Colchicine's Efficacy in MI Patients: Comparing PCI and Non-Reperfusion Approaches

Launched by UNIVERSITY OF BRAWIJAYA · May 17, 2024

Keywords

ClinConnect Summary

This clinical trial, a prospective, focuses on patients with ST-Elevation Myocardial Infarction (STEMI) requiring Percutaneous Coronary Intervention (PCI) within 12 hours of onset. The study aims to control bias effectively through randomization, evenly distributing confounding factors across two groups. Patients, unknown to both researchers and themselves whether receiving Colchicine or a placebo, will undergo reperfusion therapy and optimal medicinal treatment according to the latest guidelines. The study population includes all STEMI patients in three cities in East Java (Jember, Malang,...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Men and women aged 18 years or older. Able and willing to provide informed consent. Presenting with clinical symptoms and supporting examinations indicative of a first-time diagnosis of IMA-EST.
• Eligible for treatment according to the IMA-STEMI guidelines, which may include:
• • Antiplatelet therapy Renin-angiotensin-aldosterone system inhibitors Beta-blockers
• Specifically, includes patients who have:
• • Undergone early PCI. Not received reperfusion therapy. Female patients must commit to avoiding pregnancy during the study. Willing to participate in follow-up via face-to-face or telephone contact.
• Exclusion Criteria:
• • Presence of concurrent diseases such as infections, inflammation, or malignancy.
• • Diagnosed with gastrointestinal disorders including Crohn's disease, ulcerative colitis, or exhibiting chronic diarrhea.
• Recent abnormal laboratory results (within the last 30 days) including:
• • Hemoglobin below 11.5 g/L Leukocytes below 3.0 x 10\^9/L Platelets below 110 x 10\^9/L ALT more than three times the upper limit of normal Total bilirubin more than twice the upper limit of normal Creatinine more than twice the upper limit of normal History of liver cirrhosis, acute hepatitis exacerbation, or severe liver disease.
• • Currently pregnant, breastfeeding, or planning to become pregnant during the study.
• • History of alcohol abuse. Receiving long-term steroid therapy or using colchicine for other indications. History of hypersensitivity to colchicine. Severe renal failure (eGFR below 30). History of cardiac arrest, ventricular fibrillation, cardiogenic shock, or hemodynamic instability.
• • Unwilling or unable to provide informed consent.

Trial Officials