atrial-fibrillation
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 29, 2014
CompletedStudy Start
First participant enrolled
November 1, 2014
CompletedFirst Posted
Study publicly available on registry
November 4, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 17, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 17, 2020
CompletedFebruary 23, 2021
February 1, 2021
6 years
October 29, 2014
February 19, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Recruitment rates
Number of eligible patients successfully randomized into study per year of study.
Randomization to Month 3
Drop-out rates
Proportion of participants withdrawing from study for any reason
Randomization to Month 3
Secondary Outcomes (4)
D-dimer
Randomization to Month 3
hs-CRP
Randomization to Month 3
Proportion of patients with a clinically significant adverse event
Randomization to Month 3
Drug adherence
Randomization to Month 3
Study Arms (2)
Active Colchicine
EXPERIMENTALThe intervention group will receive colchicine 0.6 mg twice daily orally for 3 months
Placebo Colchicine
PLACEBO COMPARATORThe control group will receive colchicine placebo 0.6mg twice daily orally for 3 months.
Interventions
Eligibility Criteria
You may qualify if:
- Patients with atrial fibrillation who has been receiving chronic anticoagulation for at least 3 months.
You may not qualify if:
- Contraindications to colchicine such as allergy/hypersensitivity,
- Receiving colchicine or other anti-inflammatory drugs (such as corticosteroids, methotrexate, anti-neoplastic, Interleukin 1-1b antagonist, Tumor necrosis factor-alpha inhibitor),
- Receiving food or co-medications such as strong-moderate cytochrome P450 3A4 inhibitors that will result in elevated plasma level of colchicine,
- Inflammatory disorders (SLE, Rheumatoid arthritis, connective tissue disorder) or chronic infection,
- Severe renal (eGFR\< 30ml/min/1.73m2), or liver failure or liver aminotransferase (ALT/AST \> 2x Upper limit of normal),
- Moderate or severe cytopenias (platelet \< 100, neutrophil count \< 1.5) or existing blood dyscrasia (e.g., myelodysplasia)
- Pregnant or lactating woman or woman of child bearing age no protected by reliable contraception.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Noel Chan, MD
Population Health Research Institute
- PRINCIPAL INVESTIGATOR
John Eikelboom, MD
Population Health Research Institute
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PI
Study Record Dates
First Submitted
October 29, 2014
First Posted
November 4, 2014
Study Start
November 1, 2014
Primary Completion
November 17, 2020
Study Completion
November 17, 2020
Last Updated
February 23, 2021
Record last verified: 2021-02