Cited by 87Liver Diseases and ImmunityPediatric Hepatobiliary Diseases and TreatmentsLiver Disease Diagnosis and Treatment

American Association for the Study of Liver Diseases endpoints conference: design and endpoints for clinical trials in primary biliary cirrhosis

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Silveira, Marina G., Brunt, Elizabeth M., Heathcote, Jenny, Gores, Gregory J., Lindor, Keith D., Mayo, Marlyn J.·2010·Hepatology

Abstract

A group of multidisciplinary experts on primary biliary cirrhosis (PBC) and its complications convened on May 31, 2009, under the aegis of the American Association for the Study of Liver Diseases (AASLD) in order to identify the most appropriate design and endpoints for clinical trials of PBC based on current evidence and expert experience.The natural history of PBC was reviewed as well as current therapies.The current approaches to evaluating therapies for disease progression and symptoms as priorities were discussed.Appropriate aspects of trial design including entry criteria, study duration, and appropriate handling of issues such as stratification of subjects and use of ursodeoxycholic acid (UDCA), were identified and discussed.After a full day of presentations, in a consensus manner, appropriate endpoints for clinical efficacy trials regarding PBC and its complications were agreed upon and are reported in this summary.

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  • Treatment failure should be defined using validated surrogate endpoints with reproducible prognostic performance across cohorts.

    “Treatment failure must be defined on validated surrogate endpoints to account for the slow progression of disease, i.e. endpoints that have significant reproducible prognostic performance in different cohorts of patients [100].”

    From EASL Clinical Practice Guidelines: The diagnosis and management of patients with primary biliary cholangitis. (2017) · cites this paper as [100]

    The Endpoints of Clinical Trials in PBC section says slow progression makes death or transplantation impractical trial endpoints, and the Biochemical Markers section recommends biochemical markers as primary endpoints. But the paper does not say treatment failure must be defined by validated surrogates with reproducible prognostic performance across different cohorts; it allows several ways to assess response. Page numbers were not available in our copy. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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References 87 · Cited by 87

Research works printed but not linked: 4

  1. [9]9. Kim WR, Lindor KD, Locke GR 3rd, Therneau TM, Homburger HA, Batts KP, et al. Epidemiology and natural history of primary biliary cir- rhosis in a US community. Gastroenterology 2000;119:1631-1636.
  2. [26]26. HEPATOLOGY, Vol. 52, No. 1, 2010 SILVEIRA ET AL. 357
  3. [74]74. Myers R, Shaheen A, Swain M, Lee S, Cole S, Coffey-Williamson S, et al. Rituximab for primary biliary cirrhosis refractory to ursodeoxy- cholic acid [Abstract]. HEPATOLOGY 2007;46:550A.
  4. [82]82. HEPATOLOGY, Vol. 52, No. 1, 2010 SILVEIRA ET AL. 359

Authors
Silveira, M. G., Brunt, E. M., Heathcote, J., Gores, G. J., Lindor, K. D., & Mayo, M. J.
Affiliations
  • Mayo Clinic (US)
  • Washington University in St. Louis (US)
  • University of Toronto (CA)
  • The University of Texas Southwestern Medical Center (US)
Corresponding author
Mayo, Marlyn J.
Venue
Hepatology
Published
2010-07
Volume
52
Issue
1
Pages
349-359
ISSN
0270-9139 (ISSN-L)
OpenAlex
W2057537884
Cited by
87
References
87
Citations by year
2025: 4 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 11 · 2013: 7 · 2012: 6
FWCI
4.78
Type
journal article
Language
en
Open access
Locations
  • Hepatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
Keywords
primary biliary cirrhosis, clinical trial endpoints, clinical trial design, natural history of disease, ursodeoxycholic acid, disease progression, symptom assessment, patient stratification
MeSH terms
Clinical Trials as Topic, Humans, Liver Cirrhosis, Biliary, Research Design, Societies, Medical, United States, Patient Selection

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