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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8016
|
pubmed:dateCreated |
1977-6-11
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pubmed:abstractText |
D-penicillamine, 900 mg daily, was used in a randomised controlled trial for treatment of patients with primary biliary cirrhosis. 19 patients received D-penicillamine and 13 received placebo. The two groups were similar in age, duration of illness, liver function tests, and liver histology. Before entry into the trial liver-copper concentration was raised in 25 of the 27 patients in whom it was measured. After three months patients taking D-penicillamine showed a significant reduction in serum-aspartate-transaminase concentrations compared with the placebo group, and this reduction seemed to be sustained. In the 4 patients on D-penicillamine for a year, a second liver biopsy showed that mean liver-copper concentration fell from 310 +/- 128 (S.E.M.) to 84 +/- 36 microng/g dry liver, compared with a reduction from 511 +/- 169 to 454 +/- 128 in the 7 patients in the placebo group in whom serial liver-copper measurements were available. Liver histology demonstrated a comparative improvement in cholestasis in patients on penicillamine, but the degree of inflammation, necrosis, and the histological stage of disease remained similar in both groups. In 5 of the 19 patients in the D-penicillamine group the drug was discontinued because of side-effects. D-penicillamine seems to be a promising treatment for patients with primary biliary cirrhosis. It may produce its effect by reducing liver-copper concentration.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Alkaline Phosphatase,
http://linkedlifedata.com/resource/pubmed/chemical/Aspartate Aminotransferases,
http://linkedlifedata.com/resource/pubmed/chemical/Bilirubin,
http://linkedlifedata.com/resource/pubmed/chemical/Copper,
http://linkedlifedata.com/resource/pubmed/chemical/Penicillamine,
http://linkedlifedata.com/resource/pubmed/chemical/Placebos
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
16
|
pubmed:volume |
1
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
831-4
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:67338-Alkaline Phosphatase,
pubmed-meshheading:67338-Aspartate Aminotransferases,
pubmed-meshheading:67338-Bilirubin,
pubmed-meshheading:67338-Clinical Trials as Topic,
pubmed-meshheading:67338-Copper,
pubmed-meshheading:67338-Drug Evaluation,
pubmed-meshheading:67338-Female,
pubmed-meshheading:67338-Follow-Up Studies,
pubmed-meshheading:67338-Humans,
pubmed-meshheading:67338-Liver,
pubmed-meshheading:67338-Liver Cirrhosis, Biliary,
pubmed-meshheading:67338-Liver Function Tests,
pubmed-meshheading:67338-Male,
pubmed-meshheading:67338-Penicillamine,
pubmed-meshheading:67338-Placebos
|
pubmed:year |
1977
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pubmed:articleTitle |
A controlled trial of D-penicillamine therapy in primary biliary cirrhosis.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|