Evidence map›Paper›PMID 26997458›Full record

Trial reportInternational journal of clinical practice2016

Efficacy and safety of ursodeoxycholic acid composite on fatigued patients with elevated liver function and/or fatty liver: a multi-centre, randomised, double-blinded, placebo-controlled trial.

B Oh, W S Choi, S B Park, B Cho, Y J Yang, E S Lee, J H Lee

Erratum issued Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02415777 (Clinical Trial to Evaluate the Efficacy and Safety of 'URSA SOFT CAP.), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02415777 phase4completednot on this map

Clinical Trial to Evaluate the Efficacy and Safety of 'URSA SOFT CAP. (UDCA-003)' in Fatigue Patients With Liver Dysfunction

TypeinterventionalSponsorDaewoong Pharmaceutical Co. LTD.Ran2014 to 2015Enrolled168ConditionsFatigueArmsUrsodeoxycholic acid, thiamine, riboflavin
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Corrigendum.International journal of clinical practice · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

B OhDepartment of Family Medicine, SMG-SNU Boramae Hospital, School of Medicine, Seoul National University, Seoul, Korea.
W S ChoiDepartment of Family Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
S B ParkDepartment of Family Practice and Community Health, Ajou University Hospital, School of Medicine, Ajou University, Suwon, Korea.
B ChoDepartment of Family Medicine, Seoul National University Hospital, School of Medicine, Seoul National University, Seoul, Korea.
Y J YangDepartment of Health Promotion Center, Ilsan Paik Hospital, School of Medicine, Inje University, Goyang, Korea.ORCID http://orcid.org/0000-0003-3428-1587
E S LeeDepartment of Health Promotion Center, Ilsan Paik Hospital, School of Medicine, Inje University, Goyang, Korea.
J H LeeDepartment of Health Promotion Center, Ilsan Paik Hospital, School of Medicine, Inje University, Goyang, Korea.
Inje University Ilsan Paik Hospital · KRAjou University Hospital · KRSeoul National University · KRSeoul National University Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to assess the effects of ursodeoxycholic acid composite (URSA-S) on fatigue in patients with elevated liver function tests and/or fatty liver disease.

methodsIn this multi-centre randomised double-blinded placebo-controlled trial, 168 adults who were diagnosed with fatigue based on our criteria and had elevated liver function tests (but not > 5 times the normal level) and/or fatty liver on ultrasonography, were randomised to either the placebo or URSA-S administration group. The rate of improvement of checklist individual strength (CIS) using a cut-off of 76 points at the end of the study (8 weeks), the change in fatigue scale [CIS score and visual analogue scale (VAS)] were evaluated. The adverse effects of URSA-S were also recorded.

resultsThe rate of CIS improvement at the end-point was 79.76% and 45.68% in the therapy and placebo groups, respectively (p < 0.05). The fatigue recovery rate of the CIS score and VAS were higher in the therapy (-25.44 ± 18.57, -27.84 ± 2.70) than in the placebo group (-16.59 ± 17.29, -19.46 ± 2.81) (p < 0.05). The difference in fatigue recovery rate between the therapy and placebo groups was significant after 8 weeks. When analysed separately in patients with abnormal liver function tests and fatty liver disease, the fatigue recovery rate of the CIS score and VAS at 8 weeks was higher in the therapy than in the placebo group (p < 0.05). The frequency of adverse events in the therapy group was not significantly higher than that in the placebo group.

conclusionURSA-S is effective for alleviating fatigue in patients with liver dysfunction and/or fatty liver. The adverse effects of URSA-S are not significant. This study is registered at https://clinicaltrials.gov/ct2/show/NCT02415777.

Indexed as

AdultCholagogues and CholereticsDouble-Blind MethodFatigueFemaleFollow-Up StudiesHumansLiverLiver Function TestsMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseRetrospective StudiesTreatment OutcomeUrsodeoxycholic AcidCholagogues and CholereticsUrsodeoxycholic Acid

Identifiers

PMID26997458
PMCPMC5071730
OpenAlexW2307126302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.