Primary Biliary CholangitisPhase 3NCT03602560
ENHANCE: Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Response to or an Intolerance to Ursodeoxycholic Acid (UDCA)
A Phase 3 study testing seladelpar 5-10 mg and seladelpar 10 mg in people with Primary Biliary Cholangitis, run by Gilead Sciences at 156 sites in 23 countries.
Trial summary
A 52-week, placebo-controlled, randomized, Phase 3 study to evaluate the safety and efficacy of seladelpar in subjects with primary biliary cholangitis (PBC) and an inadequate response to or intolerance to ursodeoxycholic acid (UDCA) The participants might enter the ongoing open-label safety study (NCT03301506)… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Primary Biliary Cholangitis
- What is being tested?
- seladelpar 5-10 mg and seladelpar 10 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 265 participants
- Where
- 156 sitesin 23 countries
- Study dates
- 1 Oct 2018to 16 Feb 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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) and any authorizations required by local law
- 18 to 75 years old (inclusive)
- Male or female with a diagnosis of PBC, by at least two of the following criteria:
- History of AP above ULN for at least six months
- Positive anti-mitochondrial antibody (AMA) titers (>1/40 on immunofluorescence or M2 positive by enzyme linked immunosorbent assay [ELISA]) or positive PBC-specific antinuclear antibodies
- Documented liver biopsy result consistent with PBC
Show all 9Show fewer
- On a stable and recommended dose of UDCA for the past twelve months OR intolerant to UDCA (last dose of UDCA > 3 months prior to Screening)
- AP ≥ 1.67 × ULN
- 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 subjects 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
- Previous exposure to seladelpar (MBX-8025)
- A medical condition, other than PBC, that in the investigator's opinion would preclude full participation in the study or confound its results (e.g., cancer)
- AST above 3 × ULN
- ALT above 3 × ULN
- Total bilirubin above 2.0 × ULN
- Advanced PBC as defined by the Rotterdam criteria (albumin below LLN AND total bilirubin above 1 × ULN)
Show all 36Show fewer
- Creatine kinase (CK) above 1.0 × ULN
- eGFR below 60 mL/min/1.73 m2 (calculated by MDRD formula)
- International normalized ratio (INR) above 1.0 × ULN
- Platelet count below 100 × 103/µL
- Presence of clinically significant hepatic decompensation, including:
- History of liver transplantation, current placement on liver transplantation list, or current MELD score ≥ 15
- Complications of portal hypertension, including known esophageal varices, history of variceal bleeds or related interventions (e.g., transjugular intrahepatic portosystemic shunt placement), relevant ascites, hepatic encephalopathy
- Cirrhosis with complications, including history or presence of spontaneous bacterial peritonitis
- Other chronic liver diseases:
- Current features of auto-immune hepatitis as determined by the investigator based on immunoserology, liver biochemistry and histology
- Primary sclerosing cholangitis determined by presence of diagnostic cholangiographic findings
- History or clinical evidence of alcoholic liver disease
- History or clinical evidence of alpha-1-antitrypsin deficiency
- Biopsy confirmed nonalcoholic steatohepatitis
- History or evidence of Gilbert' Syndrome with elevated total bilirubin
- History or evidence of hemochromatosis
- Hepatitis B defined as presence of hepatitis B surface antigen (HBsAg)
- Hepatitis C defined as presence of HCV RNA
- Known history of HIV
- Evidence of significant alcohol consumption
- Evidence of drug abuse
- Subjects with inadequate response to obeticholic acid (OCA) or intolerance to OCA: OCA must be discontinued 30 days prior to Screening
- Use of colchicine, methotrexate, azathioprine, or long-term systemic corticosteroids (> 2 weeks) within two months prior to Screening
- Use of fibrates within 30 days prior to Screening
- Use of simvastatin within 7 days prior to Screening
- Use of an experimental or unapproved treatment for PBC within 30 days prior to Screening
- Use of experimental or unapproved immunosuppressant within 30 days prior to Screening
- Treatment with any other investigational therapy or device within 30 days or within five half-lives, whatever is longer, prior to Screening
- For females, pregnancy or breast-feeding
- Any other condition(s) that would compromise the safety of the subject or compromise the quality of the clinical study, as judged by the investigator
Trial locations and contacts
156 sites in 23 countries.
156 sites in 23 countries
United States51 sites
Asheville Gastroenterology Associates, a Division of Digestive Health Partners, P.A.
Asheville, North Carolina, 28801
Digestive Healthcare of Georgia
Atlanta, Georgia, 30309
Univeristy of Colorado Denver and Hospital
Aurora, Colorado, 80045
Northeast Clinical Research Center, LLC
Bethlehem, Pennsylvania, 18017
Excel Medical Clinical Trials, LLC
Boca Raton, Florida, 33434
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02114
Massachusetts General Hospital
Boston, Massachusetts, 02114
Institute for Liver Health
Chandler, Arizona, 85224
University of Chicago Medical Center
Chicago, Illinois, 60637
UH Cleveland Medical Center
Cleveland, Ohio, 44106
Liver Institute at Methodist Dallas
Dallas, Texas, 75203
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Duke University Medical Center
Durham, North Carolina, 27710
Texas Digestive Disease Consultants
Fort Worth, Texas, 76104
Gastro One
Germantown, Tennessee, 38138
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033
American Research Corporation
Houston, Texas, 77030
Baylor College of Medicine
Houston, Texas, 77030
Indianapolis Gastroenterology Research Foundation
Indianapolis, Indiana, 46237
Southern Therapy and Advance Research (STAR) LLC
Jackson, Mississippi, 39216
University of Kansas Hospital
Kansas City, Kansas, 66160
Kansas City Research Institute
Kansas City, Missouri, 64131
GIA Clinical Trials, LLC
Knoxville, Tennessee, 37909
Florida Reserach Institute
Lakewood Rch, Florida, 34211
Cedars Sinai Medical Center
Los Angeles, California, 90048
Minnesota Gastroenterlogy, P.A.
Maplewood, Minnesota, 55117
Schiff Center for Liver Diseases University of Miami
Miami, Florida, 33136
University of Minnesota Medical Center, Fairview
Minneapolis, Minnesota, 55455
Intermountain Medical Center
Murray, Utah, 84107
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale School of Medicine Digestive Diseases, Internal Medicine
New Haven, Connecticut, 06510
Tulane University School of Medicine
New Orleans, Louisiana, 70112
Concorde Medical Group
New York, New York, 10016
NYU Langone Health
New York, New York, 10016
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Center for Liver Disease and Transplantation
New York, New York, 10032
Mary Immaculate Hospital
Newport News, Virginia, 23602
Henry Ford Health System
Novi, Michigan, 48377
Mayo Clinic Arizona - PPDS
Phoenix, Arizona, 85054
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Stanford University School of Medicine
Redwood City, California, 94063
Bon Secours Richmond Community Hospital
Richmond, Virginia, 23226
University of Rochester Medical Center
Rochester, New York, 14642
University of California Davis Medical Center
Sacramento, California, 95817
American Research Corporation at Texas Liver Institute
San Antonio, Texas, 78215
Pinnacle Clinical Research
San Antonio, Texas, 78229
California Pacific Medical Center
San Francisco, California, 94115
Swedish Medical Center
Seattle, Washington, 98104
Tampa General Medical Group
Tampa, Florida, 33606
The Institute for Liver Health-Tucson
Tucson, Arizona, 85711
Digestive Health Specialists PA
Tupelo, Mississippi, 38801
Spain10 sites
Hospital Universitario Vall d'Hebrón - PPDS
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario Germans Trias i Pujol
Barcelona
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Hospital Universitario Virgen de la Victoria
Málaga, 29010
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
United Kingdom10 sites
University Hospital Birmingham
Birmingham, B15 2TT
Hull and East Yorkshire Hospitals NHS Trust
Hull, HU3 2JZ
Barts Health NHS Trust, Royal London Hospital, Ambrose King Centre
London, E1 1BB
Royal Free London NHS Foundation Trust
London, NW3 2QG
Kings College Hospital
London, SE5 9RS
The Newcastle Upon Tyne Hospital NHS Foundation Trust
Newcastle, NE7 7DN
University of Nottingham
Nottingham, NG7 2UH
Plymouth Hospitals NHS Trust
Plymouth, PL6 8DH
Queen Alexandra Hospital
Portsmouth, Hampshire, PO6 3LY
Singleton Hospital
Swansea, SA2 8QA
Germany8 sites
Charité - Universitätsmedizin Berlin
Berlin, 10117
Uniklinik Köln
Cologne, North Rhine-Westphalia, 50937
Universitätsklinikum Erlangen
Erlangen, 91054
ifi-Institute for Interdisciplinary Medicine
Hamburg, 20246
Gastroenterologische Gemeinschaftspraxis Herne
Herne, North Rhine-Westphalia, 44623
Gastroenterologisch Hepatologisches Zentrum Kiel
Kiel, Schleswig-Holstein, 24146
Universitatsklinikum Leipzig
Leipzig, 04103
Universitätsklinikum Tübingen
Tübingen, Baden-Wurttemberg, 72076
Israel8 sites
Hillel Yaffe Medical Center
Hadera, 38100
Carmel Medical Center
Haifa, 31048
Rambam Health Corporation
Haifa, 31096
Hadassah Medical Center
Jerusalem, 91120
The Galilli Medical Center
Nahariya, 22100
Chaim Sheba Medical Center
Ramat Gan, 52662
Kaplan Medical Center
Rehovot, 76100
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
South Korea8 sites
Pusan National University Hospital
Busan, 49241
Kyungpook National University Hospital
Daegu, 700-721
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggido, 13620
Seoul National University Hospital
Seoul, 03080
Inje University Ilsan Paik Hospital
Seoul, 03722
Gangnam Severance Hospital, Yonsei University Health System
Seoul, 06273
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 137 701
Severance Hospital Yonsei University Health System
Seoul
Poland6 sites
Wojewodzki Szpital Obserwacyjno-Zakazny im. Tadeusza Browicza w Bydgoszczy
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-030
Samodzielny Publiczny Szpital Kliniczny Nr 7 Slaskiego Uniwersytetu Medycznego w Katowicach
Katowice, Silesian Voivodeship, 40-752
Wojewodzki Szpital Zespolony w Kielcach
Kielce, 25-317
SP ZOZ Szpital Uniwersytecki w Krakowie
Krakow, 31-531
ID Clinic
Mysłowice, 41-400
Centrum Onkologii Instytut im. Marii Sklodowskiej-Curie
Warsaw, Masovian Voivodeship, 02-781
Australia5 sites
St Vincents Hospital Melbourne
Fitzroy, Victoria, 3065
The Canberra Hospital
Garran, Australian Capital Territory, 2605
Royal Brisbane & Women's Hospital
Herston, Queensland, 4029
Royal Melbourne Hospital
Parkville, Victoria, 3050
Royal Perth Hospital
Perth, Western Australia, 6000
Canada5 sites
University of Calgary Medicine
Calgary, Alberta, T2N 4Z6
McGill University Health Centre (MUHC)
Montreal, Quebec, H4A 3J1
University Health Network
Toronto, Ontario, M5G 2C4
Toronto Digestive Disease Associates Inc
Vaughan, Ontario, M3N 2V7
University of Manitoba
Winnipeg, Manitoba, R3E 3P4
Italy5 sites
Azienda Ospedaliera Universitaria Careggi
Florence, 50134
ASST Santi Paolo e Carlo - Azienda Universitaria-Polo Universitario San Paolo
Milan, 20142
Ospedale Civile di Baggiovara
Modena, 41126
Azienda Ospedaliera Di Padova
Padova, 35128
ASST di Monza - Azienda Ospedaliera San Gerardo
Rozzano, 20090
Argentina4 sites
Fundación Sanatorio Güemes
Buenos Aires, Ciudad Autónoma de BuenosAires, C1180AAX
Hospital Universitario Austral
Pilar, Buenos Aires, B1629AHJ
DIM Clínica Privada
Ramos Mejía, B1704ETD
Hospital Provincial Del Centenario
Rosario, Santa Fe Province, S2000KDS
Austria4 sites
LKH-Universitätsklinikum Klinikum Graz
Graz, 8036
Salzburger Landeskliniken
Salzburg, 5020
Medizinische Universitat Wien
Vienna, State of Vienna, A-1090
Klinikum Wels-Grieskirchen GmbH
Wels, 4600
Hungary4 sites
Budai Hepatológiai Centrum
Budapest, 1111
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, 7400
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, Csongrád megye, 6720
Romania4 sites
Colentina Clinical Hospital
Bucharest, 020125
Fundeni Clinical Institute
Bucharest, 022328
Sana Monitoring SRL
Bucharest
Pius Brinzeu Emergency Clinical County Hospital
Timișoara, Timiș County, 300723
Belgium3 sites
UZ Antwerpen
Edegem, Antwerpen, 2650
UZ Gent
Ghent, Oost-Vlaanderen, 9000
UZ Leuven
Leuven, Vlaams Brabant, 3000
Chile3 sites
Centro Clinico Mediterraneo
La Serena, 1720506
Pontificia Universidad Catolica de Chile
Santiago, Región-MetropolitanadeSantiago, 8330034
Centro de Investigaciones Clínicas Vina del Mar
Viña del Mar, 2540364
France3 sites
Hôpital Jean Verdier
Bondy, 93140
CHU de GRENOBLE
Grenoble, 38043
Hôpital Saint Antoine
Paris, 75012
Greece3 sites
University General Hospital of Heraklion
Heraklion, 71110
University General Hospital of Larissa
Larissa, 41110
University General Hospital of Patras
Pátrai, 26504
Mexico3 sites
Consultorio de la Doctora Maria Sarai Gonzalez Huezo
Metepec, 52140
Consultorio Medico - Distrito Federal
Mexico City, 06700
Centro de Diabetes y Obesidad Graber
Pachuca, Hidalgo, 42086
New Zealand3 sites
Christchurch Hospital
Christchurch, South Island, 8011
Dunedin Hospital
Dunedin, South Island, 9001
Waikato Hospital
Hamilton, 3240
Russia3 sites
Peoples Friendship University of Russia
Moscow, Moscow, 117198
City Hospital #31
Saint Petersburg, 197110
Ulyanovsk Regional Clinical Hospital
Ulyanovsk, 432063
Serbia2 sites
Clinical Hospital Centar Zvezdara
Belgrade, 11000
KBC Zemun
Belgrade, 11080
Netherlands1 site
Radboud Universitair Medisch Centrum
Nijmegen, Gelderland, 6525 GA
About this study
Official title: A 52-week, Placebo-controlled, Randomized, Phase 3 Study to Evaluate the Safety and Efficacy of Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Response to or an Intolerance to Ursodeoxycholic Acid (UDCA)
A 52-week, placebo-controlled, randomized, Phase 3 study to evaluate the safety and efficacy of seladelpar in subjects with primary biliary cholangitis (PBC) and an inadequate response to or intolerance to ursodeoxycholic acid (UDCA)
The participants might enter the ongoing open-label safety study (NCT03301506) following this double-blind study.
Read the detailed description
Primary:
- To evaluate the safety and effect on cholestasis of two seladelpar regimens (5 mg/day titrated to 10 mg/day and 10 mg/day) over 52 weeks of treatment compared to placebo
Key Secondary:
- To evaluate the effect of seladelpar on normalization of alkaline phosphatase (AP) levels
- To evaluate the effect of seladelpar on pruritus
- Conditions
- Primary Biliary Cholangitis
- Being tested
- seladelpar 5-10 mg, seladelpar 10 mg, Placebo
- 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 5-10 mgDrug
Seladelpar 5 mg for 6 months and then titrating up to 10 mg based on tolerability and response for remainder of double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label long term safety study. Subjects will continue the seladelpar dose (5 or 10 mg) received during the double-blinded study
seladelpar 10 mgDrug
Seladelpar 10 mg for double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label safety study. Subjects will continue the seladelpar dose (10 mg) received during the double-blinded study
PlaceboDrug
One capsule daily for double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label long term safety study. Subjects on placebo will be re-randomized to initiate seladelpar at 5 or 10 mg once daily
| Study group | Role | What they receive |
|---|---|---|
| Seladelpar 5-10 mg | Experimental | Not described Receives: Drug: seladelpar 5-10 mg |
| Seladelpar 10 mg | Experimental | Not described Receives: Drug: seladelpar 10 mg |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Response to Composite Endpoint of ALP <1.67 × Upper Limit of Normal [ULN], ≥15% Reduction in ALP, and Total Bilirubin ≤ ULN) at Month 3
Percentage of Participants with Response to Composite Endpoint of ALP <1.67 × Upper Limit of Normal [ULN], ≥15% reduction in ALP, and total bilirubin ≤ ULN) at Month 3. The mITT analysis set included all randomized subjects who received at least one study drug dose.
The primary endpoint was analyzed using Cochran-Mantel-Haenszel (CMH) test adjusted for both randomization stratification variables (ALP level: <350 U/L and 2:350 U/L; pruritus NRS: <4 and 2:4). The CMH tests were performed for the comparison of 10 mg versus placebo and 5 mg/10 mg versus placebo separately.
Measured: Month 3
Secondary outcomes (2)
Percentage of Participants With Response Defined by Normalized Alkaline Phosphatase Levels at Month 3
The response was defined by normalized ALP levels (ALP ≤1.0 × ULN) at endpoint. The mITT analysis set included all randomized subjects who received at least one study drug dose.
Measured: Month 3
Change From Baseline in Pruritus NRS for Subjects With Baseline NRS ≥4 at Month 3
Pruritus Numerical Rating Scale (NRS) used to rate the intensity of the worst itching you experienced in the past 24 hours from no itching to worst possible itching by selecting a number from 0 to 10 on Itch Scale. Zero means no itching and 10 means worst imaginable itching. The analysis will be limited to those subjects in the mITT analysis set with a baseline NRS ≥ 4.
Measured: Month 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2018
- Study start1 Oct 2018
- Primary completion16 Feb 2020
- Study completion16 Feb 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Primary Biliary CholangitisStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 265 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03602560
- Sponsor's protocol ID
- CB8025-31735
- Status last verified
- Jul 2022
- First submitted
- 18 Jul 2018
- Last updated
- 2 Aug 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Choi YJ, Schwab A, Lim J, Carlisle SM, McWherter CA, Johnson JD. Serum Metabolomic Profiling Reveals Potential Mechanisms and Biomarkers of Seladelpar Treatment in Patients With Primary Biliary Cholangitis. PPAR Res. 2026 Sep 25;2026:2362528. doi: 10.1155/ppar/2362528. eCollection 2026.
PubMed 42798953
Study at a glance
From the registry record, last updated by the sponsor on 2 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 52-week, Placebo-controlled, Randomized, Phase 3 Study to Evaluate the Safety and Efficacy of Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Response to or an Intolerance to Ursodeoxycholic Acid (UDCA)
- ClinicalTrials.gov ID
- NCT03602560
- Acronym / sponsor ID
- CB8025-31735
- Conditions
- Primary Biliary Cholangitis
- Keywords
- PBC, Primary Biliary Cholangitis (PBC)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 265 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 1 Oct 2018 (actual)
- Primary completion
- 16 Feb 2020 (actual)
- Study completion
- 16 Feb 2020 (actual)
- First posted
- 27 Jul 2018 (actual)
- Results
- Posted 31 May 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A 52-week, placebo-controlled, randomized, Phase 3 study to evaluate the safety and efficacy of seladelpar in subjects with primary biliary cholangitis (PBC) and an inadequate response to or intolerance to ursodeoxycholic acid (UDCA)
The participants might enter the ongoing open-label safety study (NCT03301506) following this double-blind study.
Detailed description
Primary:
- To evaluate the safety and effect on cholestasis of two seladelpar regimens (5 mg/day titrated to 10 mg/day and 10 mg/day) over 52 weeks of treatment compared to placebo
Key Secondary:
- To evaluate the effect of seladelpar on normalization of alkaline phosphatase (AP) levels
- To evaluate the effect of seladelpar on pruritus
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Seladelpar 5-10 mg | Experimental | Drug: seladelpar 5-10 mg |
| Seladelpar 10 mg | Experimental | Drug: seladelpar 10 mg |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Must have given written informed consent (signed and dated) and any authorizations required by local law
- 18 to 75 years old (inclusive)
- Male or female with a diagnosis of PBC, by at least two of the following criteria:
- On a stable and recommended dose of UDCA for the past twelve months OR intolerant to UDCA (last dose of UDCA > 3 months prior to Screening)
- AP ≥ 1.67 × ULN
Key exclusion criteria (36 listed)
- Previous exposure to seladelpar (MBX-8025)
- A medical condition, other than PBC, that in the investigator's opinion would preclude full participation in the study or confound its results (e.g., cancer)
- AST above 3 × ULN
- ALT above 3 × ULN
- Total bilirubin above 2.0 × ULN
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| seladelpar 5-10 mgSeladelpar 5 mg for 6 months and then titrating up to 10 mg based on tolerability and response for remainder of double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label long term safety study. Subjects will continue the seladelpar dose (5 or 10 mg) received during the double-blinded study | Drug | Seladelpar 5-10 mg |
| seladelpar 10 mgSeladelpar 10 mg for double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label safety study. Subjects will continue the seladelpar dose (10 mg) received during the double-blinded study | Drug | Seladelpar 10 mg |
| PlaceboOne capsule daily for double-blind period. After completion of the 1-year double-blind period subjects will be offered the opportunity to enter an open label long term safety study. Subjects on placebo will be re-randomized to initiate seladelpar at 5 or 10 mg once daily | Drug | Placebo |
Primary outcome
Percentage of Participants With Response to Composite Endpoint of ALP <1.67 × Upper Limit of Normal [ULN], ≥15% Reduction in ALP, and Total Bilirubin ≤ ULN) at Month 3
Time frame: Month 3
Percentage of Participants with Response to Composite Endpoint of ALP <1.67 × Upper Limit of Normal [ULN], ≥15% reduction in ALP, and total bilirubin ≤ ULN) at Month 3. The mITT analysis set included all randomized subjects who received at least one study drug dose. The primary endpoint was analyzed using Cochran-Mantel-Haenszel (CMH) test adjusted for both randomization stratification variables (ALP level: <350 U/L and 2:350 U/L; pruritus NRS: <4 and 2:4). The CMH tests were performed for the comparison of 10 mg versus placebo and 5 mg/10 mg versus placebo separately.
2 secondary outcomes
Percentage of Participants With Response Defined by Normalized Alkaline Phosphatase Levels at Month 3
Time frame: Month 3
Change From Baseline in Pruritus NRS for Subjects With Baseline NRS ≥4 at Month 3
Time frame: Month 3
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Aug 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42798953Choi YJ, Schwab A, Lim J, Carlisle SM, McWherter CA, Johnson JD. Serum Metabolomic Profiling Reveals Potential Mechanisms and Biomarkers of Seladelpar Treatment in Patients With Primary Biliary Cholangitis. PPAR Res. 2026 Sep 25;2026:2362528. doi: 10.1155/ppar/2362528. eCollection 2026.
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Fenofibrate for Patients With Primary Biliary Cirrhosis Who Had An Inadequate Response to Ursodeoxycholic Acid
Primary Biliary Cirrhosis
RecruitingPhase 2/3
Fenofibrate in Patients With Primary Biliary Cholangitis (PBC)
Primary Biliary Cholangitis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
156 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing seladelpar 5-10 mg and seladelpar 10 mg in people with Primary Biliary Cholangitis, run by Gilead Sciences at 156 sites in 23 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 9 inclusion and 36 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: finished, as of the sponsor's last update on 2 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 156 sites in United States, Spain, United Kingdom, Germany, Israel and 18 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. Some participants in this study may receive a placebo. 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?
Yes. Results are posted in the registry (first posted 31 May 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Percentage of Participants With Response to Composite Endpoint of ALP <1.67 × Upper Limit of Normal [ULN], ≥15% Reduction in ALP, and Total Bilirubin ≤ ULN) at Month 3 (time frame: Month 3). 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 NCT03602560, which also lists 1 linked publication.
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 2 Aug 2022.