Table 1.
First author | (study name) | Study type | Patients number | Clinical setting | Colchicine dosage | |
---|---|---|---|---|---|---|
Adverse event | Summary of findings | Millaire A [22], 1991 | Case series | 19 | Acute 1st episode pericarditis | 3mg 1st day, then 2mg for two days, then 1mg x 3-6 months. |
5%. | - 100% Acute phase symptoms control, 10% recurrence | Imazio M [23], 2005 | (COPE trial) | prospective, randomized, open-label trial. | 120 | |
1st episode of acute pericarditis, on top of aspirin | 1.0 to 2.0 mg for the first day and then 0.5 to 1.0 mg/d for 3 months | 8.3% | - Recurrence rate: colchicine 10.7% vs control 32.3%, p=0.009 NNT 5. | - Incessant symptom at 72 hours: Colchicine 11.7% versus control 36.7%, p=0.003. |
Imazio M [24], 2013
(ICAP trial)
Prospective, multicenter, double-blind randomized trial
240
1st episode of acute pericarditis, on top of aspirin or ibuprofen
0.5 mg twice daily for 3 months for patients weighing >70 kg or 0.5 mg once daily for patients weighing ≤70 kg, for total of 3 months.
11.7%,
NS, Diarrhoea 9.2% NS.
- Recurrence rate: colchicine 9.2% vs placebo 20.8%, p=0.02,NNT 9.
- Incessant symptoms at 72 hours: colchicine 19.2% vs placebo 40.0%, p=0.001.
NS=non-significant, NNT=number needed to treat.