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. 2021 Jun 17;81(10):1181–1192. doi: 10.1007/s40265-021-01545-7

Table 2.

New therapeutic targets for PSC

Drug Target Trial design Patients Duration Outcome
NorUDCA [87] Bile acid Randomized, placebo-controlled 161 16 weeks Improvement in serum ALP
OCA [89] FXR Randomized, placebo-controlled 76 24 weeks Improvement in serum ALP
Budesonide [91] Glucocorticoid Open-label 21 1 year Slight improvement in serum ALP and AST at 1 year
Methotrexate [93] Folic acid Randomized, placebo-controlled 24 2 years No significant change in ALP
Etanercept [95] TNFα Open-label 10 6 months No significant change in T-bil
Infliximab [96] TNFα Randomized, placebo-controlled 24 1 year No significant change in ALP
Vancomycin [99] Antibiotics Open-label 14 - Improvement in serum ALT and γGTP
Probiotics [101] Probiotics Randomized, placebo-controlled 14 3 months No significant change in ALP, γGTP, AST, and ALT

ALP alkaline phosphatase, ALT alanine aminotransferase, AST aspartate aminotransferase, FXR farnesoid X receptor, norUDCA norursodeoxycholic acid, OCA obeticholic acid, PSC primary sclerosing cholangitis, T-bil total bilirubin, TNFα tumor necrosis factor-α, γGTP gamma-glutamyl transpeptidase