Obeticholic Acid in Primary Biliary Cholangitis.

نویسندگان

  • Lisa A Spacek
  • Steven F Solga
چکیده

In a double-blind, randomized, placebo-controlled study including 217 patients with primary biliary cholangitis, the authors show that obeticholic acid (a potent farnesoid X agonist) administered with ursodeoxycholic acid or as monotherapy significantly decreases serum alkaline phosphatase and bilirubin when compared to placebo. Pruritus (and serious adverse effects) was observed more frequently in obeticholic acid-treated patients than in controls, in spite of a decrease in serum bile acid concentration. These results are encouraging, but more studies are needed on clinical efficacy and safety before obeticholic acid can be widely recommended.

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عنوان ژورنال:
  • The New England journal of medicine

دوره 375 20  شماره 

صفحات  -

تاریخ انتشار 2016