Colchicine Randomized Double-Blind Controlled Crossover Study in Behcet's Disease

NCT ID: NCT00700297

Last Updated: 2008-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

169 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-08-31

Study Completion Date

2006-05-31

Brief Summary

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Colchicine was first used in Behcet's Disease (BD), in 1977. There are controversial reports of the efficacy of Colchicine in BD. For some experts the unresponsiveness of some patients could be explained by genetic difference between the Silk Road BD and sporadic BD from other parts of the world.

To test this hypothesis (the inefficacy of colchicine in the Silk Road BD), we designed a randomized double-blind controlled crossover study in Iran, which is in the middle of the Silk Road, and has the second highest prevalence of BD in the world.

Detailed Description

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Patients: They were selected as consecutive patients.

The entry criteria was: age between 14 and 60 years, confirmed diagnosis of Behcet's Disease, absence of major organ involvement (eye, brain, lung, and cardio-vascular involvement), having at least one active symptom, and no treatment for at least one month. Patients were explained the study design and they gave a signed written consent. During the two phases of study, if a major organ involvement appeared, the patient was moved out of the study. All patients fulfilled the new International Criteria for Behcet's Disease.

Method: patients were randomized at the study entry to take either colchicine or placebo. At 4 months, they were crossed over. Those who were taking colchicine went on placebo and those on placebo went on colchicine. Each patient tried therefore, both colchicine and placebo. The primary outcome was the effect of colchicine on the disease activity index, the IBDDAM (16-17). To calculate the overall IBDDAM of the baseline, the IBDDAM of the last 12 months (prior to the study) of each manifestation was calculated and added together. The overall disease activity index was then divided to the number of months (12 months) to have the mean activity index per month. IBDDAM was then measured every 2 months (in the middle and at the end, in each arm of the study). The total IBBDAM of the 4 months was then divided by 4 to have the mean activity index per month. The secondary outcome was to see how the individual symptoms responded to colchicine (IBDDAM of each manifestation).

Statistical analysis: The analysis was done by the intention to treat method. As the difference between IBDDAM before and after treatment had normal distribution Student T test for paired samples were used to evaluate the outcome in the colchicine and the placebo group. As the Levene's test showed the homogeneity of variance, ANOVA (one way) was used to test the effect of treatment (colchicine and placebo) and gender on patients' outcome. The dependent variable was the difference between IBDDAM (before and after the treatment). The independent variables were the treatment, and the gender. SPSS 15 was used for all statistical calculations.

Conditions

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Behcet's Syndrome

Keywords

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Oral aphthosis Genital aphthosis Psuedofolliculitis Erythem nodusom Joint manifestations Colchicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Colchicine

Patients who received Colchicine and went on placebo after 4 months

Group Type ACTIVE_COMPARATOR

Colchicine

Intervention Type DRUG

100 mg Colchicine per day for 4 months

Placebo

Patients who received placebo and went on Colchicine after 4 months

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

One tablet placebo per day for 4 months

Interventions

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Colchicine

100 mg Colchicine per day for 4 months

Intervention Type DRUG

Placebo

One tablet placebo per day for 4 months

Intervention Type DRUG

Other Intervention Names

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Modacine

Eligibility Criteria

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Inclusion Criteria

* Patient's who fulfilled the International Criteria for Behcet's Disease.

Exclusion Criteria

* major organ involvement
* Hypersensitivity reaction
Minimum Eligible Age

14 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Rheumatology Research Center, Tehran University for Medical Sciences

Principal Investigators

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Fereydoun Davatchi, Professor

Role: STUDY_CHAIR

Rheumatology Research Center, Tehran University for Medical Sciences

Bahar Sadeghi, MD

Role: PRINCIPAL_INVESTIGATOR

Rheumatology research Center, Tehran University for Medical Sciences

Arash Tehrani Banihashemi, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Rheumatology Research Center, Tehran University for Mrdical Sciences

Farhad Shahram, Professor

Role: PRINCIPAL_INVESTIGATOR

Rheumatology Research Center, Tehran University for Medical Sciences

Locations

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Rheumatology research Center, Tehran UMS

Tehran, Tehran Province, Iran

Site Status

Countries

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Iran

References

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Davatchi F, Shams H, Rezaipoor M, Sadeghi-Abdollahi B, Shahram F, Nadji A, Chams-Davatchi C, Akhlaghi M, Faezi T, Naderi N. Rituximab in intractable ocular lesions of Behcet's disease; randomized single-blind control study (pilot study). Int J Rheum Dis. 2010 Aug;13(3):246-52. doi: 10.1111/j.1756-185X.2010.01546.x.

Reference Type DERIVED
PMID: 20704622 (View on PubMed)

Davatchi F, Sadeghi Abdollahi B, Tehrani Banihashemi A, Shahram F, Nadji A, Shams H, Chams-Davatchi C. Colchicine versus placebo in Behcet's disease: randomized, double-blind, controlled crossover trial. Mod Rheumatol. 2009;19(5):542-9. doi: 10.1007/s10165-009-0200-2. Epub 2009 Jul 14.

Reference Type DERIVED
PMID: 19597921 (View on PubMed)

Other Identifiers

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rrc-23

Identifier Type: -

Identifier Source: org_study_id