Head-to-Head: which drug works best for sudden joint pain in seniors?
NCT ID NCT03128905
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested two drugs, colchicine and prednisone, to see which works better for sudden, severe joint pain caused by CPPD arthritis (a type of arthritis common in older adults). The trial involved 111 hospitalized patients aged 65 and older. Researchers measured pain relief after 24 hours and tracked side effects. This is the first large, randomized trial to directly compare these treatments for this condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- colchicine or prednisone
- What this could lead to
- If this trial shows one drug is safer or more effective, it could guide doctors in choosing the best treatment for painful CPPD arthritis in older patients.
- What could go wrong
- This is a relatively small study (111 people) and both drugs have known side effects, especially in elderly patients with other health issues. Results may not apply to everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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111 people
The number who actually took part.
- Started
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Feb 2018
- Finished
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May 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient aged 65 and older * Patient with mono/polyarticular CPPD acute arthritis * Hospitalized patient (without infectious syndrome considered insufficiently controlled by the clinicians and diabetic decompensation) * Diagnosis confirmed : * By the evidence of CPP crystals on synovial fluid examination. * By the existence of a typical clinical arthritis (joint pain, erythema, swelling, maximal intensity in less than 24h) AND presence of chondrocalcinosis signs in knee, wrists, or pubic symphysis on plain X-rays or crowned tooth in cervical rachis scan. * Pain VAS ≥ 40/100 at the enrollment * Duration of symptoms evolution for less than 36h. * No prior intake of oral steroids, colchicine or NSAIDs for this acute arthritis. * Signed patient's consent. * Affiliation to a social security scheme. Exclusion Criteria: * Contraindication to colchicine (creatinine clearance below 30ml/min, severe hepatic dysfunction, macrolide or ongoing pristinamycin or macrolid treatment, …) or corticoids utilization (uncontrolled diabetes, uncontrolled progressive infection, uncontrolled arterial hypertension…) * Severe cognitive disorders that does not allow patient to evaluate his pain. * Patient under guardianship, curatorship * Patient receiving morphinic analgesia. * Gout history or presence of monosodium urate crystals at the examination of the synovial fluid.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CH Valenciennes
Valenciennes, Hauts-de-France, 59322, France
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CHRU Lille
Lille, Hauts-de-France, 59000, France
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Dr Nicolas SEGAUD
Armentières, 59280, France
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Dr Rémi LEROY
Dunkirk, 59240, France
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Hôpital Bichat
Paris, Île-de-France Region, 75018, France
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Hôpital de Lariboisière
Paris, Île-de-France Region, 75010, France
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Lille Catholic Hospital
Lille, Hauts-de-France, 59462, France
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