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. 2017 Mar 28;2017(3):CD011648. doi: 10.1002/14651858.CD011648.pub2

Bowlus 2014.

Methods Randomised clinical trial.
Participants Country: multicentric; international.
Number randomised: 216.
Post‐randomisation dropouts: not stated.
Revised sample size: 216.
Mean age: 56 years.
Females: 197 (91.2%).
Symptomatic participants: not stated.
AMA positive: not stated.
Responders: not stated.
Mean follow‐up period (for all groups): all participants followed up for 12 months.
Inclusion criteria
  • Symptom status: not stated.

  • AMA status: not stated.

  • Response status: not stated.

Interventions Participants were randomly assigned to 3 groups.
Group 1: obeticholic acid (low) (n = 73).
Further details: obeticholic acid (low): 5 mg orally for 12 months; frequency not stated.
Group 2: obeticholic acid (low) (n = 73).
Further details: obeticholic acid (low): 10 mg orally for 12 months; frequency not stated.
Group 3: placebo (n = 70).
Outcomes None of the outcomes of interest reported.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: information not available.
Allocation concealment (selection bias) Unclear risk Comment: information not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: although placebo was used in double‐blind trial, unclear whether the placebo was identical.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: although placebo was used in double‐blind trial, unclear whether the placebo was identical.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: information not available.
Selective reporting (reporting bias) High risk Comment: neither mortality nor adverse events reported.
For‐profit bias High risk Comment: Several authors had advised pharmaceutical companies or were employees of pharmaceutical company.
Other bias Low risk Comment: no other source of bias.