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508A AASLD ABSTRACTS HEPATOLOGY, October, 2015 (PBC) and 40 healthy subjects). To evaluate the discriminating effect of plasma miRNAs, ROC curve were established for each validated miRNAs, and AUC was calculated from the logistic regression. Only miRNAs with AUC>0.70 were considered useful as biomarkers. Results: In the discovery phase, we identified 21 miRNAs with differential expression in PSC, 33 in CCA, and 26 in both, when compared with healthy controls, of which 24 miRNAs demonstrated significantly diverse expression between PSC and CCA. Data from validation phase demonstrated that miR-200c was differentially expressed in PSC versus healthy controls, whereas miR-483-5p, and miR- 194 were differentially expressed in CCA compared with healthy controls. Importantly, we also found 3 miRNA that were specifically deregulated in CCA when compared to PSC: miR- 222 was upregulated and miR-16 and miR-195 were down regulated in CCA when compared to PSC. The combined ROC analysis of identified miRNAs from each disease group significantly increases the AUC value and the combination of these markers further improved the specificity and accuracy of diagnosis. Conclusions: This study is unique and an important discovery program that emphasizes the potential identification of plasma miRNAs as biomarkers of PSC and CCA. A panel of differentially expressed plasma miRNAs is identified in PSC and CCA when compared with healthy controls. Furthermore, our data provides a basis for the use of miRNAs as biomarkers not only for the diagnosis of PSC and for the early detection of CCA, but also novel therapeutic targets. Future analyses will depend on larger cohorts of patients. Disclosures: Lorenza Rimassa - Board Membership: Eli Lilly, Merck Serono Fabio Piscaglia - Advisory Committees or Review Panels: Bayer ; Consulting: Bracco, Eisai; Grant/Research Support: Esaote Christopher L. Bowlus - Advisory Committees or Review Panels: Gilead Sciences, Inc; Grant/Research Support: Gilead Sciences, Inc, Intercept Pharmaceuticals, Bristol Meyers Squibb, Takeda, Lumena, Merck; Speaking and Teaching: Gilead Sciences, Inc The following authors have nothing to disclose: Francesca Bernuzzi, Francesco Marabita, Ana Lleo, Ilaria Bianchi, Massimiliano Mirolo, Marco Marzioni, Gianfranco Alpini, Domenico Alvaro, Kirsten M. Boberg, Massimo Locati, Guido Torzilli, Xiao-Song He, Patrick S. Leung, Guo-Xiang Yang, M. Eric Gershwin, Pietro Invernizzi 603 Bezafibrate: A novel and effective alternative for relieving pruritus in patients with primary biliary cirrhosis Anna Reig, Pilar Sese, Albert Pares; Liver Unit, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERehd, Barcelona, Spain Background and Aims: Pruritus is a common and distressing symptom in patients with primary biliary cirrhosis (PBC), and when uncontrollable it is an indication for liver transplantation. Different therapeutic approaches for pruritus have been proposed including resins, rifampicin, naltrexone, sertraline and albumin dialysis. Recent observations have indicated that fibrates may improve cholestatic itching, although no specific <strong>studies</strong> have been carried out. Therefore, we have assessed the effects of fibrates on pruritus in patients PBC who had a suboptimal response to ursodeoxycholic acid (UDCA). Patients and Methods: 46 PBC patients (43 females, age 54.3 ± 1.5 years) with suboptimal biochemical response to UDCA were treated with bezafibrate (400 mg/d). Apart from clinical and biochemical changes, pruritus severity was assessed by a specific questionnaires (PBC-40 and pruritus score) and with a visual analogue scale (VAS) (form 0 to 10), at baseline and after a mean of 29 ± 4 months. Moreover, bezafibrate therapy was discontinued in 13 patients to evaluate the course of this symptom after bezafibrate withdrawal. Results: Twenty seven patients (58.7%) experienced pruritus at baseline (mean VAS: 4.4 ± 0.5). No significant differences regarding to prior duration of UDCA therapy, age, gender and severity of biochemical cholestasis were observed between patients with and without pruitus at the beginning of bezafibrate therapy, except for ALT which were significantly higher in patients with pruritus. Triglyceride and cholesterol levels as well as transient elastography (8.9 ± 0.8 vs 9.3 ±2.7 kPa, p:n.s) were also similar in patients with and without pruritus. Bezafibrate therapy resulted in a significant mitigation of pruritus (VAS from 4.4 ± 0.5 to 0.8 ± 0.2,
HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 509A were comparable between PSC, PBC and HC (0.26 [0.37], 0.23 [0.27] and 0.18 [0.18] ng/mL, resp., p=0.27), baseline fasted TBS were elevated in PSC compared to PBC and HC (29.0 [62.2], 3.2 [7.0] and 2.8 [3.4] mmol/L, resp., p
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1000A AASLD ABSTRACTS HEPATOLOGY, O
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1312A AUTHOR INDEX HEPATOLOGY, Octo
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1366A CATEGORY INDEX HEPATOLOGY, Oc
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