Multiple scoring systems have been developed to assess biochemical response to UDCA treatment [92]

Scoring SystemCriteria for treatment of non-responsivenessTime of evaluation from treatment initiation
BarcelonaALP decrease ≤ 40% of the initial level and ALP ≥ ULN12 months
Paris IIALP ≥ 1.5 × ULN or total bilirubin > 1 mg/dL or AST ≥ 1.5 × ULN12 months
RotterdamTotal bilirubin ≥ ULN, albumin < LLN, or both12 months
TorontoALP ≥ 1.67 × ULN24 months
UK-PBC formulaUses baseline albumin and platelet count, along with 12-month measurements of total bilirubin, ALP, and AST or ALT12 months
GLOBE formulaUses age, total bilirubin, ALP, albumin, and platelet count12 months