国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

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

第一作者:Yongjun Wang

通讯作者:Yongjun Wang

CHANCE-3 trial

基本信息

  • 负责人:Yongjun Wang
  • 数据来源: OTHERS
  • 论文编号:OTHERS20230088
  • 发表时间:2023-04-15

2023-04-15

已发表文章

发表杂志:International Journal of Stroke

发表类型: Protocol

影响因子(IF): 6.948

PMID: 37060288 Pubmed原文链接 全文下载

主要研究背景及目的

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

方法

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 TIA (ABCD2 score ≥ 4) and a hsCRP level of ≥2mg/L will be randomly assigned within 24 hours 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.

结论

The CHANCE-3 trial will evaluate the efficacy and safety of colchicine for secondary prevention after stroke and TIA.

主要结果

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.