Primary Biliary Cholangitis Drug Confirmatory Trials Aim To Avoid Hurdles That Tripped Up Ocaliva

The FDA and sponsors of two new accelerated approval drugs for PBC have taken steps in study design, initiation and reporting transparency to ensure timely completion; Intercept’s COBALT trial of obeticholic acid was negatively impacted by product safety labeling changes and a high crossover rate to commercial drug.

Hurdles on track
PBC drug sponsors are hoping to avoid the hurdles that Ocaliva's confirmatory trial encountered. (Shutterstock)

The US Food and Drug Administration and sponsors of two new accelerated approval drugs for primary biliary cholangitis appear to have taken steps aimed at heading off some of the problems that tripped up the confirmatory trial for Intercept’s Ocaliva (obeticholic acid).

A close look at the postmarketing requirements for Ipsen/Genfit’s Iqirvo (elafibranor) and Gilead’s Livdelzi (seladelpar) suggests that measures were taken...

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