The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Colchicine in the Treatment of Cirrhosis of the Liver
Abstract
There is preliminary evidence that colchicine, an inhibitor of collagen synthesis, may be beneficial in the treatment of cirrhosis of the liver. To evaluate the use of colchicine (1 mg per day, five days per week) in the treatment of hepatic cirrhosis, we performed a randomized, double-blind, placebo-controlled trial in which 100 patients were followed for up to 14 years. Forty-five patients had alcoholic cirrhosis, 41 had posthepatitic cirrhosis, and the remaining 14 had cirrhosis with various other causes. Histologic studies were available for 92 percent of patients. Seventy-three patients were in Child-Turcotte class A, 26 were in class B, and one was in class C. Fifty-four patients received colchicine, and 46 received placebo. The overall survival in the colchicine group was markedly better than in the placebo group (median survival, 11 and 3.5 years, respectively; P less than 0.001). The cumulative 5-year survival rates were 75 percent in the colchicine group and 34 percent in the placebo group; the corresponding 10-year survival rates were 56 percent and 20 percent. Among the 30 patients treated with colchicine who underwent repeated liver biopsies, histologic improvement was seen in 9; the liver appeared normal in 2, and 7 had minimal portal fibrosis. No histologic improvement was observed in the 14 members of the placebo group who had two or more biopsies. Few side effects were observed in either group.
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Cites
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Nonparametric Estimation from Incomplete Observations
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Peto, R., Pike, M. C., Armitage, P., Breslow, N. E., Cox, D. R., Howard, S. V., Mantel, N., McPherson, K., Peto, J., & Smith, P. G. (1977) · British Journal of Cancer · doi:10.1038/bjc.1977.1 · Cited by 8,285
Compensated cirrhosis: Natural history and prognostic factors
Ginés, P., Quintero, E., Arroyo, V., Terés, J., Bruguera, M., Rimola, A., Caballería, J., Rodés, J., & Rozman, C. (1987) · Hepatology · doi:10.1002/hep.1840070124 · Cited by 1,106
THE MECHANISM OF COLCHICINE INHIBITION OF MITOSIS
Taylor, E. W. (1965) · The Journal of Cell Biology · doi:10.1083/jcb.25.1.145 · Cited by 421
Lymphocyte-Mediated Activation of Fibroblast Proliferation and Collagen Production
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A Prospective Trial of Colchicine for Primary Biliary Cirrhosis
Kaplan, M. M., Alling, D. W., Zimmerman, H. J., Wolfe, H. J., Sepersky, R. A., Hirsch, G. S., Elta, G. H., Glick, K. A., & Eagen, K. A. (1986) · New England Journal of Medicine · doi:10.1056/nejm198612043152304 · Cited by 313
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Cited by
Fibrosis–a common pathway to organ injury and failure
Rockey, D. C., Bell, P. D., & Hill, J. A. (2015) · New England Journal of Medicine · doi:10.1056/nejmra1300575 · Cited by 1,428
Alcoholic liver disease: New insights in pathogenesis lead to new treatments
Lieber, C. S. (2000) · Journal of Hepatology · doi:10.1016/s0168-8278(00)80420-1 · Cited by 260
Hepatic Fibrosis, Stellate Cells, and Portal Hypertension
Rockey, D. C. (2006) · Clinics in Liver Disease · doi:10.1016/j.cld.2006.08.017 · Cited by 112
Hepatic and metabolic effects of ethanol: Pathogenesis and prevention
Lieber, C. S. (1994) · Annals of Medicine · doi:10.3109/07853899409148346 · Cited by 83
Metadata
- Authors
- Kershenobich, D., Vargas, F., Garcia-Tsao, G., Tamayo, R. P., Gent, M., & Rojkind, M.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1988-06-30
- Volume
- 318
- Issue
- 26
- Pages
- 1709-1713
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2325156742
- Cited by
- 328
- References
- 20
- FWCI
- 20.85
- Type
- journal article
- Language
- en
- Open access
- closed
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- Kershenobich, D., Vargas, F., Garcia-Tsao, G., Tamayo, R. P., Gent, M., & Rojkind, M. (1988). Colchicine in the Treatment of Cirrhosis of the Liver. New England Journal of Medicine. https://doi.org/10.1056/nejm198806303182602
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.