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IMPROVEMENT IN SEQUELAE OF CHRONIC LIVER DISEASE IN PATIENTS WITH ALAGILLE SYNDROME TREATED WITH MARALIXIBAT () - Oct 15, 2024 - Abstract #AASLD2024AASLD_3198; In addition, the first patient demonstrated resolution of esophageal varices and the second patient experienced a decreased appearance of xanthomas; both occurred in the absence of additional therapeutic interventions. It is promising that Maralixibat may affect progression and manifestations of chronic liver disease, including portal hypertension and xanthomas, that are often indications for liver transplantation.
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REAL-WORLD USE OF MARALIXIBAT IN BILIARY ATRESIA: A CASE SERIES () - Oct 15, 2024 - Abstract #AASLD2024AASLD_3173; Maralixibat may be effective in patients with BA for the management of cholestatic pruritus, including in patients with significant pruritus and progressive liver disease. This data supports the need for larger studies to systematically evaluate the potential benefit of MRX for the treatment of cholestatic pruritus in BA.
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Trial completion date, Trial primary completion date: An Extension Study of Maralixibat in Patients with Progressive Familial Intrahepatic Cholestasis (PFIC) (clinicaltrials.gov) - Oct 2, 2024 P3, N=90, Active, not recruiting, These consistent trends in growth for participants who received MRX and were pruritus responders indicate a potential disease-modifying effect of MRX treatment in PFIC. Trial completion date: Sep 2024 --> Dec 2024 | Trial primary completion date: Sep 2024 --> Dec 2024
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Journal: Stereoselective Synthesis of Maralixibat via VO(acac)2/Schiff Base-Catalyzed Asymmetric Oxidation of Its Sulfide Intermediate. (Pubmed Central) - Sep 20, 2024 The stereoselective synthesis of maralixibat was achieved by harnessing the chiral transferring effect of the stereogenic R-sulfoxide functionality, which was obtained via the VO(acac)2/Schiff base-catalyzed asymmetric oxidation of a phenylthiophenol prochiral intermediate. The R-sulfoxide intermediate underwent a ring closure reaction to form the seven-membered ring core structure with the desired stereochemistry, ultimately ensuring the drug's exceptional isomeric purity and synthetic efficiency.
- |||||||||| Review, Journal: Transporter Proteins as Therapeutic Drug Targets-With a Focus on SGLT2 Inhibitors. (Pubmed Central) - Jul 13, 2024
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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Maralixibat improves growth in patients with progressive familial intrahepatic cholestasis: data from the MARCH/MARCH-ON trials (Poster Area) - Apr 2, 2024 - Abstract #EASLILC2024EASL_ILC_965; These results demonstrate the potential for MRX to have disease-modifying effects in the treatment of PFIC. These consistent trends in growth for MRX-treated PFIC patients of various types represents the first report of sustained improvements in weight, as well as improvements in height, with the use of an IBAT inhibitor indicating a potential disease-modifying effect of MRX treatment in PFIC.
- |||||||||| Livmarli (maralixibat) / Mirum Pharma, Takeda
Trial primary completion date: A Study of TAK-625 for the Treatment of Alagille Syndrome (ALGS) (clinicaltrials.gov) - Nov 7, 2023 P3, N=7, Active, not recruiting, These data may help identify potential markers of disease progression for ALGS patients treated with MRX. Trial primary completion date: Jul 2025 --> Oct 2023
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Trial completion, Trial completion date, Trial primary completion date: A Study of TAK-625 for the Treatment of Progressive Familial Intrahepatic Cholestasis (PFIC) (clinicaltrials.gov) - Oct 2, 2023 P3, N=5, Completed, Trial primary completion date: Aug 2023 --> Nov 2023 Active, not recruiting --> Completed | Trial completion date: Jul 2025 --> Sep 2023 | Trial primary completion date: Jul 2025 --> Sep 2023
- |||||||||| Livmarli (maralixibat) / Mirum Pharma, Takeda
Review, Journal: Management of adults with Alagille syndrome. (Pubmed Central) - Aug 16, 2023 This review is aimed at providing a comprehensive review of ALGS to adult clinicians who will take over the medical care of these patients following transition, with particular focus on certain aspects of the condition that require lifelong surveillance. We also provide a diagnostic framework for adult patients with suspected ALGS and highlight key aspects to consider when determining eligibility for LT in patients with this syndrome.
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Enrollment closed: A Study of TAK-625 for the Treatment of Alagille Syndrome (ALGS) (clinicaltrials.gov) - Jun 8, 2023 P3, N=7, Active, not recruiting, Physicians caring for patients with this condition should be aware of these novel drug classes' benefits and side effects. Recruiting --> Active, not recruiting
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Impact of maralixibat on cholestatic pruritus in adults aged 16 years and older with Alagille syndrome (Poster Area) - Apr 12, 2023 - Abstract #EASLILC2023EASL_ILC_529; MRX was effective, durable and well tolerated in ALGS patients aged 16 years and older, providing critical data for patients who transition to adulthood while on therapy. These data support an ongoing role for treatment in adults with ALGS that survive with their native livers into adulthood.
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Maralixibat improves growth in patients with Alagille syndrome: A 4-year analysis () - Mar 27, 2023 - Abstract #BSPGHAN2023BSPGHAN_138; Increased catch-up height was also seen in patients that achieved lower sBA with MRX, suggesting an improvement in bile acid homeostasis may be a factor. Further analyses are needed comparing growth trajectories in MRX-treated patients to a natural history cohort of patients with ALGS to fully understand the attributability of MRX.
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Enrollment open: A Study of TAK-625 for the Treatment of Alagille Syndrome (ALGS) (clinicaltrials.gov) - Jan 18, 2023 P3, N=5, Recruiting, Limitations will always be present given lack of prospective conduct and inherent biases, though sensitivity analyses can help mitigate and aid interpretation. Not yet recruiting --> Recruiting
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