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Trial · NCT04756128

Impact of Colchicine and Low-dose Naltrexone on COVID-19

NCT04756128, Phase 2, Completed, HealthPartners Institute; results first posted 2023-07-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Impact of Colchicine and Low-dose Naltrexone on COVID-19. Trials, record NCT04756128. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04756128

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Impact of Colchicine and Low-dose Naltrexone on COVID-19
NCT number
NCT04756128
Status
Completed
Phases
Phase 2
Enrollment
142 participants, actual
Lead sponsor
HealthPartners Institute
Conditions
Covid19
Interventions
Colchicine 0.6 mg, Naltrexone
First posted
2021-02-16
Last updated
2023-07-25
Results first posted
2023-07-25
Limitations and caveats
Limitations include use of a SOC control in place of placebo given the limited time and resources during the COVID-19 surge. Incidence of disease recovery for both study drugs could be impacted by the rapidly improving standard of care for treating patients as the study progressed (remdesivir, glucocorticoids, and tocilizumab).

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIn Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Assessed from time of hospitalization until (1) 5 days after enrollment, while still hospitalized (or until discharge, which may be less than 5 days)
Disease recovery from moderate COVID-19 was defined as achieving a clinical scale score of 1 (indicating the patient no longer required hospital-level care for COVID-19. Attainment of a score of 1 by study day 5 was chosen based on initial experience treating COVID-19 within this specific health system-patients with similar disease severity were typically hospitalized for 6-7 days, and time from admission to enrollment in preceding COVID-19 studies was generally 1-2 days.
SecondaryTotal Duration of HospitalizationAssessed from time of hospitalization until discharge, calculated after patient completes hospital stay - approximately 7 days on averageStudy team will investigate the effects of colchicine and LDN, alone or in combination, on total amount of time (in days) patient spent in hospital from admission to discharge
SecondaryTotal Duration of Hospitalization (From First Dose of Study Drug to Discharge)Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)
Study team will investigate the effects of colchicine and LDN, alone or in combination, on total amount of time (in days) patient spent in hospital from first dose of any study medication (or when first dose would be given for standard of care arm) to hospital discharge (or when ready for discharge but remains hospitalized for non-medical reasons \[e.g. transitional care unit placement delays\])
SecondaryIn Patients Hospitalized With Moderate COVID-19, Subjects Who Required RemdesivirAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring remdesivir
SecondaryThe Number of Doses of Remdesivir Required In Patients Hospitalized With Moderate COVID-19Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)
Study team will investigate the effects of colchicine and LDN, alone or in combination, on the number of doses of Remdesivir received. This was only used in patients who met/required this outcome (received Remdesiver, n=92)
SecondaryIn Patients Hospitalized With Moderate COVID-19, Subjects Who Required CorticosteroidsAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring corticosteroids
SecondaryThe Dosage Amount (in Milligrams) of Corticosteroids Required In Patients Hospitalized With Moderate COVID-19Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)
Study team will investigate the effects of colchicine and LDN, alone or in combination, on the amount in milligrams (mg) of corticosteroids required. This was only used in patients who met/required this outcome (received Corticosteroids, n=129)
SecondaryIn Patients Hospitalized With Moderate COVID-19, The Need for High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV)Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)
Study team will investigate the effects of colchicine and LDN, alone or in combination, on the need of oxygen supplementation with High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV)
SecondaryIn Patients Hospitalized With Moderate COVID-19, Patients Who Required ICU or ICU Stepdown CaresAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)Study team will investigate the effects of colchicine and LDN, alone or in combination, on requiring ICU or Stepdown ICU admission

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYIn Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Assessed from time of hospitalization until (1) 5 days after enrollment, while still hospitalized (or until discharge, which may be less than 5 days)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTotal Duration of HospitalizationAssessed from time of hospitalization until discharge, calculated after patient completes hospital stay - approximately 7 days on averagedaysMEDIAN
SECONDARYTotal Duration of Hospitalization (From First Dose of Study Drug to Discharge)Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)daysMEDIAN
SECONDARYIn Patients Hospitalized With Moderate COVID-19, Subjects Who Required RemdesivirAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Number of Doses of Remdesivir Required In Patients Hospitalized With Moderate COVID-19Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)dosesMEDIAN
SECONDARYIn Patients Hospitalized With Moderate COVID-19, Subjects Who Required CorticosteroidsAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Dosage Amount (in Milligrams) of Corticosteroids Required In Patients Hospitalized With Moderate COVID-19Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)mgMEDIAN
SECONDARYIn Patients Hospitalized With Moderate COVID-19, The Need for High Flow Nasal Cannula (HFNC) or Non-Invasive Positive Pressure Ventilation (NIPPV)Assessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIn Patients Hospitalized With Moderate COVID-19, Patients Who Required ICU or ICU Stepdown CaresAssessed from time of study drug administration to discharge, calculated after patient completes hospital stay; 7 days after admission on average)ParticipantsCOUNT_OF_PARTICIPANTS

Results by group72

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Colchicine-Only Arm22Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Colchicine and Naltrexone (Combined) Arm24Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Naltrexone-Only Arm20Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Standard of Care Arm18Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Colchicine Group46Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.No Colchicine Group38Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.Naltrexone Group44Participants
In Patients Hospitalized With Moderate COVID-19, the Impact of Colchicine and LDN, Alone or in Combination, on Achieving Disease Recovery by Day 5.No Naltrexone Group40Participants
Total Duration of HospitalizationColchicine-Only Arm4.5Inter-Quartile Range 3 to 8days
Total Duration of HospitalizationColchicine and Naltrexone (Combined) Arm4.7Inter-Quartile Range 4 to 6days

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDColchicine-Only Arm35
Overall StudySTARTEDColchicine and Naltrexone (Combined) Arm35
Overall StudySTARTEDNaltrexone-Only Arm36
Overall StudySTARTEDStandard of Care Arm36
Overall StudyCOMPLETEDColchicine-Only Arm34
Overall StudyCOMPLETEDColchicine and Naltrexone (Combined) Arm33
Overall StudyCOMPLETEDNaltrexone-Only Arm35
Overall StudyCOMPLETEDStandard of Care Arm35
Overall StudyNOT COMPLETEDColchicine-Only Arm1
Overall StudyNOT COMPLETEDColchicine and Naltrexone (Combined) Arm2

Adverse events68

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhea/Loose Stools/IncontinenceGastrointestinal disordersColchicine-Only Arm434
otherDiarrhea/Loose Stools/IncontinenceGastrointestinal disordersColchicine and Naltrexone (Combined) Arm433
otherDiarrhea/Loose Stools/IncontinenceGastrointestinal disordersNaltrexone-Only Arm235
otherDiarrhea/Loose Stools/IncontinenceGastrointestinal disordersStandard of Care Arm735
otherDizzinessGeneral disordersColchicine-Only Arm134
otherDizzinessGeneral disordersColchicine and Naltrexone (Combined) Arm333
otherDizzinessGeneral disordersNaltrexone-Only Arm035
otherDizzinessGeneral disordersStandard of Care Arm035
otherNausea/Stomach Pain/VomitingGastrointestinal disordersColchicine-Only Arm434
otherNausea/Stomach Pain/VomitingGastrointestinal disordersColchicine and Naltrexone (Combined) Arm433

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityColchicine-Only Arm034
Total, all-cause mortalityColchicine and Naltrexone (Combined) Arm133
Total, all-cause mortalityNaltrexone-Only Arm435
Total, all-cause mortalityStandard of Care Arm035
Total, other adverse eventsColchicine-Only Arm1334
Total, other adverse eventsColchicine and Naltrexone (Combined) Arm1933
Total, other adverse eventsNaltrexone-Only Arm1335
Total, other adverse eventsStandard of Care Arm1435
Total, serious adverse eventsColchicine-Only Arm434
Total, serious adverse eventsColchicine and Naltrexone (Combined) Arm633

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04756128

GET https://conductscience.org/api/trials/v1/NCT04756128/results?page=2