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October 4, 2011Annals of Internal MedicineOpen Access

Colchicine for Recurrent Pericarditis (CORP)

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Why the study?

Does colchicine reduce the recurrence rate at 18 months in patients with a first recurrence of pericarditis?

Population

n=120 patients with a first recurrence of pericarditis, treated at 4 general hospitals in urban areas of…

Comparison

Colchicine, 1.0 to 2.0 mg on the first day… vs Placebo added to conventional treatment.

Design

RCT, Randomized, Double-blind, placebo-controlled

Follow-up

18 months

Authors

Massimo ImazioMassimo ImazioCross-Cutting CardiologyABAntonio BrucatoUniversity of MilanRCRoberto CeminCross-Cutting Cardiology

Discussion

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Implication

Supports adding colchicine to standard therapy for first recurrent pericarditis; confirms sustained efficacy through 18 months in this RCT.

Structured PICO

Does colchicine reduce the recurrence rate at 18 months in patients with a first recurrence of pericarditis?

P
Population
n=120 patients with a first recurrence of pericarditis, treated at 4 general hospitals in urban areas of Italy. Excluded: multiple recurrences and neoplastic or bacterial causes.
I
Intervention
Colchicine, 1.0 to 2.0 mg on the first day followed by a maintenance dose of 0.5 to 1.0 mg/d, for 6 months, added to conventional treatment.
C
Comparator
Placebo added to conventional treatment.
O
Outcome
Recurrence rate at 18 months.

Colchicine significantly reduces the recurrence rate of pericarditis when added to conventional treatment in patients with a first recurrence.

Limitations

  • Multiple recurrences were excluded
  • Neoplastic or bacterial causes were excluded

Cite This Study

Imazio et al. (2011) studied this question.

synapsesocial.com/papers/6a715428ac440176ef2a026ahttps://doi.org/10.7326/0003-4819-155-7-201110040-00359

Topics

Pericardial disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Recurrent pericarditis. Relief with colchicine.1990 · 118 citations
  2. 2Treatment of recurrent pericarditis with colchicine1994 · 78 citations
  3. 3Investigation on Colchicine for Acute Pericarditis: a multicenter randomized placebo-controlled trial evaluating the clinical benefits of colchicine as adjunct to conventional therapy in the treatment and prevention of pericarditis; study design amd rationale2007 · 28 citations
  4. 4Colchicine for pericarditis: hype or hope?2009 · 148 citations
  5. 5Colchicine Treatment for Recurrent Pericarditis1998 · 243 citations