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. 2007 Oct 17;2007(4):CD003181. doi: 10.1002/14651858.CD003181.pub2

Puoti 1995.

Methods Generation of allocation sequence: unclear (no description). 
 Allocation concealment: unclear (no description). 
 Double blinding: inadequate (not blinding). 
 Follow up: adequate (no drop out). 
 Sample size calculation: no information. 
 Intention‐to‐treat analysis: not performed.
Participants Country: Italy. 
 Type of hepatitis: chronic hepatitis C. 
 INCLUSION CRITERIA: 
 ‐ positive for anti‐HCV antibodies; 
 ‐ biopsy‐proven or biochemical and clinical evidence of chronic liver disease; 
 ‐ serum ALT levels at least twice the upper limit of the normal range on three different occasions in the last 12 months. 
 EXCLUSION CRITERIA: 
 ‐ other forms of chronic liver disease; 
 ‐ history of alcohol abuse; 
 ‐ presence of severe liver disease and concomitant treatment with drugs which could interfere with hepatic metabolism or with bile acid absorption; 
 ‐ previous interferon treatment; 
 ‐ positive to HIV antibodies or HBs Ag; 
 ‐ presence of hepatic tumours. 
 PARTICIPANTS 
 101 outpatients (52 men and 49 women); mean age 45.1 years old. 
 ‐ UDCA group (n = 49): 
 Ratio of sex (M/F) 
 25/24. 
 Proportion of patients with cholestasis: no information. 
 Proportion of patients with cirrhosis: 13 patients. 
 ‐ Control group (n = 52): 
 Ratio of sex (M/F) 
 27/25. 
 Proportion of patients with cholestasis: no information. 
 Proportion of patients with cirrhosis: 14 patients.
Interventions UDCA group: 
 UDCA 
 ‐ Dose: 450 mg/day; 
 ‐ Route: orally; 
 ‐ Timing: single bedtime dose; 
 ‐ Duration: six months.
Control group 
 ‐ No treatment.
Outcomes ‐ Serum ALT and GGT activities at the end of treatment. 
 ‐ Normalisation of serum ALT and GGT at the end of treatment.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear