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Probenecid can be considered to increase uric acid excretion in the urine mainly via the inhibition of urate transporter 1 (URAT1), and due to pharmacokinetic interactions involving organic anion transporters 1 and 3 (OAT1 and OAT3), it modifies renal excretion of penicillins or ciprofloxacin as well as nephrotoxicity of cidofovir. This review discusses clinically approved drugs that affect membrane/drug transporter function.
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Enrollment open, Enrollment change, Trial completion date, Trial primary completion date: ASSERT-EXT: Long-term Safety and Efficacy of Odevixibat in Patients With Alagille Syndrome (clinicaltrials.gov) - Jun 23, 2024 P3, N=70, Recruiting, Recruiting --> Active, not recruiting Active, not recruiting --> Recruiting | N=50 --> 70 | Trial completion date: Mar 2025 --> Apr 2027 | Trial primary completion date: Feb 2024 --> Oct 2026
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Journal: Loss of SLC27A5 Activates Hepatic Stellate Cells and Promotes Liver Fibrosis via Unconjugated Cholic Acid. (Pubmed Central) - Jan 15, 2024 The re-expression of hepatic SLC27A5 by an adeno-associated virus or the reduction of CA levels in the liver using A4250, an apical sodium-dependent bile acid transporter (ASBT) inhibitor, ameliorates liver fibrosis in Slc27a5 mice. In conclusion, SLC27A5 deficiency in mice drives hepatic fibrosis through CA-induced activation of HSCs, highlighting its significant implications for liver fibrosis treatment.
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Odevixibat therapy in patients with MYO5B mutations: a retrospective case series (Poster Area) - Apr 12, 2023 - Abstract #EASLILC2023EASL_ILC_864; Odevixibat treatment in patients with PFIC10 led to a rapid and sustained resolution of pruritus and a significant decrease in or normalisation of sBA levels, supporting the effectiveness of odevixibat. Treatment with odevixibat should be further evaluated in patients with PFIC associated with MYO5B gene mutations.
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Real-world experience of Odevixibat in adults with genetic disorders of cholestasis (Poster Area) - Apr 12, 2023 - Abstract #EASLILC2023EASL_ILC_855; Treatment with odevixibat should be further evaluated in patients with PFIC associated with MYO5B gene mutations. In adults with genetic disorders of cholestasis, odevixibat treatment appears to be safe, well tolerated, and associated with a reduction in pruritus intensity.
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Odevixibat treatment in a patient with undefined cholestasis and no unified genetic diagnosis: A case report () - Mar 27, 2023 - Abstract #BSPGHAN2023BSPGHAN_140; Table. Hepatic Parameters Over Time in a Patient With Undefined Cholestasis and No Unifying Genetic Diagnosis ALT, IU/L AST, IU/L GGT, IU/L Total Bilirubin, ?mol/L Within months of birth 307 274 158 120 Age 5 (before treatment) 219 154 230 70 Time Frame ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, gamma-glutamyl transferase.
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Journal: Odevixibat: a promising new treatment for progressive familial intrahepatic cholestasis. (Pubmed Central) - Nov 22, 2022 IBAT inhibition with therapeutics such as odevibixat have shown that it is well-tolerated and efficacious in mitigating itch and reducing serum bile acid levels. While the few early published trials with odevixibat have shown good efficacy, what remains to be seen is long-term, sustainable improvement and if or how these medications will supplement or replace the current medical and surgical therapies available for managing PFIC disorders.
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EFFICACY AND SAFETY OF ODEVIXIBAT IN PATIENTS WITH ALAGILLE SYNDROME: TOP-LINE RESULTS FROM ASSERT, A PHASE 3, DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED STUDY (Ballroom ABC) - Nov 2, 2022 - Abstract #AASLD2022AASLD_2393; P3 ALGS is a disease with high unmet needs, and more noninvasive treatment options that address the potentially serious signs and symptoms of ALGS would be valuable. Top-line, unblinded efficacy and safety data from the ASSERT study, including the effects of odevixibat versus placebo on pruritus, serum bile acids, and TEAEs will be presented.
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Product Theater: Relief Made Possible with Bylvay® (odevixibat) (Exhibit Hall A; Product Theater 2) - Nov 2, 2022 - Abstract #AASLD2022AASLD_2384; This presentation will be followed by an interview with Dr. Alisha Mavis, Pediatric Hepatologist at Duke University, on her experience with prescribing Bylvay.
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