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. 2017 May 19;2017(5):CD011598. doi: 10.1002/14651858.CD011598.pub2

Bonkovsky 1991a.

Methods Randomised clinical trial, USA
Participants 39 hospitalised adults with alcoholic hepatitis due to 1. prolonged ethanol intake; 2. laboratory studies; 3. time of cessation of alcohol intake 5 ‐ 14 days before entry to the study, at nutritional risk according to the trialist
 Male:Female = 19:20
Mean age = 42 years
Exclusion criteria: recent severe gastro‐intestinal bleeding, severe ascites, severe degree of encephalophathy, renal insufficiency, acute pancreatitis, haemodynamic instability, advanced pulmonary disease, diabetes mellitus, active malignancy
Interventions The trial consisted of 4 groups. Groups 1 and 3, and groups 2 and 4 could be compared.
Experimental group: parenteral nutritional supplementation 2 L (3.5 amino acids, 5% dextrose) for 21 days(n = 9)
 Control group: no intervention(n = 12)
Co‐intervention: standard therapy (nutritionally adequate diets) in all groups and Oxandrolone in groups 2 and 4
Outcomes Laboratory measurements, complications
Study dates August 1986 to November 1988
Notes We here report group 1 (control) versus group 3 (experimental).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random‐numbers table
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not described
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Data were reported for all participants for all outcomes.
Selective reporting (reporting bias) Unclear risk No protocol could be obtained, and the trial did not report on serious adverse events or mortality.
For‐profit bias High risk The trial was funded by Miles Laboratories.
Other bias Low risk The trial appeared to be free of other components that could put it at risk of bias.