Author Interviews, Heart Disease, NEJM / 02.09.2013
Acute Pericarditis: Study of Colchicine for Treatment and Prevention
MedicalResearch.com Interview with:
Massimo Imazio, MD, FESC
Dipartimento di Cardiologia/Cardiology Department
Maria Vittoria Hospital-ASLTO2
via Cibrario 72 10141 Torino, Italy
MedicalResearch.com: What are the main findings of the study?
Dr. Imazio: In a multicenter, double-blind trial, eligible adults with acute pericarditis (idiopathic/viral, post-pericardiotomy syndromes and pericarditis related to a systemic inflammatory disease) were randomly assigned to receive either colchicine (at a dose of 0.5 mg twice daily for 3 months for patients weighing >70 kg or 0.5 mg once daily for patients weighing ≤70 kg) or placebo in addition to conventional anti-inflammatory therapy with aspirin or ibuprofen. The primary study outcome was incessant or recurrent pericarditis.
After a mean follow-up of 22 months (minimum 18 months) the primary outcome occurred in 20 patients (16.7%) in the colchicine group and 45 patients (37.5%) in the placebo group (relative risk reduction in the colchicine group, 0.56; 95% confidence interval, 0.30 to 0.72; number needed to treat, 4; P<0.001).
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