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. 2017 Mar 30;2017(3):CD011640. doi: 10.1002/14651858.CD011640.pub2

Santos 2003.

Methods Randomised clinical trial
Participants Country: Brasil.
 Number randomised: 30.
 Post‐randomisation drop‐outs: not stated.
 Revised sample size: 30.
 Average age: 38 years.
 Females: 2 (6.7%).
 NASH: not stated.
 Diabetics: not stated.
 Average follow‐up period in months: 3.
 Inclusion criteria
 1. BMI ≥ 25.
 2. ALT, AST or GGT ≥ 1.5 times the upper limit of normal for more than six months.
 3. Ultrasound proven liver steatosis.
 Exclusion criteria
 1. Alcohol consumption > 40 g/week.
 2. Decompensated diabetes.
 3. Total cholesterol or triglycerides more than 300 mg/dL.
 4. Intake of hepatotoxic medications.
 5. HBV or HCV infection.
 6. Other concomitant hepatic or systemic diseases.
Interventions Participants were randomly assigned to two groups.
 Group 1: UDCA (N = 15).
 Further details: UDCA 10 mg/kg/day.
 Group 2: control (N = 15).
 Further details: control: placebo.
 Duration of treatment: 3 months.
Outcomes No outcomes of interest were reported in this trial.
Notes Reasons for post‐randomisation drop‐outs: not stated.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "randomized double‐blind study".
Allocation concealment (selection bias) Unclear risk Comment: this information was not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "randomized double‐blind study".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "randomized double‐blind study".
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: this information was not available.
Selective reporting (reporting bias) High risk Comment: protocol was not available; neither mortality nor adverse events were reported.
For‐profit bias High risk Quote: "Ursodeoxycholic acid was kindly provided by Zambon Laboratories, São Paulo, SP, Brazil".
Other bias Low risk Comment: no other risk of bias.