- |||||||||| Livdelzi (seladelpar) / Gilead
Trial completion: RESPONSE: Response to Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Control to or an Intolerance to Ursodeoxycholic Acid (UDCA) (clinicaltrials.gov) - Sep 30, 2023 P3, N=193, Completed, Although there are no pathognomonic features, histologic evaluation of suspected DILI during MASH clinical trials may alter patient management, define the pattern and severity of injury, detect findings that favour a diagnosis of DILI versus MASH progression, identify prognostic features, characterise the clinicopathological phenotype of DILI, and/or define lesions that influence decisions about trial discontinuation and further development of the drug. Active, not recruiting --> Completed
- |||||||||| Review, Journal: PPAR agonists for the treatment of primary biliary cholangitis: Old and new tales. (Pubmed Central) - Jan 24, 2023
Ursodeoxycholic Acid (UDCA) is the standard of care treatment, Obeticholic Acid (OCA) has been approved as second-line therapy for those non responder or intolerant to UDCA...Bezafibrate, the most evaluated, is currently used in clinical practice in combination with UDCA in referral centers...Testing new therapeutic opportunities in PBC is challenging due to its low prevalence and slow progression. However, new drugs including PPAR agonists, are currently under investigation and should be considered for at-risk PBC patients.
- |||||||||| Update on clinical management of Primary Biliary Cirrhosis (3F Plenary Hall) - Dec 18, 2022 - Abstract #APASL2023APASL_237;
Novel PPAR agonists for PBC including elafibranor (PPAR-ad), saroglitazar (PPARa/g), and seladelpar(PPARd) showed a favorable biochemical response in phase 2 clinical trials. Lastly, RCT of linerixibat (an ileal bile acid transporter inhibitor) in PBC patients showed improvement in pruritus severity.
- |||||||||| linerixibat (GSK2330672) / GSK, seladelpar (MBX-8025) / CymaBay, aldafermin (NGM282) / NGM Biopharma
Retrospective data, Review: Efficacy and safety of pharmacological interventions for pruritus in primary biliary cholangitis: A systematic review and meta-analysis. (Pubmed Central) - Nov 8, 2022 UDCA, bezafibrate, OCA, rifampicin, NGM282 and others may improve blood γ-glutamyl transpeptidase (γ-GGT) (p < 0.05), but due to the high heterogeneity and the limitation of research samples, a clear conclusion cannot be drawn...Due to the heterogeneity in the published studies, based on the present review, we cannot explicitly recommend any specific drug for the treatment of PBC-related pruritus. Systematic Review Registration: link-https://osf.io/2g8ya, identifier 10.17605/OSF.IO/2G8YA.
- |||||||||| seladelpar (MBX-8025) / CymaBay
Journal: Prevalence and clinical significance of portal inflammation, portal plasma cells, interface hepatitis and biliary injury in liver biopsies from patients with non-alcoholic steatohepatitis. (Pubmed Central) - Sep 24, 2022 In 2019, CymaBay Therapeutics halted clinical trials of seladelpar (a PPARδ agonist) because initial end-of-treatment liver biopsies of patients with non-alcoholic steatohepatitis (NASH) showed concerning features of portal inflammation with plasma cells, interface hepatitis and focal bile duct abnormalities...NASH patients with advanced fibrosis had frequent and diffuse cholangiocyte changes, along with focal lymphocytic cholangitis and moderate to marked ductular reaction (score 3-4). Histopathological features of advanced NASH frequently include increased portal inflammation with plasma cells, interface hepatitis, cholangiocyte injury and prominent ductular reaction.
- |||||||||| Livdelzi (seladelpar) / Gilead
Enrollment closed, Trial completion date, Trial primary completion date: RESPONSE: Response to Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Control to or an Intolerance to Ursodeoxycholic Acid (UDCA) (clinicaltrials.gov) - Sep 6, 2022 P3, N=193, Active, not recruiting, Histopathological features of advanced NASH frequently include increased portal inflammation with plasma cells, interface hepatitis, cholangiocyte injury and prominent ductular reaction. Recruiting --> Active, not recruiting | Trial completion date: Mar 2023 --> Aug 2023 | Trial primary completion date: Nov 2022 --> Aug 2023
- |||||||||| Ocaliva (obeticholic acid) / Intercept, seladelpar (MBX-8025) / CymaBay
TREATMENT WITH SELADELPAR IN PATIENTS WITH PRIMARY BILIARY CHOLANGITIS (PBC) AND PRIOR EXPERIENCE WITH OBETICHOLIC ACID OR FIBRATES (Poster Hall - San Diego Convention Center) - Apr 25, 2022 - Abstract #DDW2022DDW_2862; P2, P3 AE of pruritus was noted in 7%, 15%, and 18% in the 10 mg, 5 mg, and Pbo groups, respectively. Conclusion : In PBC pts with prior treatment with OCA or fibrates and ALP ≥ 1.67xULN, seladelpar appeared to be safe, well tolerated and showed meaningful and dose dependant improvement in biochemical markers of cholestasis.
- |||||||||| seladelpar (MBX-8025) / CymaBay
Trial termination: A Study to Evaluate Seladelpar in Subjects With Nonalcoholic Steatohepatitis (NASH) (clinicaltrials.gov) - Jan 11, 2022 P2, N=181, Terminated, Seladelpar treatment for 1 year led to consistent improvement in both symptom burden and biochemical response suggesting its potential as a single agent to address two key unmet needs in PBC patients. Completed --> Terminated; unexpected histological findings
|