Viewing Study NCT03745664



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Last Modification Date: 2024-10-26 @ 12:58 PM
Study NCT ID: NCT03745664
Status: UNKNOWN
Last Update Posted: 2021-09-30
First Post: 2018-11-14

Brief Title: Corticosteroids and Myocardial Injury in CAP COLOSSEUM TRIAL
Sponsor: University of Roma La Sapienza
Organization: University of Roma La Sapienza

Study Overview

Official Title: Effect of Corticosteroids On MyocardiaL Injury Among Patients Hospitalized for Community-AcquirEd PneUMonia - COLOSSEUM TRIAL
Status: UNKNOWN
Status Verified Date: 2021-09
Last Known Status: RECRUITING
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: COLOSSEUM
Brief Summary: Community-acquired pneumonia CAP is often complicated by elevation of cardiac troponin a marker of myocardial injury that can be isolated or associated to myocardial infarction MI A retrospective study showed that corticosteroid treatment lowers incidence of MI during the hospital-stay

The aim of this clinical trial is to examine whether in-hospital treatment with iv methylprednisolone 20 mg bid may reduce myocardial injury as assessed by serum high-sensitivity cardiac T Troponin and eventually cardiovascular events during a short- and long-term follow-up in patients hospitalized CAP
Detailed Description: Background Community-acquired pneumonia CAP is often complicated by elevation of cardiac troponin a marker of myocardial injury that can be isolated or associated to myocardial infarction MI A retrospective study showed that corticosteroid treatment lowers incidence of MI during the hospital-stay No data exist so far on the effect of corticosteroids on myocardial injury in CAP patients

Study design Double-blind randomized placebo-controlled trial One hundred twenty-two eligible patients will be randomized to a week treatment with iv methylprednisolone 20 mg bid or placebo from hospital admission Serum hs-cTnT will be measured at admission and every day until up 3 days from admission ECG will be monitored every day until discharge After dismission all patients will be followed-up 2 years

Aims of the study Primary objective of the study is to evaluate if methylprednisolone is able to reduce myocardial injury as assessed by serum high-sensitivity cardiac T Troponin hs-cTnT in a cohort of patients hospitalized for CAP

Secondary aims are to evaluate the potential effect of methylprednisolone on cardiovascular events during hospitalization at 30 day from hospital admission and during 2 years follow-up The trial will also examine whether the potential protective effects of methylprednisolone might be due to platelet activation down-regulation

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: False
Is an FDA AA801 Violation?: None