ClinicalTrials.gg
Active, not recruitingNCT04167358LLSATUpdated Jun 22, 2026

Linerixibat Long-term Safety, and Tolerability Study

A Phase 3 interventional study of Linerixibat in Cholestasis, sponsored by GlaxoSmithKline. Active, not recruiting at 94 sites in 17 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-06-22.

Primary conditionLiver Cirrhosis, BiliaryRegistry: CholestasisReclassifiedWhy we changed it
Registry
Cholestasis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Liver Cirrhosis, Biliary
Why
  1. The study's title name Liver Cirrhosis, Biliary, a narrower term within Cholestasis.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
242
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is an open-label, non-comparator, global, multi-center, long-term safety study for evaluating safety and tolerability of linerixibat in participants with cholestatic pruritus in primary biliary cholangitis (PBC) who participated in a prior clinical trial with linerixibat (BAT117123 [NCT01899703], 201000 GLIMMER [NCT02966834] (group 1) or 212620 GLISTEN [NCT00210418]) (group 2). All participants will receive open-label linerixibat for the duration of the study. The study duration is expected to last until the study's end or until linerixibat can be lawfully made available to participants. However, the total duration of study participation will vary by participant depending upon the time of entry relative to study end in their respective country.

02

Conditions studied

  • Cholestasis

Browse trials for

Keywords

  • Linerixibat
  • Cholestasis
  • Cholestatic pruritus
  • Primary biliary cholangitis
  • LLSAT
03

In context

Liver Cirrhosis, Biliary Reclassified

214 studies on the registry are indexed under Liver Cirrhosis, Biliary; 48 are open to participants now.

This study's enrollment of 242 is above the median of 60 across 151 interventional studies indexed under Liver Cirrhosis, Biliary.

Browse Liver Cirrhosis, Biliary studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

Compared within Liver Cirrhosis, Biliary, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Cholestasis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female participants must be 18 to 80 years of age inclusive, at the time of signing the in the participant's parent trial BAT117213, GLIMMER or GLISTEN.
  • Participants with a diagnosis of PBC and a history of associated pruritus as evidenced by randomization into a prior eligible linerixibat clinical trial (BAT117213, GLIMMER or GLISTEN).
  • Participants must have completed the main treatment period in a prior eligible linerixibat clinical trial (BAT117213, GLIMMER or GLISTEN).
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and at least one of the following conditions applies: a) is a woman of non- (WONCBP) or b) is a woman of childbearing potential (WOCBP) and using an acceptable method.
  • Capable of giving signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Screening total >2x (ULN).
  • Screening (ALT) or aspartate aminotransferase (AST) >6x ULN.
  • Screening estimated (eGFR) \<30 milliliters per minute per 1.73 square meter (mL/min/1.73m\^2) based on the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
  • Presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy or ascites).
  • Presence of actively replicating viral or C (Viral Hepatitis B [HBV], viral [HCV]) infection), primary sclerosing cholangitis (PSC), alcoholic liver disease and/or confirmed hepatocellular carcinoma or biliary cancer.
  • Current diarrhea in the Investigator's medical opinion.
  • Current symptomatic cholelithiasis or cholecystitis.
  • Current diagnosis or previous diagnosis of colorectal cancer.
  • Any current (including hematologic and solid malignancies).
  • History of bariatric surgery with ileal bypass at any time, or any bariatric surgery performed in the past 3 years.
  • Use of Obeticholic acid: within 8 weeks prior to the date of the screening visit and may not restart until after the end of the study or early study withdrawal.
  • Administration of any other ileal bile acid transporter (IBAT) inhibitor in the 1 month prior to screening until after the end of the study or early study withdrawal.
  • corrected (QTc) >480 millisecond (msec) at screening (12-lead )
  • Participants with moderate (or greater) alcohol consumption defined as more than one standard drink per day for women and two drinks per day for men.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
242 participants (actual)

Study arms

  • Experimental
    Participants receiving linerixibat

    Participants who previously participated in the Phase 2 studies (BAT117213 and 201000 GLIMMER \[Group 1\]) and Phase 3 study (212620 GLISTEN \[Group 2\]), will receive linerixibat.

    Drug: Linerixibat

Interventions

  • All participants will receive linerixibat.

06

What researchers measure

Primary outcomes

  1. Number of participants with non-serious adverse events (AEs) and Serious AEs (SAEs)

    AEs and SAEs will be collected.

    Time frame: Up to 66 months

  2. Number of participants with Severe AEs

    AEs and SAEs will be collected.

    Time frame: Up to 66 months

Secondary outcomes

  1. Change in domain scores of the PBC-40 over time

    The PBC-40 is a participant-derived, disease specific health-related quality of life (QoL) measure with data to support its validity in PBC. The PBC-40 measure is comprised of 40 questions, each scored on a scale of 1 to 5 (where 1 = least impact, 5 = greatest impact) grouped into six domains (symptoms, itch, fatigue, cognition, social, and emotional).

    Time frame: Baseline and up to 65 months

  2. Change in health-related quality of life (QoL) by the Euro Quality-5 dimension-3 level (EQ-5D-3L) scores over time (Group 1 only)

    The EQ-5D-3L is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life that can be used in a wide range of health conditions and treatments. The EQ-5D consists of a descriptive system and the EQ Visual Analogue Scale (VAS). The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: 1=no problems, 2=some problems, and 3=extreme problems.

    Time frame: Baseline and up to 65 months

  3. Change in self-rated health by EQ VAS scores over time (Group 1 only)

    The EQ-5D-3L is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life that can be used in a wide range of health conditions and treatments. The EQ-5D consists of a descriptive system and the EQ VAS. The EQ VAS records self-rated health on a vertical visual analogue scale where the endpoints are labelled 'Best imaginable health state' and 'Worst imaginable health state'.

    Time frame: Baseline and up to 65 months

  4. Change in the Beck Depression Inventory (BDI-II) scores over time

    The BDI-II is a 21-item questionnaire used to assess the intensity of depression in clinical and normal participants. Each item is scored from 0 (Normal) to 3 (Severe). The total score on the BDI-II ranges from 0-63, with higher scores reflecting higher levels of depression.

    Time frame: Baseline and up to 65 months

  5. Number of participants with clinically significant changes in hematology, biochemistry (including lipid and liver parameters), and coagulation parameters

    Blood samples will be collected for the analysis of hematology, biochemistry (including lipid and liver parameters) and coagulation parameters.

    Time frame: Baseline and up to 65 months

  6. Percentage of responders at Week 24 and Week 52 of continuous treatment (Group 2 only)

    Monthly Itch Score (MIS) will be assessed using an numerical rating scale (NRS), ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. Response thresholds of greater than or equal to (\>=) 2, \>=3, and \>=4-point reduction in MIS will be assessed.

    Time frame: Week 24 and Week 52 of continuous treatment

  7. Percentage of participants with maintenance of efficacy at Week 52 of continuous treatment in those that were responders at Week 24 of continuous treatment (Group 2 only)

    The MIS will be assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. Maintenance of efficacy occurs when a participant is a responder (\>=2, \>=3, and \>=4-point reduction in MIS) at Week 24 of continuous treatment and is also a responder at Week 52 of continuous treatment.

    Time frame: Week 52 of continuous treatment

  8. Change from Baseline Monthly Sleep Score (MSS) (Group 2 only)

    The MSS will be assessed using an NRS, ranging from 0 to 10, where 0 represents no sleep interference and 10 is complete sleep interference. This will be assessed at Week 52 of continuous treatment.

    Time frame: Baseline and up to Week 52 of continuous treatment

  9. Change from Baseline in Monthly Fatigue Score (MFS)(Group 2 only)

    The MFS will be assessed using an NRS, ranging from 0 to 10, where 0 represents no fatigue and 10 the worst possible fatigue. This will be assessed at Week 52 of continuous treatment.

    Time frame: Baseline and up to Week 52 of continuous treatment

07

Study locations

94 sites
  • GSK Investigational Site
    Davis, California 95817, United States
  • GSK Investigational Site
    West Hollywood, California 90048, United States
  • GSK Investigational Site
    Miami, Florida 33136, United States
  • GSK Investigational Site
    Detroit, Michigan 48377, United States
  • GSK Investigational Site
    New York, New York 10016, United States
  • GSK Investigational Site
    Durham, North Carolina 27710, United States
  • GSK Investigational Site
    Morrisville, North Carolina 27560, United States
  • GSK Investigational Site
    Philadelphia, Pennsylvania 19104, United States
  • GSK Investigational Site
    Dallas, Texas 75390, United States
  • GSK Investigational Site
    Houston, Texas 77030, United States
  • GSK Investigational Site
    Seattle, Washington 98105, United States
  • GSK Investigational Site
    Buenos Aires, C1061AAS, Argentina
  • GSK Investigational Site
    Capital Federal, C1181ACI, Argentina
  • GSK Investigational Site
    Ciudad AutOnoma de Buenos Aire, 1118, Argentina
  • GSK Investigational Site
    Ciudad Autonoma de Bueno, C1056ABI, Argentina
  • GSK Investigational Site
    Rosario, S2002KDT, Argentina
  • GSK Investigational Site
    Santa Fe, 3000, Argentina
  • GSK Investigational Site
    Porto Alegre, Rio Grande do Sul 90035003, Brazil
  • GSK Investigational Site
    Botucatu, 18618686, Brazil
  • GSK Investigational Site
    Brasília, 70335-900, Brazil
  • GSK Investigational Site
    Salvador, 40110-160, Brazil
  • GSK Investigational Site
    Sofia, 1618, Bulgaria
  • GSK Investigational Site
    Edmonton, Alberta T6G 2X8, Canada
  • GSK Investigational Site
    Toronto, Ontario M5G 2C4, Canada
  • GSK Investigational Site
    Beijing, 100032, China
  • GSK Investigational Site
    Beijing, 100069, China
  • GSK Investigational Site
    Changchun, 130021, China
  • GSK Investigational Site
    Chongqing, 400042, China
  • GSK Investigational Site
    Guangzhou, 510630, China
  • GSK Investigational Site
    Nanchang, 330006, China
  • GSK Investigational Site
    Nanjing, 210003, China
  • GSK Investigational Site
    Shanghai, 200127, China
  • GSK Investigational Site
    Tianjin, 300000, China
  • GSK Investigational Site
    Pilsen, 30100, Czechia
  • GSK Investigational Site
    Prague, 140 21, Czechia
  • GSK Investigational Site
    Lille, 59037, France
  • GSK Investigational Site
    Erlangen, 91054, Germany
  • GSK Investigational Site
    Münster, 48149, Germany
  • GSK Investigational Site
    Haifa, 34362, Israel
  • GSK Investigational Site
    Holon, 58100, Israel
  • GSK Investigational Site
    Jerusalem, 91120, Israel
  • GSK Investigational Site
    Rehovot, 76100, Israel
  • GSK Investigational Site
    Milan, 20142, Italy
  • GSK Investigational Site
    Modena, 41126, Italy
  • GSK Investigational Site
    Monza, 20900, Italy
  • GSK Investigational Site
    Naples, 80131, Italy
  • GSK Investigational Site
    Negrar Verona, 37024, Italy
  • GSK Investigational Site
    Padova, 35128, Italy
  • GSK Investigational Site
    Palermo, 90127, Italy
  • GSK Investigational Site
    Roma, 00168, Italy
  • GSK Investigational Site
    Chiba, 270-1694, Japan
  • GSK Investigational Site
    Ehime, 791-0295, Japan
  • GSK Investigational Site
    Fukui, 918-8503, Japan
  • GSK Investigational Site
    Gunma, 371-8511, Japan
  • GSK Investigational Site
    Hiroshima, 730-8619, Japan
  • GSK Investigational Site
    Hiroshima, 734-8551, Japan
  • GSK Investigational Site
    Hokkaido, 006-8555, Japan
  • GSK Investigational Site
    Kagawa, 760-8557, Japan
  • GSK Investigational Site
    Kanagawa, 259-1143, Japan
  • GSK Investigational Site
    Nagano, 390-8621, Japan
  • GSK Investigational Site
    Nagasaki, 856-8562, Japan
  • GSK Investigational Site
    Nara, 634-8522, Japan
  • GSK Investigational Site
    Osaka, 545-8586, Japan
  • GSK Investigational Site
    Osaka, 591-8025, Japan
  • GSK Investigational Site
    Shizuoka, 431-3192, Japan
  • GSK Investigational Site
    Tokyo, 113-8603, Japan
  • GSK Investigational Site
    Tokyo, 162-8655, Japan
  • GSK Investigational Site
    Tokyo, 173-8606, Japan
  • GSK Investigational Site
    Tokyo, 181-8611, Japan
  • GSK Investigational Site
    Mexico City, 06700, Mexico
  • GSK Investigational Site
    Mexico City, 14080, Mexico
  • GSK Investigational Site
    Monterrey, 64020, Mexico
  • GSK Investigational Site
    Częstochowa, 42-217, Poland
  • GSK Investigational Site
    Katowice, 40-659, Poland
  • GSK Investigational Site
    Mysłowice, 41-400, Poland
  • GSK Investigational Site
    Warsaw, 03-712, Poland
  • GSK Investigational Site
    Wroclaw, 51-162, Poland
  • GSK Investigational Site
    Kemerovo, 650000, Russia
  • GSK Investigational Site
    Moscow, 119121, Russia
  • GSK Investigational Site
    Samara, 443063, Russia
  • GSK Investigational Site
    Barcelona, 08036, Spain
  • GSK Investigational Site
    Madrid, 28007, Spain
  • GSK Investigational Site
    Madrid, 28041, Spain
  • GSK Investigational Site
    Seville, 41013, Spain
  • GSK Investigational Site
    Valencia, 46026, Spain
  • GSK Investigational Site
    Basingstoke, RG24 9NA, United Kingdom
  • GSK Investigational Site
    Glasgow, G31 2ER, United Kingdom
  • GSK Investigational Site
    London, NW3 2QG, United Kingdom
  • GSK Investigational Site
    Newcastle upon Tyne, NE4 5PL, United Kingdom
  • GSK Investigational Site
    Nottingham, NG7 2UH, United Kingdom
  • GSK Investigational Site
    Plymouth, PL6 8DH, United Kingdom
  • GSK Investigational Site
    Reading Berkshire, RG1 5AN, United Kingdom
  • GSK Investigational Site
    Southampton, SO16 6YD, United Kingdom
  • GSK Investigational Site
    Surrey, RH1 5RH, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Data sharing details ↗ · clinicalstudydatarequest.com

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2020 (actual). Primary completion is estimated for Sep 2026, 74 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 15, 2019
First posted
Nov 18, 2019
StartActual
Jul 14, 2020
Primary completionEst.
Sep 30, 2026
CompletionEst.
Sep 30, 2026
Last update
Jun 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04167358
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Nov 18, 2019
Start date
Jul 14, 2020
Primary completion
Sep 30, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Jun 22, 2026

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Linerixibat

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