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38 patients with pruritus due to chronic cholestatic liver disease will be evaluated in an investigator initiated, multicenter, double-blind, placebo-controlled, 3-week study assessing the effects of colesevelam on pruritus. Colesevelam is an oral, non-absorbable bile-acid sequestrant much more potent than cholestyramine but free of adverse effects. It is registered as a lipid lowering agent. The intensity of symptoms will be scored by means of daily Visual Analogue Scales (VAS). Fatigue, quality of life and cutaneous scratch lesions will also be evaluated using quantitative instruments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Verum; colesevelam |
|
| 2 | Placebo Comparator | placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| colesevelam | Drug | 2 times 3 625 mg tablets daily, 3 weeks |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| 40% reduction of pruritus according to visual analogue scores | 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| improvement in quality of life scores | 3 weeks | |
| Reduction in pruritus score/scratch lesions | 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amsterdam Medical Center | Amsterdam | Netherlands | ||||
| Erasmus Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20683930 | Derived | Kuiper EM, van Erpecum KJ, Beuers U, Hansen BE, Thio HB, de Man RA, Janssen HL, van Buuren HR. The potent bile acid sequestrant colesevelam is not effective in cholestatic pruritus: results of a double-blind, randomized, placebo-controlled trial. Hepatology. 2010 Oct;52(4):1334-40. doi: 10.1002/hep.23821. |
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| ID | Term |
|---|---|
| D011537 | Pruritus |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D000069472 | Colesevelam Hydrochloride |
| ID | Term |
|---|---|
| D000499 | Allylamine |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D000498 | Allyl Compounds |
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| placebo | Drug | 2 times 3 625mg tablets daily |
|
| Rotterdam |
| Netherlands |
| University Medical Center Utrecht | Utrecht | Netherlands |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000475 |
| Alkenes |
| D006839 | Hydrocarbons, Acyclic |
| D006838 | Hydrocarbons |