Publications by authors named "K V Kowdley"

Background And Aims: Primary biliary cholangitis (PBC) is a rare, progressive liver disease. Obeticholic acid (OCA) received accelerated approval for treating patients with PBC in whom ursodeoxycholic acid (UDCA) failed, based on a surrogate endpoint of reduction in alkaline phosphatase. Analysis of the long-term safety extension with 2 external control groups demonstrated a significant increase in event-free survival in OCA-treated patients.

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Article Synopsis
  • Primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) are rare chronic liver diseases that can lead to severe liver damage if not treated.
  • Ursodeoxycholic acid is the traditional first-line treatment for PBC, with new medications like obeticholic acid and fibrates as second-line options, while PSC currently has no approved treatments except for liver transplants.
  • Recent advances include two new FDA-approved drugs for PBC and ongoing research into additional therapies for both PBC and PSC, showing promise for future treatments.
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Article Synopsis
  • The study looked at how patients with a liver disease called primary biliary cholangitis (PBC) respond to a treatment called ursodeoxycholic acid (UDCA).
  • It found that many patients (33%) didn’t have a good response after one year, and those who lost their good response had a higher chance of needing a liver transplant or dying.
  • The research showed that staying or getting back to a good response is important for improving long-term health.
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  • Tirzepatide is the first dual incretin receptor activator approved for treating type II diabetes and obesity.
  • It has shown benefits in reducing liver fat without known cases of liver damage from its use.
  • However, a case of elevated liver enzymes was reported in a 37-year-old woman with metabolic syndrome after using tirzepatide.
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