Inflammation is an important pillar of atherogenesis in coronary disease. Studies have documented the prognostic power of measuring coronary perivascular adipose tissue attenuation (PVAT) and its good correlation as an early inflammatory biomarker in the atherogenesis process, in addition to being a predictor for cardiovascular events in the future. Colchicine, a medication with well-documented anti-inflammatory action and with an impact on reducing cardiovascular outcomes, may have an action in reducing FAI (fat attenuation index). This study aims to evaluate the effect of colchicine in reducing coronary perivascular inflammation.
A single-center, prospective, single-blind randomized study to evaluate the efficacy of colchicine versus placebo in patients with documented FAI ≥ -70.1 HU of the proximal segment of the right coronary artery and/ou left anterior descending coronary artery and non-calcified or mixed plaques on coronary angiography performed electively after 12-month follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
0.5 mg per day colchicine for 12 months
Heart Institute - University of São Paulo
São Paulo, São Paulo, Brazil
RECRUITINGQuantification of FAI in both groups after 12-month follow-up
Time frame: 12 months
Evaluation of the variation total atheroma volume
Time frame: 12 months
Evaluation of low attenuation plate volume variation;
Time frame: 12 months
Occurrence of general death
Time frame: 12 months
Occurrence of cardiovascular death
Time frame: 12 months
Occurrence of acute myocardial infarction
Time frame: 12 months
Occurrence of stroke
Time frame: 12 months
Occurrence of need for myocardial revascularization
Time frame: 12 months
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