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. 2017 May;13(2):130–138. doi: 10.2174/1573403X12666161014094159

Table 1.

Colchicine in acute pericarditis.

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.