Pericarditis
Conditions
Keywords
Pericarditis, Recurrence, Therapeutics, Prevention, Colchicine
Brief summary
The purpose of the study is to determine whether colchicine is safe and effective in the treatment of acute pericarditis and the prevention of subsequent recurrences.
Detailed description
Colchicine is safe and effective in the management of recurrent pericarditis after failure of conventional treatment. Preliminary data have shown that it may be effective also in treatment of the index attack of pericarditis and the prevention of further recurrences. Comparisons: The study will compare the safety and efficacy of colchicine in the treatment of acute pericarditis and the primary prevention of recurrences. Colchicine will be used in addition to conventional treatment.
Interventions
Colchicine 0.5mg BID (patients\>70Kg) or 0.5mg once daily
placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with acute pericarditis (index attack) * Age≥ 18 years * Informed consent
Exclusion criteria
* Suspected neoplastic, tuberculous, or purulent etiology * Known severe liver disease and/or elevated transaminases \>1.5 times the upper limit of normality * Serum creatinine \>2.5 mg/dl * Serum creatine kinase (CK) over the upper limit of normality or known myopathy * Known gastrointestinal or blood disease * Pregnant or lactating women or women not protected by a contraception method * Known hypersensibility to colchicine * Treatment with colchicine at enrolment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence rate at 18 months | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Symptom persistence at 72 hours, remission rate at 1 week | 1 week |
| Number of recurrences | 18 months |
| Time to first recurrence | 18 months |
| Disease-related re-hospitalization, cardiac tamponade, constrictive pericarditis within the duration of the study | 18 months |
Countries
Italy