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

Lindor 1994.

Methods Randomised clinical trial.
Participants Country: USA.
Number randomised: 180.
Post‐randomisation dropouts: 10 (5.6%).
Revised sample size: 170.
Mean age: 53 years.
Females: 160 (94.1%).
Symptomatic participants: not stated.
AMA positive: not stated.
Responders: not stated.
Mean follow‐up period (for all groups): all participants followed up for 24 months.
Inclusion criteria
  • Symptom status: symptomatic and asymptomatic participants.

  • AMA status: not stated.

  • Response status: not stated.


Exclusion criteria
  • People with decompensated cirrhosis.

  • Hepatocellular carcinoma.

  • Concomitant immunosuppressive regimen.

  • Other major diseases unrelated to primary biliary cholangitis.

  • Alcohol abuse.

  • Low compliance.

  • Recurrent variceal haemorrhage, intractable ascites, spontaneous encephalopathy.

Interventions Participants were randomly assigned to 2 groups.
Group 1: UDCA (moderate) (n = 86).
Further details: UDCA: 13 mg/kg/day to 15 mg/kg/day; duration: not stated.
Group 2: placebo (n = 84).
Outcomes Mortality, adverse events, liver transplantation.
Notes Reasons for post‐randomisation dropouts: not stated.
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 Low risk Quote: "The patients, physicians, nurses, and study coordinators were blinded as to whether active drug or placebo was being administered".
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Quote: "The patients, physicians, nurses, and study coordinators were blinded as to whether active drug or placebo was being administered".
Incomplete outcome data (attrition bias) 
 All outcomes High risk Comment: there were post‐randomisation dropouts.
Selective reporting (reporting bias) Low risk Comment: mortality and morbidity reported.
For‐profit bias High risk Quote: "Supported by Falk Pharma and Interfalk".
Other bias Low risk Comment: no other risk of bias.