Hellenic Journal of Cardiology (Jan 2020)

The Greek study in the effects of colchicine in COvid-19 complications prevention (GRECCO-19 study): Rationale and study design

  • Spyridon G. Deftereos,
  • Gerasimos Siasos,
  • Georgios Giannopoulos,
  • Dimitrios A. Vrachatis,
  • Christos Angelidis,
  • Sotiria G. Giotaki,
  • Panagiotis Gargalianos,
  • Helen Giamarellou,
  • Charalampos Gogos,
  • Georgios Daikos,
  • Marios Lazanas,
  • Pagona Lagiou,
  • Georgios Saroglou,
  • Nikolaos Sipsas,
  • Sotirios Tsiodras,
  • Dimitrios Chatzigeorgiou,
  • Nikolaos Moussas,
  • Anastasia Kotanidou,
  • Nikolaos Koulouris,
  • Evangelos Oikonomou,
  • Andreas Kaoukis,
  • Charalampos Kossyvakis,
  • Konstantinos Raisakis,
  • Katerina Fountoulaki,
  • Mihalis Comis,
  • Dimitrios Tsiachris,
  • Eleni Sarri,
  • Andreas Theodorakis,
  • Luis Martinez-Dolz,
  • Jorge Sanz-Sánchez,
  • Bernhard Reimers,
  • Giulio G. Stefanini,
  • Michael Cleman,
  • Dimitrios Filippou,
  • Christoforos D. Olympios,
  • Vlasios N. Pyrgakis,
  • John Goudevenos,
  • George Hahalis,
  • Theofilos M. Kolettis,
  • Efstathios Iliodromitis,
  • Dimitrios Tousoulis,
  • Christodoulos Stefanadis

Journal volume & issue
Vol. 61, no. 1
pp. 42 – 45

Abstract

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Objective: Colchicine has been utilized safely in a variety of cardiovascular clinical conditions. Among its potential mechanisms of action is the non-selective inhibition of NLRP3 inflammasome which is thought to be a major pathophysiologic component in the clinical course of patients with COVID-19. GRECCO-19 will be a prospective, randomized, open-labeled, controlled study to assess the effects of colchicine in COVID-19 complications prevention. Methods: Patients with laboratory confirmed SARS-CoV-2 infection (under RT PCR) and clinical picture that involves temperature >37.5 oC and at least two out of the: i. sustained coughing, ii. sustained throat pain, iii. Anosmia and/or ageusia, iv. fatigue/tiredness, v. PaO2<95 mmHg will be included. Patients will be randomised (1:1) in colchicine or control group. Results: Trial results will be disseminated through peer-reviewed publications and conference presentations. Conclusion: GRECCO-19 trial aims to identify whether colchicine may positively intervene in the clinical course of COVID-19. (ClinicalTrials.gov Identifier: NCT04326790).

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