A placebo-controlled trial of primary biliary cirrhosis treatment with colchicine and ursodeoxycholic acid.

Abstract:

BACKGROUND/AIMS:Ursodeoxycholic acid (UDCA) and colchicine have beneficial effects in primary biliary cirrhosis (PBC). The efficacy of colchicine and UDCA in PBC was compared in a 2-year placebo-controlled study (n = 90). METHODS:Clinical events, laboratory test results, and liver histology were recorded at the beginning and end of the trial. RESULTS:There were significantly fewer dropouts for hepatic reasons with UDCA than with placebo. Pruritus was reduced by both active drugs. Colchicine improved liver function test results only modestly, whereas UDCA significantly decreased the serum activities of aminotransferases, alkaline phosphatase, and gamma-glutamyltransferase compared with colchicine and placebo. Serum total bilirubin levels were decreased only by UDCA. Both colchicine and UDCA reduced serum cholesterol levels, and UDCA also reduced high-density lipoprotein cholesterol levels. Furthermore, UDCA reduced the serum levels of immunoglobulin (Ig) M and IgG, and colchicine reduced IgG levels compared with placebo. The elevated serum level of aminoterminal propeptide of type III procollagen remained unchanged by colchicine or UDCA, whereas the serum level of carboxyterminal propeptide of type I procollagen was significantly decreased by UDCA. UDCA significantly decreased ductular proliferation compared with colchicine or placebo. CONCLUSIONS:These data suggest that UDCA frequently is superior to colchicine and especially to placebo in the treatment of PBC.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Vuoristo M,Färkkilä M,Karvonen AL,Leino R,Lehtola J,Mäkinen J,Mattila J,Friman C,Seppälä K,Tuominen J

doi

10.1016/0016-5085(95)90696-7

subject

Has Abstract,Author List Incomplete

pub_date

1995-05-01 00:00:00

pages

1470-8

issue

5

eissn

0016-5085

issn

1528-0012

pii

S0016508595001570

journal_volume

108

pub_type

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