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Trial registered on ANZCTR
Registration number
ACTRN12619001231134
Ethics application status
Approved
Date submitted
20/08/2019
Date registered
6/09/2019
Date last updated
6/09/2019
Date data sharing statement initially provided
6/09/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of Colchicine on the release of Neutrophil Extra-cellular Traps after Percutaneous Coronary Intervention in Acute Coronary Syndrome Patients..
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Scientific title
The effect of Colchicine on the release of Neutrophil Extra-cellular Traps after Percutaneous Coronary Intervention in Acute Coronary Syndrome Patients..
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Secondary ID [1]
299075
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute coronary syndrome
314104
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Stable Angina Pectoris
314105
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Condition category
Condition code
Cardiovascular
312480
312480
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0
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Coronary heart disease
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Inflammatory and Immune System
312481
312481
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All colchicine administered was administered 6 to 24 hours prior to coronary angiography. This is due to uncertainty in waiting time for the angiogram depending on the angiogram list. Within this 6-24 hour window, the treatment group received TWO doses of colchicine. The first dose was a 1 mg oral tablet. After receiving this first dose, the second dose was a 0.5 mg oral tablet given 1 hour later. Hence all treatment group patients received 1.5mg of colchicine in total.
Colchicine was administered in alternating fashion, with every other patient receiving no colchicine.
All patients underwent coronary angiogram.
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Intervention code [1]
315342
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Treatment: Drugs
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Comparator / control treatment
Control patient's were given no colchicine. There was no placebo pill.
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Control group
Active
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Outcomes
Primary outcome [1]
321122
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Coronary Sinus Neutrophil Extracellular Traps (NETs) Area Under the Curve (AUC) measured using serum assays.
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Assessment method [1]
321122
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Timepoint [1]
321122
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Calculated from five 45-second intervals peri-procedure.
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Primary outcome [2]
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Coronary Sinus Human Neutrophil Elastase (HNE) AUC measured using serum assays.
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Assessment method [2]
321123
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Timepoint [2]
321123
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Calculated from five 45-second intervals peri-procedure.
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Primary outcome [3]
321124
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Coronary Sinus Myeloperoxidase (MPO) AUC measured using serum assays.
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Assessment method [3]
321124
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Timepoint [3]
321124
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Calculated from five 45-second intervals peri-procedure.
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Secondary outcome [1]
374055
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Change in peripheral NETs level measured using serum assays.
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Assessment method [1]
374055
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Timepoint [1]
374055
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Within 24 hours (difference pre-and post procedure).
Pre-procedure is immediately before stent deployment
Post-procedure is 3 minutes post stent deployment
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Secondary outcome [2]
374056
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Change in peripheral HNE level measured using serum assays.
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Assessment method [2]
374056
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Timepoint [2]
374056
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Within 24 hours (difference pre-and post procedure).
Pre-procedure is immediately before stent deployment
Post-procedure is 3 minutes post stent deployment
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Secondary outcome [3]
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Change in peripheral MPO level measured using serum assays.
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Assessment method [3]
374057
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Timepoint [3]
374057
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Within 24 hours (difference pre-and post procedure).
Pre-procedure is immediately before stent deployment
Post-procedure is 3 minutes post stent deployment
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Secondary outcome [4]
374058
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Change in peripheral high-sensitivity Troponin-T level measured using serum assays.
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Assessment method [4]
374058
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Timepoint [4]
374058
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Within 24 hours (difference pre-and post procedure).
Pre-procedure is immediately before stent deployment
Post-procedure is 3 minutes post stent deployment
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Eligibility
Key inclusion criteria
Patients with clinical indication for coronary angiogram and percutaneous coronary intervention.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Patients with >50% Left main artery stenosis
- Patients with cardiogenic shock
- Patients with haemodynamic instability
- Patients currently lactating
- Patients with known colchicine hypersensitivity
- Patients already taking colchicine before the procedure.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
22/01/2016
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Date of last participant enrolment
Anticipated
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Actual
7/04/2017
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Date of last data collection
Anticipated
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Actual
7/04/2017
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
14601
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
27621
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
303609
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Charities/Societies/Foundations
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Name [1]
303609
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Ramaciotti Health Investment Grant
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Address [1]
303609
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GPO Box 4171, Sydney NSW 2001
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Country [1]
303609
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Australia
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Primary sponsor type
Individual
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Name
Sanjay Patel
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Address
Department of Cardiology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
303700
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None
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Name [1]
303700
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None
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Address [1]
303700
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None
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Country [1]
303700
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304137
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Sydney Local Health District Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
304137
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Level 11, KGV Building Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
304137
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Australia
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Date submitted for ethics approval [1]
304137
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Approval date [1]
304137
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09/08/2013
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Ethics approval number [1]
304137
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X12-0241 HREC/12/RPAH/377
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Summary
Brief summary
Percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS) patients is associated with a higher incidence of peri-procedural myocardial infarction. An increased release of neutrophil-derived inflammatory products is known to contribute to this process. Colchicine is a well-established anti-inflammatory drug, however its role in attenuating post-PCI release of activated neutrophil-mediators is not well known. This pilot study aims to investigate whether peri-procedural colchicine would suppress local release of Neutrophil Extracellular Traps, and its components Human Neutrophil Elastase and Myeloperoxidases, in both ACS and stable angina pectoris patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
95934
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Dr Kaivan Vaidya
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Address
95934
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Department of Cardiology,
Royal Prince Alfred Hospital
Missenden Road, Camperdown
NSW 2050
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Country
95934
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Australia
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Phone
95934
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+61295156111
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Fax
95934
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Email
95934
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[email protected]
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Contact person for public queries
Name
95935
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Kaivan Vaidya
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Address
95935
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Department of Cardiology,
Royal Prince Alfred Hospital
Missenden Road, Camperdown
NSW 2050
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Country
95935
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Australia
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Phone
95935
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+61295156111
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Fax
95935
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Email
95935
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[email protected]
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Contact person for scientific queries
Name
95936
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Kaivan Vaidya
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Address
95936
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Department of Cardiology,
Royal Prince Alfred Hospital
Missenden Road, Camperdown
NSW 2050
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Country
95936
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Australia
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Phone
95936
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+61295156111
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Fax
95936
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Email
95936
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Colchicine inhibits neutrophil extracellular trap formation in patients with acute coronary syndrome after percutaneous coronary intervention.
2021
https://dx.doi.org/10.1161/JAHA.120.018993
N.B. These documents automatically identified may not have been verified by the study sponsor.
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