Primary Biliary Cholangitis (PBC)
Conditions
Brief summary
An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Fenofibrate in Subjects with Primary Biliary Cholangitis (PBC)
Interventions
Fenofibrate 200mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Must have provided written informed consent * Age 18-75 years; * BMI 17-28 kg/m2 * Completed in a PBC study with fenofibrate(NCT06591455)
Exclusion criteria
* Coexisting liver disease of other etiologies, including viral hepatitis, chronic alcoholic hepatitis, drug-induced hepatitis, autoimmune hepatitis, hepatocellular carcinoma, etc.; * Transaminases \>5 x ULN or total bilirubin \>3 x ULN; * Pregnant or breastfeeding women, or women planning to conceive during the study period; * Allergy to fenofibrate or ursodeoxycholic acid; * Use of hepatotoxic drugs (e.g., dapsone, erythromycin, fluconazole, ketoconazole, rifampicin) for more than 2 weeks within 6 months before screening, or long-term corticosteroid use; * Variceal bleeding, hepatic encephalopathy, or ascites at diagnosis or previously; * History of severe cardiac, cerebrovascular, renal, or respiratory disease or failure, or psychiatric illness (including psychiatric illness caused by alcohol or drug abuse); * Creatinine \>1.5 x ULN and creatinine clearance \<60 mL/min; * Current use of statins (e.g., pravastatin, fluvastatin, simvastatin), other fibrates (e.g., gemfibrozil, bezafibrate), or structurally related drugs (e.g., ketoprofen); * Planned organ transplantation or previous organ transplantation; * Need for liver transplantation within 1 year according to the Mayo risk score; * Any other condition considered unsuitable for enrollment by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment emergent adverse events (TEAEs) | Through study completion, up to 120 Months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Normalization of ALP | From enrollment to the end of treatment at 120 months | Percentage of patients having normalization of ALP |
| The changes of liver function indicators | From enrollment to the end of treatment at 120 months | The changes of liver function indicators compared to baseline: ALP, ALT, AST, GGT, TBIL |
| The percentage of patients achieving biochemical response criteria | From enrollment to the end of treatment at 120 months | The percentage of patients who meet various biochemical response criteria (Paris I, Paris II, and Barcelona, etc.) |
| Death | From enrollment to the end of treatment at 120 months | Occurrence of overall death |
| Liver transplantation | From enrollment to the end of treatment at 120 months | Occurrence of overall liver transplantation |
Countries
China