Liver Cirrhosis, Biliary Clinical Trial
OBJECTIVES: I. Compare the effects of ursodiol (ursodeoxycholic acid), with and without
methotrexate, on pruritus, incapacitation index, and serum markers of activity and severity
in patients with primary biliary cirrhosis.
II. Compare the effects of these regimens on the development of ascites, encephalopathy,
varices (or bleeding from pre-existing varices), histologic liver changes, transplantation,
and survival.
III. Compare the toxicity and safety of each regimen.
PROTOCOL OUTLINE: This is a randomized, double-blind study. Patients are stratified by
participating institution and Ludwig histologic stage.
All patients are treated with ursodiol (ursodeoxycholic acid, UDCA) for 6 months. If entry
criteria continue to be met, patients are randomly assigned to UDCA/methotrexate or
UDCA/placebo.
Combination therapy continues for at least 5 years.
;
Allocation: Randomized, Masking: Double-Blind, Primary Purpose: Treatment
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