pericardite: Benign Acute Pericarditis: Brief Versus Longer Treatment Using Aspirin
Study Details
Study Description
Brief Summary
Treatment of pericarditis largely remains empirical due to the relative lack of randomized controlled trials. Nevertheless, some recommendations have been formulated to guide management and follow-up of acute pericarditis. Aspirin or an NSAID at medium to high dosages is the mainstay of treatment. Optimal length of treatment is not established.
PERICARDITE is a French multicentric placebo controlled double blind randomized trial assessing efficacy of a brief treatment based on Aspirin (4 days) versus a longer treatment (21days) in treating a first episode of probably idiopathic acute pericarditis. It is a non inferiority trial.
Exclusion criteria are: diseases known to cause pericarditis: (recent myocardial infarction, autoimmune disease, postpericardiotomy syndromes, connective tissue disease, tuberculosis, neoplastic disease).
Primary endpoint is: 30 days recovery defined as the normalization of all clinical and paraclinical initial abnormalities.
Secondary endpoint is: 6-month recurrence.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: aspirin
|
Drug: Aspirin
3000mg/day of aspirin during the 4th first days and 2000mg/day of aspirin during the 17th following days
|
Placebo Comparator: placebo
|
Drug: placebo
3000mg/day of aspirin during the 4th first days and 2000mg/day of placebo during the 17th following days
|
Outcome Measures
Primary Outcome Measures
- recovery [30 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
age over 18
-
first episode of acute pericarditis
-
chest pain lasting less than 24 hours
Exclusion Criteria:
-
contraindication to aspirin
-
previous history of atypical chest pain
-
previous history of connective tissue disease, tuberculosis, recent MI, auto immune disease, neoplastic disease, thoracic trauma, previous thoracic surgery, antiplatelet routine treatment, anticoagulation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU de Brest | Brest | France | 29 609 | |
2 | HIA Clermont Tonnerre | Brest | France | 29200 | |
3 | CHG Carhaix | Carhaix | France | 29270 | |
4 | CHG Douarnenez | Douarnenez | France | 29171 | |
5 | CH Lannion | Lannion | France | 22300 | |
6 | CHG Lorient | Lorient | France | 56322 | |
7 | Hôpital de la Timone | Marseille | France | 13385 | |
8 | CH Morlaix | Morlaix | France | 29672 | |
9 | Hôpital Claude Bernard APHP | Paris | France | 75877 | |
10 | Centre Hospitalier Intercommunal de Cornouaille | Quimper | France | 29107 | |
11 | CHG Saint-Brieuc | Saint-brieuc | France | 22023 | |
12 | HIA Sainte-Anne | Toulon | France | 83800 |
Sponsors and Collaborators
- University Hospital, Brest
- Ministry of Health, France
Investigators
- Principal Investigator: jean-christophe cornily, md, FESC, Fellow of the french society of cardiology
Study Documents (Full-Text)
None provided.More Information
Publications
- Imazio M, Bobbio M, Cecchi E, Demarie D, Demichelis B, Pomari F, Moratti M, Gaschino G, Giammaria M, Ghisio A, Belli R, Trinchero R. Colchicine in addition to conventional therapy for acute pericarditis: results of the COlchicine for acute PEricarditis (COPE) trial. Circulation. 2005 Sep 27;112(13):2012-6.
- Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y, Tomkowski WZ, Thiene G, Yacoub MH; Grupo de Trabajo para el Diagnóstico y Tratamiento de las Enfermedades del Pericardio de la Sociedad Europea de Cardiología. [Guidelines on the diagnosis and management of pericardial diseases. Executive summary]. Rev Esp Cardiol. 2004 Nov;57(11):1090-114. Spanish.
- PERICARDITE