Trial Outcomes & Findings for Inflammatory Pathogenesis of Coronary Atherosclerosis in HIV (NCT NCT02624180)

NCT ID: NCT02624180

Last Updated: 2021-10-21

Results Overview

Percent change in coronary blood flow (CBF) from rest to that during isometric handgrip exercise (IHE) stress at 8 weeks.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

81 participants

Primary outcome timeframe

Difference between measurements at baseline compared to measurement at 8 weeks

Results posted on

2021-10-21

Participant Flow

Two participants randomized to colchicine withdrew before receiving study drug.

Participant milestones

Participant milestones
Measure
Colchicine
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Overall Study
STARTED
43
38
Overall Study
COMPLETED
37
34
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Inflammatory Pathogenesis of Coronary Atherosclerosis in HIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Colchicine
n=43 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=38 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Total
n=81 Participants
Total of all reporting groups
Age, Continuous
54.66 Years
n=5 Participants
52.0 Years
n=7 Participants
54.25 Years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
34 Participants
n=5 Participants
30 Participants
n=7 Participants
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
41 Participants
n=5 Participants
37 Participants
n=7 Participants
78 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
33 Participants
n=5 Participants
26 Participants
n=7 Participants
59 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Difference between measurements at baseline compared to measurement at 8 weeks

Percent change in coronary blood flow (CBF) from rest to that during isometric handgrip exercise (IHE) stress at 8 weeks.

Outcome measures

Outcome measures
Measure
Colchicine
n=37 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=34 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Coronary Endothelial Function Measured by Percent Change in Coronary Blood Flow With Exercise (%) at 8 Weeks
8.1 Percent change from rest measurement
Standard Deviation 4.4
13.4 Percent change from rest measurement
Standard Deviation 4.0

SECONDARY outcome

Timeframe: At 24 weeks.

Change in coronary blood flow (CBF) from rest to that during isometric handgrip exercise (IHE) stress at 24 weeks.

Outcome measures

Outcome measures
Measure
Colchicine
n=34 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=32 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Coronary Endothelial Function at 24 Weeks;
-1.27 Percent change from rest measurement
Interval -11.56 to 20.35
16.60 Percent change from rest measurement
Interval -2.04 to 29.66

SECONDARY outcome

Timeframe: Difference between measurements at baseline compared to measurement at 8 weeks

Change in CSA as measured by the difference between CSA at rest and under IHE stress at 8 weeks

Outcome measures

Outcome measures
Measure
Colchicine
n=37 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=34 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Change in Coronary Artery Cross-sectional Area (CSA) at 8 Weeks
-0.10 Percent change from baseline measurement
Interval -5.75 to 3.99
1.53 Percent change from baseline measurement
Interval -3.76 to 6.63

SECONDARY outcome

Timeframe: At 24 weeks

Change in CSA as measured by the difference between CSA at rest and under IHE stress at 24 weeks

Outcome measures

Outcome measures
Measure
Colchicine
n=34 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=33 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Change in Coronary Artery Cross-sectional Area (CSA) at 24 Weeks
-0.96 Percent change from rest measurement
Interval -5.86 to 6.61
5.04 Percent change from rest measurement
Interval -1.6 to 13.37

SECONDARY outcome

Timeframe: At 8 weeks.

High-sensitivity C-reactive protein (hsCRP) at 8 weeks

Outcome measures

Outcome measures
Measure
Colchicine
n=37 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=34 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
High-sensitivity C-reactive Protein (hsCRP) at 8 Weeks.
1.65 mg/l
Interval 0.77 to 4.67
1.26 mg/l
Interval 0.86 to 2.68

SECONDARY outcome

Timeframe: At 8 weeks

Brachial flow mediated dilatation (FMD) at 8 weeks.

Outcome measures

Outcome measures
Measure
Colchicine
n=37 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=34 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Brachial Flow Mediated Dilatation (FMD) at 8 Weeks.
4.26 % brachial artery dilation
Interval 1.76 to 6.17
4.12 % brachial artery dilation
Interval 2.09 to 6.16

SECONDARY outcome

Timeframe: At 8 weeks

Interleukin-6 (IL-6) at 8 weeks

Outcome measures

Outcome measures
Measure
Colchicine
n=37 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=34 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Interleukin-6 (IL-6) at 8 Weeks
0.53 pg/ml
Interval 0.43 to 0.81
0.64 pg/ml
Interval 0.42 to 0.85

SECONDARY outcome

Timeframe: At 24 weeks

High-sensitivity C-reactive Protein (hsCRP) at 24 weeks

Outcome measures

Outcome measures
Measure
Colchicine
n=35 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=32 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
High-sensitivity C-reactive Protein (hsCRP) at 24 Weeks
1.00 mg/l
Interval 0.5 to 3.2
1.30 mg/l
Interval 0.8 to 2.2

SECONDARY outcome

Timeframe: At 24 weeks

Brachial Flow Mediated Dilatation (FMD) at 24 Weeks.

Outcome measures

Outcome measures
Measure
Colchicine
n=30 Participants
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=30 Participants
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Brachial Flow Mediated Dilatation (FMD) at 24 Weeks.
3.82 % brachial artery dilation
Interval 2.25 to 7.25
3.46 % brachial artery dilation
Interval 1.41 to 8.29

Adverse Events

Colchicine

Serious events: 0 serious events
Other events: 39 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Colchicine
n=41 participants at risk
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=38 participants at risk
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Renal and urinary disorders
Hospitalization
0.00%
0/41 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
2.6%
1/38 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Surgical and medical procedures
Hospitalization
0.00%
0/41 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
2.6%
1/38 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.

Other adverse events

Other adverse events
Measure
Colchicine
n=41 participants at risk
Colchicine 0.6 mg daily by mouth Colchicine: Administered to determine the effect of anti-inflammatory agents on coronary and systemic endothelial function in patients with coronary artery disease.
Placebo
n=38 participants at risk
Placebo for colchicine 1 tablet by mouth daily Placebo: A substance containing no medication
Infections and infestations
Infection
22.0%
9/41 • Number of events 9 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
50.0%
19/38 • Number of events 19 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Gastrointestinal disorders
Gastrointestinal disorder
29.3%
12/41 • Number of events 12 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
23.7%
9/38 • Number of events 9 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Musculoskeletal and connective tissue disorders
Joint/Muscle Soreness/Stiffness
19.5%
8/41 • Number of events 8 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
23.7%
9/38 • Number of events 9 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Musculoskeletal and connective tissue disorders
Fatigue
2.4%
1/41 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
2.6%
1/38 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
General disorders
Extremity swelling
0.00%
0/41 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
2.6%
1/38 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
General disorders
Dental pain/infection
0.00%
0/41 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
7.9%
3/38 • Number of events 3 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Skin and subcutaneous tissue disorders
Skin Irritation
4.9%
2/41 • Number of events 2 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
13.2%
5/38 • Number of events 5 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Eye disorders
Vision
2.4%
1/41 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
0.00%
0/38 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Injury, poisoning and procedural complications
Physical Injury
2.4%
1/41 • Number of events 1 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
7.9%
3/38 • Number of events 3 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Hepatobiliary disorders
Increased Aspartate Amino Trans
17.1%
7/41 • Number of events 7 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
15.8%
6/38 • Number of events 6 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Hepatobiliary disorders
Increased Alanine Amino Trans
17.1%
7/41 • Number of events 7 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
13.2%
5/38 • Number of events 5 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Blood and lymphatic system disorders
Decreased White Blood Cell
17.1%
7/41 • Number of events 7 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
10.5%
4/38 • Number of events 4 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Blood and lymphatic system disorders
Decreased Hematocrit
24.4%
10/41 • Number of events 10 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
21.1%
8/38 • Number of events 8 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
Renal and urinary disorders
Decreased Estimated GFR
24.4%
10/41 • Number of events 10 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.
18.4%
7/38 • Number of events 7 • Adverse event data were collected over study enrollment (up to 24 weeks after randomization to study drug)
Two participants randomized to colchicine withdrew before receiving study drug so number of participants at risk listed here as 41.

Additional Information

Robert G. Weiss, MD

Johns Hopkins Hospital

Phone: 410-955-1703

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place