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. 2023 Feb 1;34(2):89–100. doi: 10.5152/tjg.2023.22239

Table 1.

Criteria for Predicting Outcomes in Primary Biliary Cholangitis Patients: Biochemical Response to UDCA and Risk Stratification

Biochemical Response to Treatment
Qualitative Definition Number of Patients Time to Assessment Responder Criteria
Rochester-I32 180 6 months ALP ≤2-fold ULN
Barcelona*33 192 1 year ALP decreases greater than 40% of baseline values or normal levels after 1 year of treatment.
Paris-I*6 291 1 year Bilirubin level ≤1.0 mg/dL
ALP ≤3-fold ULN
AST ≤2-fold ULN
Rotterdam34 375 1 year Normalization of bilirubin and/or albumin levels
Toronto*35 69 2 years ALP ≤1.67-fold ULN
Ehime36 83 6 months Normal GGT levels or ≥70% decrease in pre-treatment levels
Paris-II37 165 1 year ALP and AST ≤1.5-fold ULN with a normal bilirubin level
Rochester-II4 73 1 year ALP ≤1.67-fold ULN and bilirubin ≤1 mg/dL
Global PBC38 4845 1 year ALP ≤2-fold ULN and bilirubin ≤1-fold ULN
Risk Stratification Scores
Quantitative scores Number of patients Time to assessment Included parameters
APRI-r1 (± biochemical response)39 386 1 year Aspartate aminotransferase (AST) and platelet count at 1 year of treatment
APRI ≤0.54 ±biochemical response (defined by Barcelona, Paris I/II, or Toronto criteria)
GLOBE score40 4119 1 year Age at start of UDCA
ALP, bilirubin, albumin, and platelet count at 12 months
UK-PBC score41 3165 1 year Baseline albumin and platelet count
ALP, bilirubin, and AST (or ALT) at 12 months of treatment.

ALBI, albumin-bilirubin; ALP, alkaline phosphatase; ALT, alanine aminotransferase; APRI-r1, AST/platelet ratio index at 1 year of treatment; AST, aspartate aminotransferase; GGT, gamma-glutamyl transferase; PBC, primary biliary cholangitis; ULN, upper limit of normal.

*Considered the best predictability of transplant-free survival as validated in large studies.