Table 2

Inclusion and exclusion criteria   

Inclusion criteriaExclusion criteria
  • Patients diagnosed with a laboratory-supported, clinically ‘probable’ or ‘definite’ ALS according to the Revised El Escorial criteria.

  • Sporadic ALS.

  • ALS phenotypes: classic or bulbar.

  • Female or male patients aged between 18 and 80 years old.

  • Disease duration from symptom onset no longer than 18 months at the screening visit.

  • Patients treated with a stable dose of riluzole (100 mg/day) for at least 30 days prior to screening.

  • Patients with a weight of >50 kg and a BMI of ≥18.

  • Patients with an FVC ≥65% predicted normal value for gender, height and age at the screening visit.

  • Patients able and willing to comply with study procedures as per protocol.

  • Patients able to understand and capable of providing informed consent at screening visit prior to any protocol-specific procedures.

  • Use of highly effective contraception for both men and women.

  • Prior use of colchicine.

  • Prior allergy/sensitivity to colchicine.

  • Receiving colchicine or other anti-inflammatory drugs (such as corticosteroids, methotrexate, antineoplastic, interleukin 1–1b antagonist, tumor necrosis factor-alpha inhibitor).

  • Receiving food or comedications, such as strong–moderate cytochrome P450 3A4 inhibitors that will result in elevated plasma levels of colchicine.

  • Inflammatory disorders (systemic lupus erythematosus, rheumatoid arthritis and connective tissue disorder), chronic infections (HIV and hepatitis B or C infections) or significant history of malignancy.

  • Severe renal (estimated Glomerular Filtration Rate  <30 mL/min/1.73 m2) or liver failure or liver aminotransferase (aspartate transaminase/ alanine transaminase >2× upper limit of normal).

  • Existing blood dyscrasia (eg, myelodysplasia).

  • White blood cells <4 x 109/L, platelets count of <100 x 109/L and hematocrit level of <30%.

  • Severe comorbidities (heart, renal and liver failures), autoimmune diseases or any type of interstitial lung disease.

  • Patients who underwent non-invasive ventilation, tracheotomy and/or gastrostomy.

  • Women who are pregnant or breastfeeding.

  • Participation in pharmacological studies within the last 30 days before screening.

  • Patients with the following ALS phenotypes: flail arm, flail leg, UMN-p, respiratory PLS and progressive muscular atrophy.

  • Patients with familial ALS defined as the presence of at least one first-degree family member (parents/son/daughter/brother/sister) affected by ALS.

  • Patients with known pathogenic mutations (SOD1, TARDBP, FUS and C9ORF72).

  • ALS,  amyotrophic lateral sclerosis; BMI, body mass index; FVC, forced vital capacity; UMN-p, upper motor neuron predominant; PLS, primary lateral sclerosis.