Evidence map›Paper›PMID 40151700›Full record

ReviewCureus2025

Breaking Grounds: A Comprehensive Analysis of Cutting-Edge Treatments for Primary Biliary Cirrhosis/Primary Biliary Cholangitis With Futuristic Treatments.

Asad Ali Khan, Furqan Ul Haq, Qazi Muhammad Farooq Wahab, Taimur Aslam, Azeem Khalid, Asad Ali

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT00746486 phase3terminatednot on this map

Double-blind, Randomised, Placebo-controlled, Multi-centre Phase III Clinical Study Comparing the Combination of Ursodeoxycholic Acid Capsules Plus Budesonide Capsules to Ursodeoxycholic Acid Capsules Plus Placebo in the Treatment of Primary Biliary Cirrhosis

TypeinterventionalSponsorDr. Falk Pharma GmbHRan2009 to 2019Enrolled62ConditionsPrimary Biliary CirrhosisArmsbudesonide, budesonide placebo
NCT02376335 phase2completednot on this map

B-Cell Depleting Therapy (Rituximab) as a Treatment for Fatigue in Primary Biliary Cirrhosis

TypeinterventionalSponsorNewcastle-upon-Tyne Hospitals NHS TrustRan2012 to 2016Enrolled71ConditionsFatigue, Primary Biliary CirrhosisArmsRituximab, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Asad Ali KhanCardiology, Good Hope Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Furqan Ul HaqRadiation Oncology, Shifa International Hospitals Limited, Islamabad, PAK.
Qazi Muhammad Farooq WahabInternal Medicine, Hayatabad Medical Complex, Peshawar, PAK.
Taimur AslamInternal Medicine, Staten Island University Hospital, New York City, USA.
Azeem KhalidInternal Medicine, Aiken Regional Medical Centers, Aiken, USA.
Asad AliDivision of Gastroenterology and Hepatology, The State University of New York Upstate Medical University Hospital, Syracuse, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary biliary cholangitis (PBC) is an autoimmune disorder characterized by biliary destruction leading to intrahepatic biliary cholestasis. It predominantly affects women during the fifth and sixth decades. Treatment options have progressed from ursodeoxycholic acid (UDCA) and obeticholic acid (OCA) to liver and stem cell transplant. The objectives include summarizing established and new diagnostic approaches for PBC along with reviewing efficacy treatments, their side effects, and future directions. The treatment of PBC is based on risk stratification, including assessment of the patient's age, sex, clinical pattern, biochemical and antibody profile, histology, and markers of fibrosis. UDCA and OCA are Food and Drug Administration (FDA) approved first-line and second-line agents. Elafibranor, a recently FDA-approved agent based on its efficacy, was shown in the ELATIVE trial. Seladelpar, currently under FDA review in the ENHANCE III trial, is also used in PBC. Fibrates, a third-line treatment, are found efficacious in different trials. Other treatment options are in phase II/III clinical trials. The question of whether we use immunotherapy has been answered in the NCT02376335 and NCT00746486 trials, stating that rituximab and budesonide cannot be used as no clinical significance is observed. The emergence of new therapies and the potential of combination treatments offer hope for improving outcomes for all patients with PBC. Personalized treatment strategies, continuous monitoring, and a comprehensive approach to symptom management are key to optimizing care and enhancing the quality of life for individuals affected by this chronic liver disease.

Indexed as

autoimmune gastrointestinal diseaseshepatic and post-hepatic jaundiceliver diseasesprimary biliary cholangitis (pbc)primary biliary cirrhosis (pbc)

Identifiers

PMID40151700
PMCPMC11946705

What OpenQuestion holds

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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.