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This study will collect information from participants with Primary Biliary Cholangitis (PBC) as they use the drug elafibranor in real world setting.
PBC is a progressive rare liver disease in which tubes in the liver called bile ducts are damaged.
The liver damage in PBC may lead to scarring (cirrhosis). PBC may also be associated with multiple symptoms including pruritus (itching) and fatigue. Many patients with PBC may require liver transplant or may die if the disease progresses and a liver transplant is not done.
In this study the main aim is to observe the effectiveness, safety and tolerability of elafibranor in participants with PBC who are receiving treatment in real world setting. The total study duration for each participants will be 60 months (approximately 5 years).
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants with response to treatment | Defined as alkaline phosphatase (ALP) <1.67 x upper limit of normal (ULN) and total bilirubin (TB) ≤ULN and ALP decrease ≥15% from baseline. | At month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants with normalization of ALP levels | Up to 60 months following enrollment, based on routine physician follow-up visit | |
| Percentage of participants with response to treatment | Defined as ALP<1.67 x ULN and TB≤ULN and ALP decrease ≥15% from baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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Participants with PBC for whom the treating physician has decided to start treatment with elafibranor 80 mg/day, as recommended in the approved indication.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ipsen Clinical Study Enquiries | Contact | See e mail | clinical.trials@ipsen.com |
| Name | Affiliation | Role |
|---|---|---|
| Ipsen Medical Director | Ipsen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southern California Research Center | Recruiting | Coronado | California | 92118 | United States | |
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications.
Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.
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Where applicable, data from eligible studies are available 6 months after the studied medicine and indication have been approved in the US and/or EU.
Further details on Ipsen's sharing criteria and process for sharing are available here (https://www.ipsen.com/science/clinical-trials/clinical-data-transparency/).
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| Up to 60 months following enrollment, based on routine physician follow-up visits |
| Change from baseline in liver function parameters: Serum levels of alanine aminotransferase (ALT) | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Serum levels of Aspartate aminotransferase (AST) | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Serum levels of Gamma-glutamyl transferase (GGT) | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Serum levels of TB | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Conjugated (direct) bilirubin | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Serum levels of creatinine | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver function parameters: Serum levels of albumin | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in pruritus based on PBC Itch score | The PBC Itch score is a simple, self-administered Patient Reported Outcome (PRO) questionnaire that measures itch intensity. It uses 7-day recall periods and asks participants to rate the intensity of their worst itch over the past 7-day period on an 11-point scale ranging from 0 (no itch) to 10 (worst itch imaginable). | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in fatigue based on functional assessment of chronic illness therapy-fatigue (FACIT-Fatigue) scale | The FACIT-Fatigue is a 13-item measure that assesses self-reported fatigue and its impact upon daily activities and function. It is a subset of the longer (47-item) Functional Assessment of Cancer Therapy - Anemia (FACT-An), which includes the 27-item FACT-G and a 20-item subscale addressing additional concerns associated with the anemia of cancer and its treatment. This 20-item subscale, referred to as the anemia subscale, is comprised of 13-items that assess fatigue and its impact (the FACIT-Fatigue) and, 7 additional symptoms associated with anemia (e.g. shortness of breath, headache). participants rate their symptoms over the preceding seven days on a verbal response scale, the options range from 'not at all' / 'a little bit' / 'somewhat quite a bit' / very much'. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in sleep based on Pittsburgh sleep quality index (PSQI) | The PSQI was designed to evaluate overall sleep quality in the psychiatric disorders associated with sleep disturbances. Each of the questionnaire's 19-self-reported items belongs to one of seven subcategories: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. Five additional questions rated by the respondent's roommate or bed partner are included for clinical purposes and are not scored. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in Quality Of Life (QoL) based on PBC-40 questionnaire | The PBC-40 is a validated, PBC-specific, health-related Quality Of Life (QoL) questionnaire with 40 questions that assesses symptoms across six domains: fatigue, emotional and social, cognitive function, general symptoms and itch. Participants respond on a verbal response scale, depending on the section options range from 'never' / 'not at all' / 'strongly disagree' to 'always' / 'very much'/ 'strongly agree'. Five items (3/3 in the itch domain and 2/10 in the social domain) also include a 'does not apply' option. A score for each domain is provided (but a total score is not calculated), with each verbal response scale correlating to a score of 1-5 per item (0-5 on items with a 'does not apply' option) with 5 being the most affected. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in QoL based on 5-Dimensional Itch scale (5-D Itch, also known as 5-D pruritus scale) | The 5-D Itch scale assesses symptoms in terms of five domains: degree, duration, direction, disability and distribution. It is a 1 to 5 scale, with 5 being the most affected. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Change from baseline in liver stiffness | Measured by transient elastography (FibroScan®) and enhanced liver fibrosis (ELF) test | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Event free survival | Event free survival from first intake of commercialized elafibranor treatment as prescribed by physician to the first occurrence of any of the following clinical outcome events: (1) death, (2) liver transplant, and (3) liver decompensation. | From baseline to up to 60 months |
| Percentage of participants experiencing Adverse Events (AEs), Adverse Events of Special Interests (AESIs) and special situations (SS). | An Adverse event (AE) is any untoward medical occurrence, temporally associated with the use of study intervention, whether or not related to the study intervention. AESIs are AEs that may not be serious but are of special importance to a particular drug or class of drugs. | From baseline to up to 60 months |
| Participant's satisfaction on treatment | Measured by treatment satisfaction questionnaire for medication (TSQM). The TSQM (version 1.4) has 14 questions divided into 4 subscales: effectiveness (items 1 to 3), side effects (items 4 to 8), convenience (items 9 to 11), and global satisfaction (items 12 to 14). | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Participant's adherence to treatment | Adherence to the treatment will be measured based on the participant report of missed doses every month. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Percentage of participants with clinically significant changes in laboratory parameters | Percentage of participants with clinically significant change in laboratory parameters (blood chemistry, hematology and coagulation) will be reported. The clinical significance will be graded by the investigator. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Percentage of participants with clinically significant changes in physical examination | Clinically significant changes in physical examination will be reported. The clinical significance will be graded by the investigator. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Percentage of participants developing clinically significant changes in vital signs | Clinically significant changes in vital signs will be reported. The clinical significance will be graded by the investigator. | Up to 60 months following enrollment, based on routine physician follow-up visit |
| Cedars-Sinai Medical Center |
| Not yet recruiting |
| Los Angeles |
| California |
| 90048 |
| United States |
| University of California Davis Medical Center | Recruiting | Sacramento | California | 95817 | United States |
| South Denver Gastroenterology,P.C. | Recruiting | Englewood | Colorado | 80113 | United States |
| Yale University School of Medicine | Recruiting | New Haven | Connecticut | 06510 | United States |
| Schiff Center for Liver Diseases - University of Miami | Recruiting | Miami | Florida | 33136 | United States |
| Beth Israel Deaconess Medical Center, Liver Research Center | Recruiting | Boston | Massachusetts | 02215 | United States |
| Virtua Center for Liver Disease - Cherry Hill | Recruiting | Cherry Hill | New Jersey | 08034 | United States |
| Northwell Health Inc, Center for Liver Disease and Transplantation | Recruiting | Manhasset | New York | 11030 | United States |
| UNC Hospitals, The University of North Carolina at Chapel Hill | Recruiting | Chapel Hill | North Carolina | 27599 | United States |
| Cleveland Clinic Foundation | Recruiting | Cleveland | Ohio | 44195 | United States |
| Medical University of South Carolina (MUSC) | Recruiting | Charleston | South Carolina | 29425 | United States |
| Liver Center of Texas | Recruiting | Dallas | Texas | 75234 | United States |
| Baylor College of Medicine - Advanced Liver Therapies | Recruiting | Houston | Texas | 77030 | United States |
| Gastro health & Nutrition | Withdrawn | Katy | Texas | 77494 | United States |
| Texas Digestive Specialists | Recruiting | McAllen | Texas | 78504 | United States |
| Intermountain Medical Center | Recruiting | Murray | Utah | 84107 | United States |
| Bon Secours Richmond Community Hospital LLC. d/b/a Bon Secours Liver Institute of Richmond | Recruiting | Richmond | Virginia | 23226 | United States |
| Virginia Commonwealth University Medical Center - West Hospital | Recruiting | Richmond | Virginia | 23298 | United States |
| Velocity Clinical Research | Recruiting | Seattle | Washington | 98105 | United States |
| St Vincent's Hospital | Not yet recruiting | Fitzroy | 3065 | Australia |
| Medizinische Universitaetsklinik Graz | Recruiting | Graz | Austria |
| Medical University Innsbruck | Recruiting | Innsbruck | Austria |
| Ordensklinikum Linz GmbH Barmherzige Schwestern | Recruiting | Linz | Austria |
| Centre de Recherche du Centre Hospitalier de l'Universite de Montreal (CRCHUM) | Recruiting | Montreal | Quebec | H2X 0A9 | Canada |
| University of Calgary | Recruiting | Calgary | Canada |
| London Health Sciences Centre (LHSC) - University Hospital | Recruiting | London | Canada |
| The Ottawa Hospital - General Campus | Recruiting | Ottawa | Canada |
| (G.I.R.I) GI Research Institute Foundation | Recruiting | Vancouver | Canada |
| Charite Universitatsmedizin Berlin | Recruiting | Berlin | Germany |
| DRK Kliniken Berlin Mitte | Recruiting | Berlin | Germany |
| Klinikum der Johann Wolfgang Goethe-Universitaet | Not yet recruiting | Frankfurt | Germany |
| Studiengesellschaft BSF | Recruiting | Halle | Germany |
| Gastroenterologsiche Studiengesellschaft Herne | Recruiting | Herne | Germany |
| Universitaet des Saarlandes | Recruiting | Homburg | Germany |
| Universitaetsklinikum Leipzig | Recruiting | Leipzig | Germany |
| Hospital of the Merciful Brothers Trier | Withdrawn | Trier | Germany |
| General Hospital of Athens Laiko | Recruiting | Athens | Greece |
| University Hospital of Heraklion | Recruiting | Heraklion | Greece |
| University General Hospital of Larissa | Recruiting | Larissa | Greece |
| University General Hospital of Patras | Recruiting | Pátrai | Greece |
| Ippokratio General Hospital of Thessaloniki | Recruiting | Thessaloniki | Greece |
| ASST-Ospedale Papa Giovanni XXIII | Not yet recruiting | Bergamo | Italy |
| Ospedale Garibaldi Nesima | Recruiting | Catania | Italy |
| Universita Degli Studi Di Firenze - Azienda Ospedaliero-Universitaria Careggi (AOUC) | Recruiting | Florence | Italy |
| ASST Grande Ospedale Metropolitano Niguarda | Recruiting | Milan | Italy |
| Ospedale Maggiore Della Carita | Recruiting | Novara | Italy |
| A. Gemelli University Hospital, Catholic University of the Sacred Heart | Recruiting | Roma | Italy |
| Fondazione Policlinico Universitario Campus Bio-Medico | Recruiting | Roma | Italy |
| Hospital de Torrecardenas | Recruiting | Almería | Spain |
| Hospital Clinic de Barcelona (Hospital Clinic i Provincial) | Recruiting | Barcelona | Spain |
| Hospital Universitario Vall d'Hebron | Recruiting | Barcelona | Spain |
| Hospital General Universitario Gregorio Maranon (HGUGM) | Recruiting | Madrid | 28007 | Spain |
| Complexo Hospitalario Universitario de Pontevedra | Recruiting | Pontevedra | Spain |
| Instituto De Investigacion Marques De Valdecilla (IDIVAL) | Recruiting | Santander | Spain |
| Clemenceau Medical Center Hospital | Not yet recruiting | Dubai | United Arab Emirates |
| Mediclinic Airport Road Hospital | Recruiting | Dubai | United Arab Emirates |
| Rashid Hospital | Recruiting | Dubai | United Arab Emirates |
| Sheikh Shakhbout Medical City | Recruiting | Dubai | United Arab Emirates |
| Aberdeen Royal Infirmary NHS Grampian Grampian Health Board | Recruiting | Aberdeen | United Kingdom |
| Belfast Health and Social Care Trust - Royal Victoria Hospital | Recruiting | Belfast | United Kingdom |
| Queen Elizabeth Hospital Birmingham - University Hospitals Birmingham NHS Foundation Trust | Recruiting | Birmingham | United Kingdom |
| Bradford Royal Infirmary - Bradford Teaching Hospitals NHS Foundation | Recruiting | Bradford | United Kingdom |
| Hull Royal Infirmary - Hull University Teaching Hospitals NHS Trust | Recruiting | Hull | United Kingdom |
| King's College Hospital NHS Foundation Trust | Recruiting | London | United Kingdom |
| The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital | Recruiting | Newcastle | United Kingdom |
| Queen's Medical Centre - Nottingham University Hospitals NHS Trust | Not yet recruiting | Nottingham | United Kingdom |
| John Radcliffe Hospital - Oxford University Hospitals NHS Foundation Trust | Recruiting | Oxford | United Kingdom |
| ID | Term |
|---|---|
| D008105 | Liver Cirrhosis, Biliary |
| ID | Term |
|---|---|
| D002780 | Cholestasis, Intrahepatic |
| D002779 | Cholestasis |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D008103 | Liver Cirrhosis |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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