Edoxaban and/or colchicine for patients with coronavirus disease 2019 managed in the out-of-hospital setting (CONVINCE): a randomized clinical trial.

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Medicine Pub Date : 2024-07-01 Epub Date: 2024-05-28 DOI:10.2459/JCM.0000000000001639
Antonio Landi, Nuccia Morici, Pascal Vranckx, Enrico Frigoli, Luca Bonacchini, Barbara Omazzi, Moreno Tresoldi, Claudio Camponovo, Tiziano Moccetti, Stephan Windecker, Marco Valgimigli
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埃多沙班和/或秋水仙碱用于治疗2019年在院外环境中接受治疗的冠状病毒疾病患者(CONVINCE):一项随机临床试验。
对于在医院外接受治疗的2019年冠状病毒病(COVID-19)患者,最佳药物治疗方法在很大程度上仍未确定。在研究者发起的开放标签 CONVINCE 试验中,59 名 COVID-19 门诊患者被随机(2 × 2 因式设计)分配到秋水仙碱与不治疗(抗炎比较)或依度沙班与不治疗(抗凝比较)。该研究有两个共同主要结果(每个随机化一个):主要血管血栓事件(MVTE,无症状近端深静脉血栓形成[DVT]、有症状的近端或远端深静脉血栓形成、有症状的肺栓塞或血栓形成、心肌梗塞、缺血性中风、非中枢神经系统栓塞和死亡的综合)(抗凝对比)为 25 ± 3 天;抗炎对比为 SARS-CoV-2 检测率或免于死亡或住院的综合(14 ± 3 天)。由于招募缓慢和有效疫苗供应不足,试验提前结束。总体而言,16 名患者随机接受了依多沙班加秋水仙碱治疗,13 名患者接受了依多沙班治疗,14 名患者接受了秋水仙碱治疗,16 名患者接受了标准治疗。研究显示,依多沙班和/或秋水仙碱与标准护理相比,在两个共同主要结果上没有明显差异。不过,在解释这些结果时应考虑到纳入患者的低风险情况以及试验的提前终止。
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来源期刊
Journal of Cardiovascular Medicine
Journal of Cardiovascular Medicine 医学-心血管系统
CiteScore
3.90
自引率
26.70%
发文量
189
审稿时长
6-12 weeks
期刊介绍: Journal of Cardiovascular Medicine is a monthly publication of the Italian Federation of Cardiology. It publishes original research articles, epidemiological studies, new methodological clinical approaches, case reports, design and goals of clinical trials, review articles, points of view, editorials and Images in cardiovascular medicine. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool. ​
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