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Primary Biliary CholangitisPhase 2NCT04594694

Study of OCA in Combination With BZF Evaluating Efficacy, Safety, and Tolerability in Participants With PBC

A Phase 2 study testing Obeticholic acid, Bezafibrate 200 MG and Bezafibrate 400 MG in people with Primary Biliary Cholangitis, run by Intercept Pharmaceuticals at 33 sites in 17 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Study to evaluate the efficacy, safety, and tolerability of investigational drug obeticholic acid (OCA) in combination with the investigational drug bezafibrate (BZF) in participants with Primary Biliary Cholangitis (PBC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Primary Biliary Cholangitis
What is being tested?
Obeticholic acid, Bezafibrate 200 MG and Bezafibrate 400 MG
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
75 participants
Where
33 sitesin 17 countries
Study dates
2 Oct 2019to 14 Oct 2025
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A definite or probable diagnosis of PBC
  • Qualifying ALP and/or bilirubin liver biochemistry values
  • Taking Ursodeoxycholic Acid (UDCA) for at least 12 months or no UDCA for 3 months before Day 1

Who cannot join

  • History or presence of other concomitant liver diseases
  • Clinical complications of PBC
  • History or presence of hepatic decompensating events
  • Current or history of gallbladder disease
  • If female, known pregnancy, or has a positive urine pregnancy test (confirmed by a positive serum pregnancy test), or lactating
  • Treatment with commercially available OCA or other farnesoid X receptor (FXR) agonists, or participation in a previous study involving OCA within 3 months before Screening.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

33 sites in 17 countries.

33 sites in 17 countries

France5 sites
  • Hôpital Henri Mondor

    Créteil, 940000

  • Centre Hospitalier Universitaire Grenoble

    Grenoble, 38043

  • CHRU de Lille

    Lille, 59000

  • Groupe Hospitalier Pitié Salpêtrière - Assistance publique - Hôpitaux de Paris

    Paris, 75651

  • CHU Paris Est - Hopital Saint Antoine

    Paris, Paris 12

Other trials in France

Czechia3 sites
  • Hepato-Gastroenterologie HK, s.r.o.

    Hradec Králové, 500 12

  • Artroscan s.r.o., Gastroenterologicka ambulance

    Ostrava, 722 00

  • Research Site s.r.o.

    Pilsen, 301 00

Other trials in Czechia

United Kingdom3 sites
  • Hull University Teaching Hospitals NHS Trust

    Hull, HU3 2JZ

  • Institute of Cellular Medicine, Newcastle University

    Newcastle upon Tyne, NE2 4HH

  • John Radcliffe Hospital

    Oxford, OX3 9DU

Other trials in United Kingdom

Australia2 sites
  • Royal Adelaide Hospital

    Adelaide, 5000

  • Flinders Medical Centre

    Bedford Park, Perth, 5042

Other trials in Australia

Croatia2 sites
  • Clinical Hospital Dubrava

    Zagreb, 10000

  • Zagreb University Hospital Center

    Zagreb, 10000

Other trials in Croatia

Germany2 sites
  • Universitatsklinikum Hamburg-Eppendorf UKE

    Hamburg, 20246

  • Medizinische Hochschule Hannover

    Hanover, 30625

Other trials in Germany

Hungary2 sites
  • Budai Hepatologiai Centrum (BHC)

    Budapest, 1111

  • DEOEC II. sz. Belgyógyászati Klinika

    Debrecen, 4032

Other trials in Hungary

Israel2 sites
  • Hadassah Ein-Karem Medical Center - Liver unit

    Jerusalem, 91120

  • Tel Aviv Surasky Medical Center

    Tel Aviv, 6423906

Other trials in Israel

Lithuania2 sites
  • Hospital of Lithuanian University of Health Sciences, Kauno Klinikos

    Kaunas, 50161

  • Vlinius University

    Vilnius, 08661

Other trials in Lithuania

South Korea2 sites
  • Pusan National University Hospital

    Busan, 602-739

  • Kyungpook National University Hospital

    Daegu, 41944

Other trials in South Korea

Spain2 sites
  • Fundacio Clinic Per La Recerca Biomedica

    Barcelona, 08036

  • Consorcio Hospital General Universitario

    Valencia, 46010

Other trials in Spain

Belgium1 site
  • UZ Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Estonia1 site
  • Tartu University Hospital

    Tartu, 51014

Other trials in Estonia

Greece1 site
  • Department of Medicine and Research Laboratory of Internal Medicine, University Hospital of Larissa

    Larissa, 41110

Other trials in Greece

Netherlands1 site
  • Academisch Medisch Centrum

    Amsterdam, 1105 AZ

Other trials in Netherlands

Norway1 site
  • Universitetet i Oslo - Akershus Universitetssykehus (AHUS)

    Loerenskog, 1478

Other trials in Norway

Poland1 site
  • Narodowy Instytut Onkologii, Klinika Gastroenterologii Onkologicznej

    Warsaw, 02-781

Other trials in Poland

About this study

Official title: A Phase 2, Double-Blind, Randomized, Parallel Group Study Evaluating the Efficacy, Safety, and Tolerability of Obeticholic Acid Administered in Combination With Bezafibrate in Subjects With Primary Biliary Cholangitis Who Had an Inadequate Response or Who Were Unable to Tolerate Ursodeoxycholic Acid

Study to evaluate the efficacy, safety, and tolerability of investigational drug obeticholic acid (OCA) in combination with the investigational drug bezafibrate (BZF) in participants with Primary Biliary Cholangitis (PBC).

Being tested
Obeticholic acid, Bezafibrate 200 MG, OCA Placebo, Bezafibrate 200 mg Placebo, Bezafibrate 400 MG
Keywords
Primary Biliary Cholangitis, Primary Biliary Cirrhosis, PBC, Hepatic Impairment, Cirrhosis, Liver
Medical subject headings
Liver Cirrhosis, Biliary, Fibrosis

What participants receive

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

  • Obeticholic acidDrug

    5 mg tablet of OCA once daily titrating up to a maximum of 10 mg OCA once daily

  • Bezafibrate 200 MGDrug

    200 mg IR tablet of Bezafibrate once daily for the remainder of the study

  • OCA PlaceboDrug

    One tablet daily for the remainder of the study

  • Bezafibrate 200 mg PlaceboDrug

    One tablet daily for the remainder of the study

  • Bezafibrate 400 MGDrug

    400 mg SR tablet of Bezafibrate once daily for the remainder of the study

  • Bezafibrate 400 mg PlaceboDrug

    One tablet daily for the remainder of the study

  • OCADrug

    OCA one tablet will be administered.

  • BezafibrateDrug

    Bezafibrate one tablet will be administered.

Study groups in NCT04594694
Study groupRoleWhat they receive
Treatment A: BZF 200 milligrams (mg) Immediate release (IR)Active comparatorParticipants will receive Bezafibrate (BZF) 200 mg IR + OCA Placebo + BZF 400 mg Placebo
Receives: Drug: Bezafibrate 200 MG; Drug: OCA Placebo; Drug: Bezafibrate 400 mg Placebo
Treatment B: BZF 400 mg SRActive comparatorParticipants will receive BZF 400 mg SR + OCA Placebo + BZF 200 mg Placebo
Receives: Drug: OCA Placebo; Drug: Bezafibrate 200 mg Placebo; Drug: Bezafibrate 400 MG
Treatment C: OCA 5 mg to 10 mg + BZF 200 mg IRExperimentalParticipants will receive OCA 5 mg to 10 mg + BZF 200 mg IR + BZF 400 mg Placebo
Receives: Drug: Obeticholic acid; Drug: Bezafibrate 200 MG; Drug: Bezafibrate 400 mg Placebo
Treatment D: OCA 5 mg to 10 mg + BZF 400 mg SRExperimentalParticipants will receive OCA 5 mg to 10 mg + BZF 400 mg SR + BZF 200 mg Placebo
Receives: Drug: Obeticholic acid; Drug: Bezafibrate 200 mg Placebo; Drug: Bezafibrate 400 MG
Long-term safety extension (LTSE) phase: OCA + BZFExperimentalParticipants will continue the original treatment assignment allocated during the DB Period. The OCA and BZF dose may be optimized based on safety and efficacy during the DB period.
Receives: Drug: OCA; Drug: Bezafibrate

What is being measured

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

  1. Change in Alkaline Phosphatase (ALP) From Baseline in the Double-Blind Treatment Period

    Serum samples were collected at scheduled visits during the double-blind treatment period. Changes in ALP over time will be analyzed using a mixed model for repeated measures (MMRM) to assess treatment group effects across study visits. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product in the DB period. Change from Baseline was calculated as post Baseline value minus Baseline value.

    Measured: Baseline to Week 12

Secondary outcomes (8)
  1. Percentage of Participants With Response Rates of ≥10%, ≥20%, ≥30% and ≥40% Reduction From Baseline in ALP in the Double-Blind Treatment Period

    Responders were defined as participants achieving a ≥10%, ≥20%, ≥30%, or ≥40% reduction from baseline in serum ALP at Week 12 with non-responder imputation applied. Baseline ALP was defined as the mean of all available evaluations prior to the first administration of investigational product in the DB period. The percentage of responders were summarized by treatment group for each response threshold and compared using a Cochran Mantel Haenszel test stratified by the randomization stratification factor.

    Measured: Week 12

  2. Normalization Rates of ALP at Week 12 in the Double-Blind Treatment Period

    Percentage of participants achieving a response in serum ALP at Week 12 was assessed using non-responder imputation. Analyses of ALP response rates and normalization rates were performed using a Cochran-Mantel-Haenszel test stratified by the randomization stratification factor.

    Measured: Week 12

  3. Normalization Rates of Biochemical Disease Markers in the Double-Blind Treatment Period

    Percentage of participants achieving a response in biochemical disease markers including Alanine Aminotransferase (ALT), Gamma-Glutamyl Transpeptidase (GGT), Aspartate Aminotransferase (AST), Total and conjugated Bilirubin and lipid panel (cholesterol, high density lipoprotein [HDL] and low-density lipoprotein [LDL]) at Week 12 has been presented. Analyses of response rates and normalization rates were performed using a Cochran-Mantel-Haenszel test stratified by the randomization stratification factor.

    Measured: Week 12

  4. Change From Baseline in GGT, ALT and AST Levels in the Double-Blind Treatment Period

    Blood samples were collected at indicated timepoint and change from Baseline in GGT, ALT and AST were analyzed using the MMRM model and results were summarized in standard International System of Units (SI) by treatment group using descriptive statistics at baseline and at each on-study evaluation. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product in the DB period. Change from baseline was calculated as post baseline value minus baseline value.

    Measured: Baseline and at Week 12

  5. Change From Baseline in Total and Conjugated Bilirubin in the Double-Blind Treatment Period

    Blood samples were collected at indicated timepoints and the changes in total and conjugated bilirubin were evaluated using MMRM to assess the effects of treatment groups over time. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product in the DB period. Change from baseline was calculated as post baseline value minus baseline value.

    Measured: Baseline and at Week 12

  6. Change From Baseline in Lipid Panel in the Double-Blind Treatment Period

    Blood samples were collected at indicated timepoints and the changes in lipid panel including cholesterol, HDL and LDL were evaluated using MMRM to assess the effects of treatment groups over time. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product in the DB period. Change from Baseline was calculated as post Baseline value minus Baseline value.

    Measured: Baseline and at Week 12

  7. Change From Baseline in 7 Alpha (α) Hydroxy 4 Cholesten-3 One (C4) in the Double-Blind Treatment Period

    Blood samples were collected at indicated timepoints for the assessment of C4. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product. Change from Baseline was calculated as change equals post baseline value minus baseline value.

    Measured: Baseline and at Week 12

  8. Change From Baseline in Bile Acid in the Double-Blind Treatment Period

    Blood samples were collected for the assessment of bile acids. Baseline was defined as the mean of all available evaluations prior to the first administration of investigational product. Change from Baseline was calculated as change equals post Baseline value minus Baseline value.

    Measured: Baseline and at Week 12

Timeline

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

  1. First posted20 Oct 2020
  2. Study start2 Oct 2019
  3. Primary completion14 Oct 2025
  4. Study completion14 Oct 2025

Why it stopped: Intercept made a business decision to terminate the study based on FDA's request for voluntary withdrawal of Ocaliva and the issuance of clinical hold on studies under US IND involving OCA.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04594694
Sponsor's protocol ID
747-213
Status last verified
Jun 2026
First submitted
14 Jul 2020
Last updated
16 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Lindor KD, Gershwin ME, Poupon R, Kaplan M, Bergasa NV, Heathcote EJ; American Association for Study of Liver Diseases. Primary biliary cirrhosis. Hepatology. 2009 Jul;50(1):291-308. doi: 10.1002/hep.22906. No abstract available.

    PubMed 19554543
  • European Association for the Study of the Liver. EASL Clinical Practice Guidelines: management of cholestatic liver diseases. J Hepatol. 2009 Aug;51(2):237-67. doi: 10.1016/j.jhep.2009.04.009. Epub 2009 Jun 6. No abstract available.

    PubMed 19501929

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Obeticholic acid, Bezafibrate 200 MG and Bezafibrate 400 MG in people with Primary Biliary Cholangitis, run by Intercept Pharmaceuticals at 33 sites in 17 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 7 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: stopped early, as of the sponsor's last update on 16 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in France, Czechia, United Kingdom, Australia, Croatia and 12 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 16 Jul 2026). 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?

Change in Alkaline Phosphatase (ALP) From Baseline in the Double-Blind Treatment Period (time frame: Baseline to Week 12). 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 NCT04594694, which also lists 2 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 16 Jul 2026.

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