Page last updated: 2024-11-06

prednisolone and Atresia, Biliary

prednisolone has been researched along with Atresia, Biliary in 25 studies

Prednisolone: A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.
prednisolone : A glucocorticoid that is prednisone in which the oxo group at position 11 has been reduced to the corresponding beta-hydroxy group. It is a drug metabolite of prednisone.

Research Excerpts

ExcerptRelevanceReference
"Stool color (SC) for monitoring prednisolone use in biliary atresia (BA) patients after laparoscopic portoenterostomy (LPE) was reviewed."8.31Prednisolone administration monitored by postoperative stool color achieves high jaundice clearance after laparoscopic portoenterostomy for biliary atresia. ( Cazares, J; Koga, H; Lane, GJ; Ochi, T; Shibuya, S; Takeda, M; Tsuboi, K; Tsukui, T; Yamataka, A, 2023)
"Prednisolone is used routinely after portoenterostomy (PE) in patients with biliary atresia (BA)."7.73Optimum prednisolone usage in patients with biliary atresia postportoenterostomy. ( Kobayashi, H; Koga, H; Lane, GJ; Miyano, T; Okazaki, T; Tamura, T; Urao, M; Yamataka, A; Yanai, T, 2005)
"The underlying diagnoses were biliary atresia (n = 17), acute liver failure (n = 4), metabolic disease (n = 4)."5.32C2 blood concentrations of orally administered cyclosporine in pediatric liver graft recipients with a body weight below 10 kg. ( Broering, DC; Burdelski, M; Ganschow, R; Grabhorn, E; Hinrichs, B; Mir, TS; Richter, A; Rogiers, X; Schulz, A; von Hugo, A, 2004)
"The literature was searched using the following terms: biliary atresia, portoenterostomy, steroids, glucocorticoids, dexamethasone, prednisolone, and hydrocortisone."4.90Postoperative steroids after Kasai portoenterostomy for biliary atresia: a meta-analysis. ( Jia, J; Wang, JX; Yang, HY; Yue, M; Zhang, D; Zhao, G, 2014)
"Stool color (SC) for monitoring prednisolone use in biliary atresia (BA) patients after laparoscopic portoenterostomy (LPE) was reviewed."4.31Prednisolone administration monitored by postoperative stool color achieves high jaundice clearance after laparoscopic portoenterostomy for biliary atresia. ( Cazares, J; Koga, H; Lane, GJ; Ochi, T; Shibuya, S; Takeda, M; Tsuboi, K; Tsukui, T; Yamataka, A, 2023)
"Prednisolone is used routinely after portoenterostomy (PE) in patients with biliary atresia (BA)."3.73Optimum prednisolone usage in patients with biliary atresia postportoenterostomy. ( Kobayashi, H; Koga, H; Lane, GJ; Miyano, T; Okazaki, T; Tamura, T; Urao, M; Yamataka, A; Yanai, T, 2005)
"Biliary atresia is the most common cause of end-stage liver disease in children."2.79Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial. ( Bezerra, JA; Erlichman, J; Haber, B; Hertel, PM; Karpen, SJ; Kerkar, N; Loomes, KM; Magee, JC; Molleston, JP; Moore, J; Murray, KF; Robuck, PR; Romero, R; Rosenthal, P; Schwarz, KB; Shepherd, R; Sherker, AH; Shneider, BL; Sokol, RJ; Spino, C; Suchy, FJ; Turmelle, YP; Wang, KS; Whitington, PF, 2014)
"The association of biliary atresia (BA) and idiopathic thrombocytopenic purpura (ITP) is extremely rare, with only 2 cases being reported in the literature."2.45Idiopathic thrombocytopenic purpura complicated with biliary atresia: a rare occurrence and literature review. ( Hashimoto, S; Honda, S; Kaneta, M; Kobayashi, R; Okada, T; Sasaki, F; Todo, S, 2009)
"The original disease was biliary atresia in all recipients."1.56Pregnancy Outcomes Following Pediatric Liver Transplantation: A Single-Center Experience in Japan. ( Hirata, Y; Katano, T; Miyahara, G; Naya, I; Okada, N; Onishi, Y; Sakuma, Y; Sanada, Y; Sata, N; Yamada, N, 2020)
"Other postoperative complications were noted in eight, but with no fatal cases."1.36Evaluating patients' outcome post-Kasai operation: a 19-year experience with modification of the hepatic portoenterostomy and applying a novel steroid therapy regimen. ( Hashimoto, T; Hussein, MH; Kondo, S; Sato, Y; Suzuki, T, 2010)
" Intravenous prednisolone dosage was started with 4 mg/kg per day and tapered by a half dose every 2 days."1.33Glucocorticoid receptor alpha expression in the intrahepatic biliary epithelium and adjuvant steroid therapy in infants with biliary atresia. ( Muraji, T; Tatekawa, Y; Tsugawa, C, 2005)
"The underlying diagnoses were biliary atresia (n = 17), acute liver failure (n = 4), metabolic disease (n = 4)."1.32C2 blood concentrations of orally administered cyclosporine in pediatric liver graft recipients with a body weight below 10 kg. ( Broering, DC; Burdelski, M; Ganschow, R; Grabhorn, E; Hinrichs, B; Mir, TS; Richter, A; Rogiers, X; Schulz, A; von Hugo, A, 2004)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (8.00)18.2507
2000's11 (44.00)29.6817
2010's10 (40.00)24.3611
2020's2 (8.00)2.80

Authors

AuthorsStudies
Takeda, M1
Tsukui, T1
Cazares, J1
Tsuboi, K1
Ochi, T1
Shibuya, S1
Koga, H3
Lane, GJ3
Yamataka, A3
Tanaka, Y1
Shirota, C1
Tainaka, T1
Sumida, W1
Oshima, K1
Makita, S1
Tanaka, T1
Tani, Y1
Chiba, K1
Uchida, H1
Naya, I1
Sanada, Y1
Katano, T1
Miyahara, G1
Hirata, Y1
Yamada, N1
Okada, N1
Onishi, Y1
Sakuma, Y1
Sata, N1
Yeh, YT1
Lin, NC1
Yeh, YC1
Tsai, HL1
Chen, CY1
Liu, CP1
Liu, C1
Davenport, M3
Parsons, C1
Tizzard, S1
Hadzic, N2
Nio, M1
Muraji, T3
Bezerra, JA1
Spino, C1
Magee, JC1
Shneider, BL1
Rosenthal, P1
Wang, KS1
Erlichman, J1
Haber, B1
Hertel, PM1
Karpen, SJ1
Kerkar, N1
Loomes, KM1
Molleston, JP1
Murray, KF1
Romero, R1
Schwarz, KB1
Shepherd, R1
Suchy, FJ1
Turmelle, YP1
Whitington, PF1
Moore, J1
Sherker, AH1
Robuck, PR1
Sokol, RJ1
Zhang, D1
Yang, HY1
Jia, J1
Zhao, G1
Yue, M1
Wang, JX1
Chen, Y1
Nah, SA1
Chiang, L1
Krishnaswamy, G1
Low, Y1
Tyraskis, A1
Chung, HY1
Kak Yuen Wong, K1
Cheun Leung Lan, L1
Kwong Hang Tam, P1
Okada, T1
Sasaki, F1
Honda, S1
Hashimoto, S1
Kobayashi, R1
Kaneta, M1
Todo, S1
Andrade, Wde C1
Tannuri, U1
da Silva, LF1
Alves, VA1
Suzuki, T1
Hashimoto, T1
Kondo, S1
Sato, Y1
Hussein, MH1
Arii, R1
Arakawa, A1
Miyahara, K1
Okazaki, T2
Urao, M2
Grabhorn, E2
Ganschow, R2
Helmke, K1
Rogiers, X2
Burdelski, M2
Richter, A1
Schulz, A1
von Hugo, A1
Mir, TS1
Broering, DC1
Hinrichs, B1
Kobayashi, H1
Tamura, T1
Yanai, T1
Miyano, T1
Tatekawa, Y1
Tsugawa, C1
Wei, SH1
Ho, MC1
Ni, YH1
Lin, DT1
Lee, PH1
Shimadera, S1
Iwai, N1
Deguchi, E1
Kimura, O1
Fumino, S1
Ono, S1
Stringer, MD1
Tizzard, SA1
McClean, P1
Mieli-Vergani, G1
Vejchapipat, P1
Passakonnirin, R1
Sookpotarom, P1
Chittmittrapap, S1
Poovorawan, Y1
Lachaux, A1
Chambon, M1
Boillot, O1
Le Gall, C1
Loras, I1
Canterino, I1
Pouillaude, JM1
Gille, D1
David, L1
Hermier, M1
Higashimoto, Y1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2 Trial of N-Acetylcysteine in Biliary Atresia After Kasai Portoenterostomy[NCT03499249]Phase 216 participants (Anticipated)Interventional2018-05-18Active, not recruiting
A Randomized, Double-Blinded, Placebo-Controlled Trial of Corticosteroid Therapy Following Portoenterostomy in Infants With Biliary Atresia[NCT00294684]141 participants (Actual)Interventional2005-11-30Completed
A Phase II Trial of Pentoxifylline in Newly-Diagnosed Biliary Atresia[NCT01774487]Phase 217 participants (Actual)Interventional2013-02-04Terminated (stopped due to Target enrollment was not reached because the medication, pentoxifylline, has a taste that is not well tolerated by infants. The study team decided to end the study before meeting the enrollment goal because of the medication taste.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Height Z-Score

Height by Age Z-score over the course of the study (NCT00294684)
Timeframe: HPE to age 24 Months

InterventionZ-score (Mean)
Corticosteroids-0.7
Placebo-0.6

Presence of Ascites at 12 Months

(NCT00294684)
Timeframe: 12 Months

Interventionparticipants (Number)
Corticosteroids5
Placebo3

Presence of Ascites at 24 Months

(NCT00294684)
Timeframe: 24 Months

Interventionparticipants (Number)
Corticosteroids1
Placebo3

Serum Total Bilirubin Concentration

(NCT00294684)
Timeframe: Measurements will be made at 3 months after portoenterostomy

Interventionmg/dL (Mean)
Corticosteroids3.5
Placebo5.1

Survival With Native Liver at 24 Months of Age

(NCT00294684)
Timeframe: Measurements will be made at 24 months of age

Interventionpercentage of participants (Number)
Corticosteroids58.7
Placebo59.4

The Percentage of Patients With Serum Total Bilirubin <1.5 mg/dL and With Native Liver at 6 Months After Portoenterostomy

(NCT00294684)
Timeframe: Measurements will be made at 6 months after portoenterostomy

Interventionpercentage of participants (Number)
Corticosteroids58.6
Placebo48.6

Total Bilirubin Concentration at 12 Months

(NCT00294684)
Timeframe: 12 Months post HPE

Interventionmg/dL (Mean)
Corticosteroids1.7
Placebo3.7

Total Bilirubin Concentration at 24 Months of Age

(NCT00294684)
Timeframe: At 24 Months of Age

Interventionmg/dL (Mean)
Corticosteroids1.3
Placebo1.6

Weight Z-Score

weight for age Z-score (in subjects without ascites) over the course of the study (NCT00294684)
Timeframe: HPE until 24 months of age

InterventionZ-score (Mean)
Corticosteroids-0.8
Placebo-0.8

Alanine Amino Transferase (ALT) Levels at 2 Years of Life

The investigators will record the ALT levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Scale 14-45 U/L, with a higher level indicating a worse outcome. (NCT01774487)
Timeframe: 2 years of age

InterventionU/L (Mean)
Pentoxifylline - Group 1160

Number of Participants Achieving Zero or Positive Weight Z-scores 12 Weeks After Starting PTX Therapy

The investigators will track the weight of patients over the course of therapy in patients receiving 90 days of PTX (this is recorded as part of routine clinical care). The weight will then be compared to standards to calculate a z-score. Normal weight Z-score is greater than or equal to 0, with a higher number of patients meeting this indicating a better outcome. (NCT01774487)
Timeframe: 12 weeks after starting therapy

InterventionParticipants (Count of Participants)
Pentoxifylline - Group 10
Group 20

Number of Participants With Normal Serum Conjugated Bilirubin Levels 12 Weeks After Starting PTX (Pentoxifylline) Therapy

The investigators will track the serum conjugated bilirubin (CB) levels over the course of therapy in patients receiving 90 days of PTX (this laboratory test is drawn as part of routine care). Normal CB is 0.0-0.3 mg/dL, with a higher number of patients meeting this indicating a better outcome. (NCT01774487)
Timeframe: 12 weeks after starting therapy

InterventionParticipants (Count of Participants)
Pentoxifylline - Group 16
Pentoxifylline - Group 20

Platelet Levels at 2 Years of Life

The investigators will record platelet levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Scale 189-403*10^3 Platelets/μL, with a lower level indicating a worse outcome. (NCT01774487)
Timeframe: 2 years of age

Intervention10^3 Platelets/μL (Mean)
Pentoxifylline - Group 1208

Spleen Size at 2 Years of Age

"The investigators will measure spleen size by ultrasound at 2 years of age, in patients who had received PTX therapy earlier and still have their native liver. Normal spleen size range (10th-90th percentile) at this age is 6.4-8.6 cm, with a value exceeding this range indicating a worse outcome." (NCT01774487)
Timeframe: 2 years of age

Interventioncm (Mean)
Pentoxifylline - Group 110.0

Time to Liver Transplant

The investigators will track time to liver transplant. The shorter time to liver transplant indicates a worse outcome. (NCT01774487)
Timeframe: Baseline and up to two years after therapy finishes

Interventiondays (Mean)
Pentoxifylline - Group 1317
Pentoxifylline - Group 2273

Reviews

4 reviews available for prednisolone and Atresia, Biliary

ArticleYear
Postoperative steroids after Kasai portoenterostomy for biliary atresia: a meta-analysis.
    International journal of surgery (London, England), 2014, Volume: 12, Issue:11

    Topics: Biliary Atresia; Cholangitis; Dexamethasone; Glucocorticoids; Humans; Hydrocortisone; Jaundice; Port

2014
Postoperative steroid therapy for biliary atresia: Systematic review and meta-analysis.
    Journal of pediatric surgery, 2015, Volume: 50, Issue:9

    Topics: Biliary Atresia; Drainage; Glucocorticoids; Humans; Portoenterostomy, Hepatic; Postoperative Care; P

2015
Steroids after the Kasai procedure for biliary atresia: the effect of age at Kasai portoenterostomy.
    Pediatric surgery international, 2016, Volume: 32, Issue:3

    Topics: Age Factors; Biliary Atresia; Cholangitis; Glucocorticoids; Humans; Infant; Infant, Newborn; Liver;

2016
Idiopathic thrombocytopenic purpura complicated with biliary atresia: a rare occurrence and literature review.
    Journal of pediatric surgery, 2009, Volume: 44, Issue:1

    Topics: Biliary Atresia; Cholangitis; Diagnosis, Differential; Glucocorticoids; Humans; Infant; Liver Transp

2009

Trials

5 trials available for prednisolone and Atresia, Biliary

ArticleYear
Steroids in biliary atresia: single surgeon, single centre, prospective study.
    Journal of hepatology, 2013, Volume: 59, Issue:5

    Topics: Biliary Atresia; Bilirubin; Chemotherapy, Adjuvant; Combined Modality Therapy; Dose-Response Relatio

2013
Multicenter randomized trial of postoperative corticosteroid therapy for biliary atresia.
    Pediatric surgery international, 2013, Volume: 29, Issue:11

    Topics: Biliary Atresia; Dose-Response Relationship, Drug; Female; Follow-Up Studies; Glucocorticoids; Human

2013
Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial.
    JAMA, 2014, May-07, Volume: 311, Issue:17

    Topics: Administration, Oral; Adrenal Cortex Hormones; Biliary Atresia; Bilirubin; Double-Blind Method; Drai

2014
Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial.
    JAMA, 2014, May-07, Volume: 311, Issue:17

    Topics: Administration, Oral; Adrenal Cortex Hormones; Biliary Atresia; Bilirubin; Double-Blind Method; Drai

2014
Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial.
    JAMA, 2014, May-07, Volume: 311, Issue:17

    Topics: Administration, Oral; Adrenal Cortex Hormones; Biliary Atresia; Bilirubin; Double-Blind Method; Drai

2014
Use of corticosteroids after hepatoportoenterostomy for bile drainage in infants with biliary atresia: the START randomized clinical trial.
    JAMA, 2014, May-07, Volume: 311, Issue:17

    Topics: Administration, Oral; Adrenal Cortex Hormones; Biliary Atresia; Bilirubin; Double-Blind Method; Drai

2014
Randomized, double-blind, placebo-controlled trial of corticosteroids after Kasai portoenterostomy for biliary atresia.
    Hepatology (Baltimore, Md.), 2007, Volume: 46, Issue:6

    Topics: Biliary Atresia; Double-Blind Method; Female; Glucocorticoids; Humans; Infant; Liver Transplantation

2007
The improved outlook for biliary atresia with corticosteroid therapy.
    Journal of pediatric surgery, 1997, Volume: 32, Issue:7

    Topics: Biliary Atresia; Bilirubin; Cholangitis; Cholestasis; Dose-Response Relationship, Drug; Female; Gluc

1997

Other Studies

16 other studies available for prednisolone and Atresia, Biliary

ArticleYear
Prednisolone administration monitored by postoperative stool color achieves high jaundice clearance after laparoscopic portoenterostomy for biliary atresia.
    Pediatric surgery international, 2023, Nov-20, Volume: 39, Issue:1

    Topics: Biliary Atresia; Humans; Infant; Jaundice; Laparoscopy; Portoenterostomy, Hepatic; Prednisolone; Ret

2023
Efficacy of and prognosis after steroid pulse therapy in patients with poor reduction of jaundice after laparoscopic Kasai portoenterostomy.
    Pediatric surgery international, 2019, Volume: 35, Issue:10

    Topics: Biliary Atresia; Female; Glucocorticoids; Humans; Infant; Infant, Newborn; Jaundice; Laparoscopy; Ma

2019
Pregnancy Outcomes Following Pediatric Liver Transplantation: A Single-Center Experience in Japan.
    Annals of transplantation, 2020, Jun-09, Volume: 25

    Topics: Adolescent; Adult; Biliary Atresia; Female; Humans; Immunosuppressive Agents; Japan; Liver Transplan

2020
Vitamin A can ameliorate fibrosis of liver in an established rat model of biliary atresia and Kasai portoenterostomy.
    Journal of pediatric surgery, 2018, Volume: 53, Issue:12

    Topics: Animals; Biliary Atresia; Biomarkers; Cholagogues and Choleretics; Disease Models, Animal; Glucocort

2018
Evaluation of a standardized protocol in the use of steroids after Kasai operation.
    Pediatric surgery international, 2008, Volume: 24, Issue:9

    Topics: Biliary Atresia; Biliary Tract Surgical Procedures; Clinical Protocols; Female; Glucocorticoids; Hum

2008
Effects of the administration of pentoxifylline and prednisolone on the evolution of portal fibrogenesis secondary to biliary obstruction-an experimental study in growing animals.
    Journal of pediatric surgery, 2009, Volume: 44, Issue:11

    Topics: Animals; Biliary Atresia; Biliary Tract Diseases; Cholestasis; Common Bile Duct Diseases; Disease Mo

2009
Evaluating patients' outcome post-Kasai operation: a 19-year experience with modification of the hepatic portoenterostomy and applying a novel steroid therapy regimen.
    Pediatric surgery international, 2010, Volume: 26, Issue:8

    Topics: Anti-Inflammatory Agents; Biliary Atresia; Combined Modality Therapy; Female; Humans; Hydrocortisone

2010
How valuable is ductal plate malformation as a predictor of clinical course in postoperative biliary atresia patients?
    Pediatric surgery international, 2011, Volume: 27, Issue:3

    Topics: Bile Ducts; Bile Ducts, Intrahepatic; Biliary Atresia; Bilirubin; Biopsy; Female; Glucocorticoids; H

2011
Liver transplantation in infants younger than 6 months old.
    Transplantation proceedings, 2002, Volume: 34, Issue:5

    Topics: Age Factors; Antibodies, Monoclonal; Basiliximab; Biliary Atresia; Cyclosporine; Drug Therapy, Combi

2002
C2 blood concentrations of orally administered cyclosporine in pediatric liver graft recipients with a body weight below 10 kg.
    Pediatric transplantation, 2004, Volume: 8, Issue:2

    Topics: Administration, Oral; Antibodies, Monoclonal; Basiliximab; Biliary Atresia; Body Weight; Cyclosporin

2004
Optimum prednisolone usage in patients with biliary atresia postportoenterostomy.
    Journal of pediatric surgery, 2005, Volume: 40, Issue:2

    Topics: Anti-Inflammatory Agents; Biliary Atresia; Bilirubin; Cholangitis; Clinical Protocols; Feces; Female

2005
Glucocorticoid receptor alpha expression in the intrahepatic biliary epithelium and adjuvant steroid therapy in infants with biliary atresia.
    Journal of pediatric surgery, 2005, Volume: 40, Issue:10

    Topics: Bile Ducts, Intrahepatic; Biliary Atresia; Epithelium; Follow-Up Studies; Glucocorticoids; Humans; I

2005
Cytomegalovirus-associated immune thrombocytopenic purpura after liver transplantation.
    Journal of the Formosan Medical Association = Taiwan yi zhi, 2007, Volume: 106, Issue:4

    Topics: Biliary Atresia; Child, Preschool; Cytomegalovirus Infections; Glucocorticoids; Humans; Liver Transp

2007
The significance of steroid therapy after hepatoportoenterostomy in infants with biliary atresia.
    European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 2007, Volume: 17, Issue:2

    Topics: Biliary Atresia; Female; Glucocorticoids; Humans; Male; Portoenterostomy, Hepatic; Prednisolone; Ret

2007
High-dose steroids do not improve early outcome in biliary atresia.
    Journal of pediatric surgery, 2007, Volume: 42, Issue:12

    Topics: Biliary Atresia; Biliary Tract Surgical Procedures; Case-Control Studies; Dose-Response Relationship

2007
Transient hyperphosphatasemia after liver transplantation in infancy.
    Transplantation proceedings, 1996, Volume: 28, Issue:5

    Topics: Alanine Transaminase; Alkaline Phosphatase; Aspartate Aminotransferases; Biliary Atresia; Bilirubin;

1996