A Randomized, Controlled, Phase 2 Study of Maralixibat in the Treatment of Itching Associated With Primary Biliary Cholangitis.

Author: ApostolGeorge, BaconBruce, BowlusChristopher L, DorenbaumAlejandro, GuJoan, HirschfieldGideon M, JonesDavid, KennedyCiara, LevyCynthia, LuketicVelimir, MayoMarlyn J, MedendorpSharon, NovakPatricia, PatanwalaImran, PockrosPaul J, VuppalanchiRaj

Paper Details 
Original Abstract of the Article :
Primary biliary cholangitis (PBC) is typically associated with elevated serum bile acid levels and pruritus, but pruritus is often refractory to treatment with existing therapies. This phase 2 study assessed the efficacy and safety of maralixibat, a selective, ileal, apical, sodium-dependent, bile a...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396374/

データ提供:米国国立医学図書館(NLM)

Maralixibat for Pruritus in Primary Biliary Cholangitis: A Camel's Journey

Primary biliary cholangitis (PBC) is a challenging liver disease that can lead to pruritus, a relentless itch. This study explores the efficacy of maralixibat, a medication that inhibits bile acid uptake, in treating pruritus in patients with PBC. The researchers embarked on a clinical trial, like a caravan traversing a desert to find the right treatment. The study found that maralixibat did not significantly reduce pruritus compared to placebo. However, the researchers noted a substantial placebo effect, which could have obscured the true effect of the drug. This highlights the complexity of treating pruritus, a condition that can be deeply frustrating for patients.

The Importance of Understanding Placebo Effects

This study emphasizes the importance of accounting for placebo effects in clinical trials. It's like navigating a desert mirage – what appears to be a solution may not be what it seems. Understanding the complex interplay of drug effects and placebo responses is crucial for developing effective treatments for pruritus and other challenging conditions.

Living with Pruritus: A Camel's Guidance

While maralixibat did not show a significant difference in pruritus compared to placebo in this study, it highlights the need for further research to find effective treatments for pruritus in PBC. It's like searching for an oasis in the desert of pruritus, a persistent and often debilitating symptom. For patients with PBC and pruritus, it's essential to work closely with their healthcare provider to manage symptoms and find effective strategies for relief.

Dr.Camel's Conclusion

This study provides valuable insights into the challenges of treating pruritus in PBC, highlighting the need for further research to develop effective treatments for this debilitating condition. It's a reminder that even in the vast desert of medical research, we are constantly seeking solutions to improve the lives of patients.

Date :
  1. Date Completed n.d.
  2. Date Revised 2021-01-09
Further Info :

Pubmed ID

30859149

DOI: Digital Object Identifier

PMC6396374

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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