Review Article

Effects and Tolerance of Silymarin (Milk Thistle) in Chronic Hepatitis C Virus Infection Patients: A Meta-Analysis of Randomized Controlled Trials

Table 2

Baseline characteristics of study participants.

StudyIntervention groupTotal patientsMean age (years)Male, (%)HCV genotype (1/non-1/NA)HCV RNA, mean ± SD/median (IQR)ALT, mean ± SD/median (IQR) (U/L)Albumin, g/LBilirubin, μmol/LBMI (kg/m2)

Tanamly et al.  
2004 [10]
Silymarin69NANANANA14 (20.6)aNANANA
Placebo72NANANANA15 (21.1)aNANANA

Gordon et al.  
2006 [9]
Silymarin2443 ± 715 (62.5)15/8/1(4.7 ± 7.0) × 106 copies/mL100 ± 5139 ± 310 ± 327 ± 5
Placebo2443 ± 715 (62.5)15/8/1(4.7 ± 7.0) × 106 copies/mL100 ± 5139 ± 310 ± 327 ± 5

Pár et al.  
2009 [8]
Silymarin1651.6 ± 6.38 (50)16/0/0641 ± 178 kIU/mL141.3 ± 85.5NANANA
Placebo1646.8 ± 9.95 (31)16/0/0740 ± 227 kIU/mL108.7 ± 52.7NANANA

Fried et al.  
2012 [11]
Silymarin10254 (48–58)79 (77.5)95/7/06.1 (5.7–6.5)b; 6.3 (5.8–6.6)c  109.5 (83–158)b; 104.5 (83.5–151)c41 (39–44)0.8 (0.6–1.0)28.5 (26–32.4)b; 30.2 (28.1–32.9)c
Placebo5256 (51.5–59.5)41 (78.9)44/6/26.4 (5.9–6.7)  106 (83–136)43 (39–45)0.9 (0.6–1.1)29.1 (26.5–32.7)

Mariño et al.  
2013 [12]
Silibinin1157.2 ± 9.36 (54.5)9/2/0(5.17 ± 0.76)  NANANANA
Placebo352 (41–62)3 (100)3/0/04.94 (4.46–5.95)  NANANANA

aPresented by (%) of participants with ALT abnormal; bdata of participants receiving 420 mg per time three times a day; cdata of participants receiving 700 mg per time three times a day.