NCT03575572

Brief Summary

The investigators found that there is inflammation in the chest drainage in patients after the Fontan operation. The investigators want to test the theory that Colchicine, an anti- inflammatory medication, can decrease the inflammation in the chest tube drainage after the Fontan operation, and can decrease the amount of time that patients having this surgery will have drainage.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
11

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Aug 2018

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 18, 2018

Completed
14 days until next milestone

First Posted

Study publicly available on registry

July 2, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

August 29, 2018

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 13, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 13, 2021

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

May 9, 2022

Completed
Last Updated

May 9, 2022

Status Verified

April 1, 2022

Enrollment Period

2.4 years

First QC Date

June 18, 2018

Results QC Date

February 28, 2022

Last Update Submit

April 12, 2022

Conditions

Keywords

FontanColchicineheart surgery

Outcome Measures

Primary Outcomes (2)

  • Change in Cytokine Total Mass in Pleural Fluid From Patients Treated With Colchicine

    Cytokine total mass measured by the Bio-rad Bio-Plex ProHuman Cytokine 17-plex Assay.

    Postoperative day 1 ; day most distal from surgery, approximately 7 days after surgery

  • Difference in Change of Cytokine Concentrations in Pleural Fluid Patients Treated With Colchicine Compared to Historical Controls

    Difference is shown via two columns of separate data, but given that enrollment didn't meet target before termination statistical analysis was not done for this measure

    Postoperative day 1 ; day most distal from surgery, approximately 7 days after surgery

Secondary Outcomes (6)

  • Cytokine Total Mass as Measured in Postoperative Fontan Patients Treated Empirically With Colchicine

    Postoperative days 1, 2, 3, 4, 7

  • Difference in Cytokine Total Mass, as Measured in Postoperative Fontan Patients Treated Empirically With Colchicine in Comparison to a Cohort of Postoperative Fontan Patients

    Postoperative days 1, 2, 3, 4, 7, 10

  • Duration of Pleural Drainage as Measured in Postoperative Fontan Patients Treated Empirically With Colchicine

    Date of chest tube drainage discontinuation, approximately 11 days after surgery

  • Difference of Duration of Pleural Drainage of Two Groups, in Empiric Treatment With Colchicine Compared to a Cohort of Fontan Patients Not Treated With Colchicine

    Date of chest tube drainage discontinuation, approximately 11 days after surgery

  • Hospital Length of Stay as Measured in Postoperative Fontan Patients Treated Empirically With Colchicine

    Hospital discharge at study completion, approximately 2 weeks after surgery

  • +1 more secondary outcomes

Study Arms (1)

Colchicine

EXPERIMENTAL

Colchicine will be given at 0.6 mg once daily for the duration of chest tube output plus 24 hours after chest tube removal with a maximum of 4 weeks duration.

Drug: Colchicine

Interventions

Colchicine is an alkaloid approved in 1961 for the use in Familial Mediterranean Fever in adults and children 4 years of age or older. It has been widely used for decades in other indications, such as Gout, recurrent pericarditis, pericardial effusions and other inflammatory diseases. This drug is commercially available and is approved in children 4 years and older.

Colchicine

Eligibility Criteria

Age20 Months - 5 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Ages 20 months to 5 years and 364 days are eligible
  • Diagnosed with single ventricle heart disease requiring Fontan palliation
  • Undergoing Fontan palliation at the University of Michigan Congenital Heart Center
  • Ability to take oral or enteral medication

You may not qualify if:

  • Treatment with another investigational drug within 3 months
  • Pre-existing myelosuppression or decreased bone marrow activity.
  • Current or recent treatment with certain drugs
  • Renal or hepatic impairment deemed by the study team
  • Conditions and/or post-operative complications that would increase risk to the patient such as mechanical support (ECMO) or issues in the intensive care unit (ICU)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Related Publications (1)

  • Goldstein SA, Nolan K, Marchetti K, Stoscup JK, Clewis H, Jarvis K, Halligan NLN, Dahmer MK, Schumacher KR, Rocchini A. Colchicine in post-operative Fontan patients. Cardiol Young. 2023 Jun;33(6):910-916. doi: 10.1017/S104795112200186X. Epub 2022 Jun 20.

MeSH Terms

Conditions

Univentricular HeartHeart Diseases

Interventions

Colchicine

Condition Hierarchy (Ancestors)

Heart Defects, CongenitalCardiovascular AbnormalitiesCardiovascular DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

AlkaloidsHeterocyclic Compounds

Results Point of Contact

Title
Stephanie Goldstein
Organization
University of Utah

Study Officials

  • Stephanie Goldstein, MD

    University of Michigan

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
House Officer, Pediatric Cardiology and House Officer, Pediatric Critical Care (during active trial status)

Study Record Dates

First Submitted

June 18, 2018

First Posted

July 2, 2018

Study Start

August 29, 2018

Primary Completion

January 13, 2021

Study Completion

January 13, 2021

Last Updated

May 9, 2022

Results First Posted

May 9, 2022

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations