Table 2.
Main Target | Agent | Study design | Inclusion criteria | Duration | No. patients | Main results |
---|---|---|---|---|---|---|
Immunity | Ustekinumab67 | Open-label | Inadequate response to UDCA | 28 wk | 20 | Modest decrease in ALP (-12%) |
Immunity | Rituximab (1,000 mg x2)65 |
Open-label | Inadequate response to UDCA | 6-10 mo | 14 | Modest decrease in ALP (-16%) at 6 months |
Immunity | Rituximab (1,000 mg x2)66 | Randomised Placebo-controlled phase II | Moderate or severe fatigue | 12 mo | 57 | No improvement in fatigue score |
Cholestasis | Seladelpar (50 or 200 mg/d)68 |
Randomised Placebo-controlled phase II | Inadequate response to UDCA | 12 wk | 70 | -53% to -63% decrease in ALP 3 grade-3 ALT increases |
Cholestasis | Seladelpar (5-10 or 10 mg/d)69 |
Randomised dose ranging phase II | Inadequate response to UDCA | 52 wk | 119 (results in 34) |
-47% and -46% decrease in ALP No ALT flare |
Cholestasis | NGM28272 | Randomised Placebo-controlled phase II | Inadequate response to UDCA | 4 wk | 45 | -16% to 19% decrease in ALP Diarrhoea in 1/4 |
Cholestasis | GSK233067276 | Placebo-controlled, cross-over, phase II | Pruritus | 2 wk | 22 | Significant decrease in itch scores Diarrhoea in 1/3 |
ALP, alkaline phosphatase; ALT, alanine aminotransferase; PBC, primary biliary cholangitis; UDCA, ursodeoxycholic acid; ULN, upper limit of normal.