Evidence map›Paper›PMID 31701072›Full record

ArticleHepatology communications2019

A Prospective Trial of Withdrawal and Reinstitution of Ursodeoxycholic Acid in Pediatric Primary Sclerosing Cholangitis.

Dennis D Black, Cara Mack, Nanda Kerkar, Tamir Miloh, Shikha S Sundaram, Ravinder Anand, Ashutosh Gupta, Estella Alonso, Ronen Arnon, Pinar Bulut and 8 more

Abstract read
In one paragraph

Article in Hepatology communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Liver GPBAR1 Associates With Immune Dysfunction in Primary Sclerosing Cholangitis and Its Activation Attenuates Cholestasis in Abcb4-/- Mice.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. A Current Understanding of Bile Acids in Chronic Liver Disease.Journal of clinical and experimental hepatology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Dennis D BlackPediatrics University of Tennessee Health Science Center Memphis TN.
Cara MackPediatrics University of Colorado School of Medicine Aurora CO.
Nanda KerkarPediatrics University of Rochester Medical Center Rochester NY.
Tamir MilohPediatrics Baylor College of Medicine Houston TX.
Shikha S SundaramPediatrics University of Colorado School of Medicine Aurora CO.
Ravinder AnandEmmes Corporation Rockville MD.
Ashutosh GuptaEmmes Corporation Rockville MD.
Estella AlonsoPediatrics Northwestern University College of Medicine Chicago IL.
Ronen ArnonPediatrics Mount Sinai Icahn School of Medicine New York NY.
Pinar BulutPediatrics Phoenix Children's Hospital Phoenix AZ.
Saul KarpenPediatrics Emory University School of Medicine Atlanta GA.
Chuan-Hao LinPediatrics Keck School of Medicine of University of Southern California Los Angeles CA.
Philip RosenthalPediatrics School of Medicine University of California, San Francisco San Francisco CA.
Matthew RyanPediatrics Children's Hospital of Philadelphia Philadelphia PA.
Robert H SquiresPediatrics University of Pittsburgh School of Medicine Pittsburgh PA.
Pamela ValentinoPediatrics Yale School of Medicine New Haven CT.ORCID https://orcid.org/0000-0002-8227-2004
Sarah H ElseaMolecular and Human Genetics Baylor College of Medicine Houston TX.
Benjamin L ShneiderPediatrics Baylor College of Medicine Houston TX.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Gavin E Arteel · 2019 to 2026
$10.9M
Ursodeoxycholic Acid Therapy in Pediatric Primary Sclerosing CholangitisA pilotR01FD003709 · FDA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI BLACK, DENNIS DARREL, SHNEIDER, BENJAMIN L · 2009 to 2015
$600k
FDA HHS R01 FD003709NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK120531
6 · The paper itself

Abstract

Ursodeoxycholic acid (UDCA) is commonly used to treat several liver disorders in adults and children, including primary sclerosing cholangitis (PSC) for which it is not U.S. Food and Drug Administration approved. UDCA treatment has an uncertain impact on disease outcomes and has been reported in high doses to be associated with worse outcome in adults with PSC. In this context, controlled withdrawal and reintroduction of UDCA in children with PSC were studied. Prior to study initiation, participants were required to have alanine aminotransferase (ALT) and gamma-glutamyl transpeptidase (GGT) <2 times the upper limit of normal on stable UDCA dosing. The study included four phases: I (stable dosing), II (50% UDCA reduction), III (UDCA discontinuation), IV (UDCA reintroduction), with a primary endpoint of change in ALT and GGT between phases I and III. We enrolled 27 participants (22 completed) between March 2011 and June 2016. Changes in mean ALT and GGT between phases I and III were ALT, +29.5 IU/L (

Identifiers

PMID31701072
PMCPMC6824074

What OpenQuestion holds

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Registered trials

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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.