Colchicine in High-risk Patients with Acute Minor-to-moderate Ischemic Stroke or Transient Ischemic Attack (CHANCE-3) : Rationale and design of a multicenter randomized placebo-controlled trial

BACKGROUND: Anti-inflammatory therapy using colchicine has reduced recurrent vascular events in patients with coronary heart disease.

DESIGN: Colchicine in High-risk Patients with Acute Minor-to-moderate Ischemic Stroke or Transient Ischemic Attack (CHANCE-3) is a randomized, double-blind, placebo-controlled multicenter trial, in which 8,238 patients with acute minor-to-moderate ischemic stroke (NIHSS ⩽ 5) or high-risk transient ischemic attack (TIA) (ABCD2 score ⩾4) and a high-sensitivity CRP (hsCRP) level of ⩾2 mg/L will be randomly assigned within 24 h of symptom onset to colchicine (1 mg daily on days 1-3, followed by 0.5 mg daily for a total of 90 days) or matching placebo, on a background of optimal medical therapy. The study will have 90% power to detect a 25% reduction in the primary efficacy outcome of any stroke within 3 months of randomization. Adverse events potentially related to the use of colchicine will also be analyzed. The primary analysis will be by intention to treat.

TRIAL REGISTRY NAME: Colchicine in High-risk Patients with Acute Minor-to-moderate Ischemic Stroke or Transient Ischemic Attack (CHANCE-3); URL: https://clinicaltrials.gov/ct2/show/NCT05439356?cond=CHANCE-3&draw=2&rank=1; Registration number: NCT05439356.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

International journal of stroke : official journal of the International Stroke Society - 18(2023), 7 vom: 15. Aug., Seite 873-878

Sprache:

Englisch

Beteiligte Personen:

Wang, Yongjun [VerfasserIn]
Li, Jiejie [VerfasserIn]
Johnston, S Claiborne [VerfasserIn]
Hankey, Graeme J [VerfasserIn]
Easton, J Donald [VerfasserIn]
Meng, Xia [VerfasserIn]
Shi, Fu-Dong [VerfasserIn]
Wang, Yilong [VerfasserIn]
Zhao, Xingquan [VerfasserIn]
Li, Zixiao [VerfasserIn]
Liu, Liping [VerfasserIn]
Gu, Hongqiu [VerfasserIn]
Jiang, Yong [VerfasserIn]
Wang, Anxin [VerfasserIn]
Pan, Yuesong [VerfasserIn]
Jing, Jing [VerfasserIn]
Niu, Siying [VerfasserIn]
Li, Hao [VerfasserIn]

Links:

Volltext

Themen:

A74586SNO7
Aspirin
Clopidogrel
Colchicine
Inflammation
Ischemic stroke
Journal Article
Multicenter Study
Platelet Aggregation Inhibitors
R16CO5Y76E
Randomized Controlled Trial
Randomized controlled trial
Research Support, Non-U.S. Gov't
SML2Y3J35T

Anmerkungen:

Date Completed 27.07.2023

Date Revised 27.07.2023

published: Print-Electronic

ClinicalTrials.gov: NCT05439356

Citation Status MEDLINE

doi:

10.1177/17474930231172312

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355644142