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Primary Biliary CirrhosisPhase 3NCT03301506

Study of Seladelpar in Participants With Primary Biliary Cholangitis (PBC)

A Phase 3 study testing Seladelpar 5 mg Capsule and Seladelpar 10 mg Capsule in people with Primary Biliary Cirrhosis, run by Gilead Sciences at 109 sites in 25 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Seladelpar in Subjects with Primary Biliary Cholangitis (PBC) Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Primary Biliary Cirrhosis
What is being tested?
Seladelpar 5 mg Capsule and Seladelpar 10 mg Capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
340 participants
Where
109 sitesin 25 countries
Study dates
12 Dec 2017to Dec 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must have given written informed consent (signed and dated)
  • Participated in a PBC study with seladelpar
  • Females of reproductive potential must use at least one barrier contraceptive and a second effective birth control method during the study and for at least 90 days after the last dose. Male individuals who are sexually active with female partners of reproductive potential must use barrier contraception and their female partners must use a second effective birth control method during the study and for at least 90 days after the last dose

Who cannot join

  • Exclusion criteria are only applicable for individuals with a seladelpar interruption greater than 4 weeks prior to Day 1 of this study and for individuals who participated in CB8025-21838 irrespective of seladelpar interruption.
  • Treatment-related adverse event (AE) leading to study drug discontinuation in a previous PBC study with seladelpar
  • A medical condition, other than PBC, that in the Investigator's opinion would preclude full participation in the study or confound its results (eg, cancer, any active infection)
  • AST or ALT above 3 × the upper limit of normal (ULN)
  • Total bilirubin above 2 × ULN
  • MELD score ≥ 12. For individuals on anticoagulation medication, evaluation of the baseline INR, in concert with any current dose adjustments in anti-coagulant medications, will be taken into account when calculating this score. This will be done in consultation with the medical monitor.
Show all 28Show fewer
  • Evidence of advanced PBC as defined by the Rotterdam criteria: albumin below 1× the lower limit of normal (LLN) AND total bilirubin above 1 × ULN)
  • eGFR ≤45 mL/min/1.73 m2 (calculated by MDRD formula)
  • Auto-immune hepatitis
  • Primary sclerosing cholangitis
  • Known history of alpha-1-antitrypsin deficiency
  • Known history of chronic viral hepatitis
  • For females, pregnancy or breast-feeding
  • Use of colchicine, methotrexate, azathioprine, or long-term use of systemic steroids (eg prednisone, prednisolone, budesonide) (>2 weeks) within 2 months prior to Screening
  • Current use of fibrates or use of fibrates within 3 months prior to Screening
  • Current use of obeticholic acid or use of obeticholic acid within 3 months prior to Screening
  • Use of an experimental or unapproved treatment for PBC within 3 months prior to Screening
  • History of malignancy diagnosed or treated, actively or within 2 years, or active evaluation for malignancy; localized treatment of squamous or non-invasive basal cell skin cancers and cervical carcinoma in-situ is allowed if appropriately treated prior to Screening
  • Treatment with any other investigational therapy or medical device within 30 days or within 5 half-lives, whatever is longer, prior to Screening
  • Any other condition(s) that would compromise the safety of the individual or compromise the quality of the clinical study, as judged by the Investigator
  • Immunosuppressant therapies (eg, cyclosporine, tacrolimus, anti-TNF or other immunosuppressive biologics)
  • Other medications that effect liver or GI functions such as absorption of medications or the roux-en-y gastric bypass procedure may be prohibited and should be discussed with the medical monitor on a case-by-case basis
  • Positive for:
  • Hepatitis B, defined as the presence of hepatitis B surface antigen
  • Hepatitis C, defined as the presence of hepatitis C virus ribonucleic acid (RNA)
  • Human immunodeficiency virus (HIV) antibody
  • Active COVID-19 infection during screening
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

109 sites in 25 countries.

109 sites in 25 countries

United States40 sites
  • Digestive Healthcare of Georgia PC

    Atlanta, Georgia, 30309

  • University of Colorado - Denver - PPDS

    Aurora, Colorado, 80045

  • Mercy Medical Center (Baltimore)

    Baltimore, Maryland, 21202

  • Northeast Clinical Research Center, LLC

    Bethlehem, Pennsylvania, 18017

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Beth Israel Deaconess Medical Center - 330 Brookline Ave

    Boston, Massachusetts, 02215

  • Galen Medical Group

    Chattanooga, Tennessee, 37404

  • University of Chicago Hospitals

    Chicago, Illinois, 60637

  • Gastro One-8110 Walnut Run Rd

    Cordova, Tennessee, 38018

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 39090

  • Liver Institute at Methodist Dallas

    Dallas, Texas, 75203

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Covenant Research Fort Myers

    Fort Myers, Florida, 33606

  • Penn State Health Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Southern Therapy and Advanced Research LLC

    Jackson, Mississippi, 39157

  • Florida Digestive Health Specialist

    Lakewood Rch, Florida, 34211

  • Arkansas Diagnostic Center

    Little Rock, Arkansas, 72205

  • University of Miami Miller School of Medicine

    Miami, Florida, 33136

  • MNGI Digestive Health PA-Plymouth

    Minneapolis, Minnesota, 55413

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • East Jefferson General Hospital

    New Orleans, Louisiana, 70112

  • NYU Langone Medical Center

    New York, New York, 10021

  • Weill Cornell Medical College

    New York, New York, 10021

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • Maryview Hospital Inc., d/b/a Bon Secours Liver Institute of Hampton Roads

    Newport News, Virginia, 23602

  • Henry Ford Health System

    Novi, Michigan, 48377

  • Stanford University School of Medicine

    Palo Alto, California, 94305

  • California Liver Research Institute

    Pasadena, California, 91105

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • Bon Secours Richmond Community Hospital, Inc. d/b/a Bon Secours Liver Institute of Richmond

    Richmond, Virginia, 23226

  • University of Rochester Medical Center - PPDS

    Rochester, New York, 14642

  • University of California Davis Medical Center

    Sacramento, California, 95817

  • The Texas Liver Institute - 607 Camden St

    San Antonio, Texas, 78215 1619

  • Pinnacle Clinical Research, PLLC

    San Antonio, Texas, 78229

  • California Pacific Medical Center

    San Francisco, California, 94115

  • Covenant Research, LLC

    Sarasota, Florida, 33912

  • Liver Institute Northwest, PLLC

    Seattle, Washington, 98195

  • Saint Louis University

    St Louis, Missouri, 63104

Other trials in United States

United Kingdom8 sites
  • Queen Elizabeth Hospital Birmingham

    Birmingham, B15 2TH

  • Hull Royal Infirmary

    Hull, HU3 2JZ

  • Barts Health NHS Trust, Royal London Hospital, Ambrose King Centre

    London, E1 1BB

  • King's College Hospital

    London, SE5 9RS

  • The Newcastle Upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, NE4 6BE

  • Queen's Medical Centre

    Nottingham, NG7 2UH

  • Derriford Hospital

    Plymouth, PL6 8DH

  • Queen Alexandra Hospital

    Portsmouth, PO6 3LY

Other trials in United Kingdom

South Korea7 sites
  • Soon Chun Hyang University Hospital Bucheon

    Bucheon-si, 14584

  • Inje University Busan Paik Hospital

    Busan, 47392

  • Pusan National University Hospital

    Busan, 49241

  • Kyungpook National University Hospital

    Daegu, 41944

  • Seoul National University Bundang Hospital

    Seongnam, 13620

  • Seoul National University Hospital

    Seoul, 03080

  • Asan Medical Center

    Songpa-Gu, 05505

Other trials in South Korea

Spain7 sites
  • Hospital Universitario Germans Trias i Pujol

    Badalona, 08916

  • Hospital Universitario Vall d'Hebron - PPDS

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 8036

  • Hospital Universitario La Paz - PPDS

    Horcajo de la Sierra, 28755

  • Hospital Universitario 12 de Octubre

    Madrid, 28026

  • Hospital Universitario Virgen de la Victoria

    Málaga, 29010

  • Hospital Universitario Marques de Valdecilla

    Santander, 39008

Other trials in Spain

Germany6 sites
  • Charité - Universitätsmedizin Berlin

    Berlin, 10117

  • Universitatsklinkum Erlangen-Ulmenweg 18

    Erlangen, 91054

  • ifi-Institute for Interdisciplinary Medicine

    Hamburg, 20099

  • Gastroenterologische Gemeinschaftspraxis Herne

    Herne, 44623

  • Gastroenterologisch Hepatologisches Zentrum Kiel - Preetzer Chaussee 134

    Kiel, 24146

  • Universitätsklinikum Tübingen

    Tübingen, 72076

Other trials in Germany

Turkey (Türkiye)5 sites
  • Gazi University Faculty of Medicine

    Ankara, 6590

  • Ege Universitesi Tip Fakultesi Hastanesi

    Bornova, 35100

  • Ankara Bilkent City Hospital

    Çankaya, 06800

  • Marmara University Pendik Training and Research Hospital

    Maltepe, 34840

  • Bezmialem Vakif Universitesi Tip Fakultesi Hastanesi

    Topkapı, 34093

Other trials in Turkey (Türkiye)

Argentina4 sites
  • CINME S.A. - Centro de Investigaciones Metabólicas-Viamonte 2278

    Balvanera, C1056ABJ

  • Hospital Italiano de Buenos Aires

    Buenos Aires, 1181

  • DIM Clínica Privada

    El Palomar, 1684

  • Hospital Italiano de La Plata

    La Plata, B1902AWL

Other trials in Argentina

Israel4 sites
  • Carmel Medical Center

    Haifa, 34462

  • Hadassah Medical Center- Ein Kerem - PPDS

    Jerusalem, 91120

  • The Chaim Sheba Medical Center - PPDS

    Tel Aviv, 5262100

  • Tel Aviv Sourasky Medical Center Ichilov - PPDS

    Tel Aviv, 6423906

Other trials in Israel

Australia3 sites
  • Royal Brisbane and Women's Hospital

    Herston, Queensland, 4029

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • Royal Melbourne Hospital

    Parkville, Victoria, 3050

Other trials in Australia

Italy3 sites
  • Azienda Ospedaliero-Universitaria di Modena - Ospedale Civile di Baggiovara

    Modena, 41126

  • Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone-Palermo-Piazza Delle Cliniche 2

    Palermo, 90127

  • Fondazione IRCCS San Gerardo dei Tintori

    Rozzano, 20089

Other trials in Italy

Belgium2 sites
  • UZ Gent

    Ghent, 9000

  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Canada2 sites
  • University of Calgary Medicine

    Calgary, T2N 4Z6

  • Toronto General Hospital

    Toronto, M5G 2C4

Other trials in Canada

France2 sites
  • Hospices Civils de Lyon - Hôpital de La Croix Rousse

    Lyon, 69004

  • AP-HP - Hôpital Saint Antoine

    Paris, 75012

Other trials in France

Hungary2 sites
  • Semmelweis Egyetem

    Budapest, 1082

  • Somogy Varmegyei Kaposi Mor Oktato Korhaz

    Kaposvár, 7400

Other trials in Hungary

Mexico2 sites
  • Consultorio de la Doctora Maria Sarai Gonzalez Huezo

    Metepec, 52120

  • Consultorio Medico - Distrito Federal

    Roma Norte, 06700

Other trials in Mexico

New Zealand2 sites
  • Christchurch Hospital

    Christchurch, 4710

  • Dunedin Hospital

    Dunedin, 9012

Other trials in New Zealand

Poland2 sites
  • Uniwersyteckie Centrum Kliniczne Im. Prof. K. Gibinskiego Slaskiego Uniwersytetu Medycznego w Katowi

    Katowice, 40-752

  • ID Clinic Arkadiusz Pisula

    Mysłowice, 41-400

Other trials in Poland

Austria1 site
  • Klinikum Wels-Grieskirchen GmbH - Standort Wels

    Wels, 4710

Other trials in Austria

Chile1 site
  • Centro Clinico Mediterraneo

    La Serena, 1720506

Other trials in Chile

Czechia1 site
  • Fakultni nemocnice Ostrava

    Ostrava, 708 00

Other trials in Czechia

Greece1 site
  • University General Hospital of Larissa

    Larissa, 411 10

Other trials in Greece

Netherlands1 site
  • Radboud Universitair Medisch Centrum

    Nijmegen, 6525 GA

Other trials in Netherlands

Romania1 site
  • Fundeni Clinical Institute

    Bucharest, 22328

Other trials in Romania

Russia1 site
  • SPbGU Medical and diagnostic center of the clinic of high medical technology n.a. N.I. Pirogov

    Saint Petersburg, 197110

Other trials in Russia

Switzerland1 site
  • Universitätsspital Zürich

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: ASSURE: An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Seladelpar in Subjects With Primary Biliary Cholangitis (PBC)

An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Seladelpar in Subjects with Primary Biliary Cholangitis (PBC)

Read the detailed description

Primary:

To evaluate the long-term safety and tolerability of seladelpar

Secondary:

  • To evaluate the long-term efficacy of seladelpar
  • To evaluate the effect of seladelpar on patient-reported outcomes (pruritus)
Being tested
Seladelpar 5 mg Capsule, Seladelpar 10 mg Capsule
Keywords
PBC, Primary Biliary Cholangitis (PBC)
Medical subject headings
Liver Cirrhosis, Biliary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Seladelpar 5 mg CapsuleDrug

    Also called MBX-8025, Livdelzi®

    Participants will be assigned to a treatment group if tolerability issues noted in the previous study.

  • Seladelpar 10 mg CapsuleDrug

    Also called MBX-8025, Livdelzi®

    Participants will be assigned to a treatment group unless there are tolerability issues.

Study groups in NCT03301506
Study groupRoleWhat they receive
Seladelpar 5 mg CapsulesExperimentalNot described
Receives: Drug: Seladelpar 5 mg Capsule
Seladelpar 10 mg CapsuleExperimentalNot described
Receives: Drug: Seladelpar 10 mg Capsule

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment emergent adverse events (TEAEs) (National Cancer Institute {NCI} Common Terminology Criteria for Adverse Events {CTCAE} Version 5.0), biochemistry and hematology results

    Measured: Through study completion, up to 60 Months

Secondary outcomes (17)
  1. Death

    Occurrence of overall death

    Measured: 60 Months

  2. Liver transplantation

    Occurrence of overall liver transplantation

    Measured: 60 Months

  3. Change in MELD

    MELD score ≥ 15 for at least 2 consecutive visits

    Measured: 60 Months

  4. Ascites

    Occurrence of overall ascites requiring treatment

    Measured: 60 Months

  5. Hospitalization for variceal bleeding

    Hospitalization for new onset, or recurrence, of variceal bleeding

    Measured: 60 Months

  6. Hospitalization for hepatic encephalopathy

    Hospitalization for new onset, or recurrence, hepatic encephalopathy (as defined by a West Haven score ≥ 2)

    Measured: 60 Months

  7. Hospitalization for spontaneous bacterial peritonitis

    Hospitalization for new onset, or recurrence, spontaneous bacterial peritonitis (confirmed by culture from diagnostic paracentesis)

    Measured: 60 Months

  8. Response on composite endpoint

    Alkaline phosphate (ALP)

    Measured: 60 Months

  9. Response on composite endpoint

    Total bilirubin

    Measured: 60 Months

  10. Normalization of ALP

    Proportion of subjects with normalization of ALP

    Measured: 60 Months

  11. Laboratory Value: Serum Alkaline Phosphatase (ALP)

    Serum Alkaline Phosphatase (ALP)

    Measured: Through study completion, up to 60 Months

  12. Laboratory Value: Aspartate Aminotransferase (AST)

    Aspartate Aminotransferase (AST)

    Measured: Through study completion, up to 60 Months

  13. Laboratory Value: Alanine Aminotransferase (ALT)

    Alanine Aminotransferase (ALT)

    Measured: Through study completion, up to 60 Months

  14. Laboratory Value: Gamma-glutamyl Transferase (GGT)

    Gamma-glutamyl Transferase (GGT)

    Measured: Through study completion, up to 60 Months

  15. Laboratory Value: Bilirubin - Total Bilirubin

    Bilirubin - Total Bilirubin

    Measured: Through study completion, up to 60 Months

  16. Laboratory Value: Bilirubin - Conjugated Bilirubin

    Bilirubin - Conjugated Bilirubin

    Measured: Through study completion, up to 60 Months

  17. Laboratory Value: Bilirubin - Unconjugated Bilirubin

    Bilirubin - Unconjugated Bilirubin

    Measured: Through study completion, up to 60 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2017
  2. Study start12 Dec 2017
  3. Primary completionNov 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
340 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03301506
Sponsor's protocol ID
CB8025-31731-RE
Other IDs
2020-005198-29, 2024-511753-22-00
Status last verified
May 2026
First submitted
26 Sep 2017
Last updated
4 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bowlus CL, Hirschfield GM, Villamil AM, Kowdley KV, Elbeshbeshy H, Corpechot C, Kremer AE, Trivedi PJ, Kallis Y, Jeong SH, Kwon KM, de Ledinghen V, Qi X, Crittenden DB, Levy C; ASSURE Investigators. Seladelpar improves liver stiffness in PBC: ASSURE interim analysis. JHEP Rep. 2026 Oct 6;8(12):102057. doi: 10.1016/j.jhepr.2026.102057. Online ahead of print.

    PubMed 42838175
  • Levy C, Trivedi PJ, Kowdley KV, Gordon SC, Bowlus CL, Londono MC, Hirschfield GM, Gulamhusein A, Lawitz EJ, Vierling JM, Mayo MJ, Jacobson IM, Kremer AE, Corpechot C, Jones D, Buggisch P, Zhuo S, Proehl S, Heusner C, McWherter CA, Crittenden DB; ASSURE Investigators. Long-Term Efficacy and Safety of Selective PPARdelta Agonist Seladelpar in Primary Biliary Cholangitis: ASSURE Interim Study Results. Am J Gastroenterol. 2025 Jun 24;121(5):1140-53. doi: 10.14309/ajg.0000000000003603. Online ahead of print.

    PubMed 40553148
  • Mayo MJ, Vierling JM, Bowlus CL, Levy C, Hirschfield GM, Neff GW, Galambos MR, Gordon SC, Borg BB, Harrison SA, Thuluvath PJ, Goel A, Shiffman ML, Swain MG, Jones DEJ, Trivedi P, Kremer AE, Aspinall RJ, Sheridan DA, Dorffel Y, Yang K, Choi YJ, McWherter CA. Open-label, clinical trial extension: Two-year safety and efficacy results of seladelpar in patients with primary biliary cholangitis. Aliment Pharmacol Ther. 2024 Jan;59(2):186-200. doi: 10.1111/apt.17755. Epub 2023 Oct 30.

    PubMed 37904314

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Seladelpar 5 mg Capsule and Seladelpar 10 mg Capsule in people with Primary Biliary Cirrhosis, run by Gilead Sciences at 109 sites in 25 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 4 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 109 sites in United States, United Kingdom, South Korea, Spain, Germany and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment emergent adverse events (TEAEs) (National Cancer Institute {NCI} Common Terminology Criteria for Adverse Events {CTCAE} Version 5.0), biochemistry and hematology results (time frame: Through study completion, up to 60 Months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03301506, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2026.

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