ClinicalTrials.gg
RecruitingNCT04650243UDCA PBCUpdated Apr 1, 2025

Clinical Research of Tapering UDCA in PBC Patients With a Complete Response

A Phase 4 interventional study of ursodeoxycholic acid in Primary Biliary Cholangitis, sponsored by Peking Union Medical College Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-01.

Sponsored by Peking Union Medical College Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Registered 3 months after the study started (first participant enrolled Jan 2020, registered Apr 2020).
  • Started Jan 2020; still recruiting 6 years 9 months later.

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Phase
Phase 4
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 52 studies in Liver Cirrhosis, Biliary with a site in China — 16 open to participants now, 21 under way, 12 of them phase 3. Liver Cirrhosis, Biliary · China.

Planned enrollment
26th of 43
90 · median 104
Started
2020
with 4 others
Phase 4
7 of 52
1 open now
Primary completion
2025-05
later than 0 of 20 live
Registered
21st of 52
by date

Among the 52 studies in Liver Cirrhosis, Biliary with a site in China, this one is the 26th largest by planned enrollment of the 43 interventional ones that give a count, is one of 5 that started in 2020, is one of 7 in phase 4, reaches primary completion later than 0 of the 20 other live ones, and was the 21st registered.

Liver Cirrhosis, Biliary

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

Browse Liver Cirrhosis, Biliary studies →

Open to participants now

16 of the 52 studies in Liver Cirrhosis, Biliary with a site in China are open now. Recruiting first, the newest first:

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All 16 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 34 Liver Cirrhosis, Biliary studies recruiting now, 16 (47%) set no upper age limit and 11 (32%) stop at 75 or younger; 3 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study explores the feasibility of the reducing medication regimen for Ursodeoxycholic Acid(UDCA) in the treatment of primary biliary cholangitis. The participants will be distributed randomly into two experimental groups and one control group. The two experimental groups will receive reduced dosage of UDCA at different level, while the control group will receive standard dosage of UDCA. The effect of therapy will be evaluated every three months.

Read the detailed description

Primary biliary cholangitis is a chronic, progressive liver disease of autoimmune origin characterized by nonpurulent destruction of intrahepatic ductule, lymphatic infiltration of portal area and long-term intrahepatic cholestasis leading to liver fibrosis and cirrhosis in absence of treatment. The diagnosis is made in the presence of antimitochondrial antibodies (AMA) coupled with an increase in alkaline phosphatase (ALP), a histologic confirmation being mandatory only in seronegative cases or overlap syndrome. Treatment is based on ursodeoxycholic acid (UDCA) and obeticholic acid, which are proved effective in improving biochemical index and preventing disease progression. While obeticholic acid is only approved in USA and Canada, UDCA seem to be the only choice for PBC patients in China. Study has shown that liver function improvement can be expected in six to nine months when patients receive standard dosage( 13 -15mg/kg/d) of UDCA. Recovery of liver function takes two years in 20% of patients ,and five years in 15% to 35% of patients. Lifetime medication is recommended among patients with good respond to UDCA, while the high cost has placed great burden on patients as well as the medical service system. Exploration of the reducing medication regimen of UDCA among stable PBC patients is of great significance under this circumstance. In our study, the 90 recruited PBC patients with a complete response will be distributed randomly into two experimental groups and one control group. The two experimental groups will receive reduced dosage of UDCA at 10mg/Kg and 5mg/Kg respectively, while the control group will receive standard 13-15mg/Kg dosage of UDCA. The effect of therapy will be evaluated every three months, which includes assessment of symptoms, life quality, disease progression, complete blood count, urinalysis, liver biochemical markers (ALT, AST, ALP, GGT, TBIL, DBIL, TP, ALB), blood lipid (CHO, TG, LDL, HDL), immunoglobulins, ESR, AMA, liver morphology and cirrhosis degree, along with peripheral T lymphocyte subpopulations and cytokines test.

03

Conditions studied

  • Primary Biliary Cholangitis

Keywords

  • ursodeoxycholic acid
  • reducing medication regimen
04

Who can participate

Ages eligible
18 Years and older
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

  • Satisfied the diagnostic criteria of PBC by the AASLDin 2000;
  • Age≥18 years
  • Clinical stage 2 and 3 (i.e. abnormal liver function and symptomatic phase);
  • Patients with improved liver biochemical index( ALP and ≤1.5× , with a normal level) after 6 to 12 months treatment of UDCA;
  • obtained.

Exclusion criteria

Exclusion Criteria:

  • Overlapped with other liver diseases (such as , , alcoholic cirrhosis, etc.) or serum , AST more than 2 ;
  • Decompensation of liver function (Child grade B/C);
  • Complicated with important organ failure (such as renal insufficiency), serious infection or other serious complications;
  • Pregnancy, preparation for pregnancy or pregnancy Lactation, psychiatric subjects, etc.;
  • Participating in other clinical trials or participated in other clinical trials in three months.
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    10mg/Kg UDCA

    Patients will receive a reduced dosage of 10mg/Kg UDCA orally everyday.

    Drug: ursodeoxycholic acid

  • Experimental
    5mg/Kg UDCA

    Patients will receive a reduced dosage of 5mg/Kg UDCA orally everyday.

    Drug: ursodeoxycholic acid

  • Active comparator
    standard 13-15mg/Kg UDCA

    Patients will receive standard dosage of 13-15mg/Kg UDCA everyday.

    Drug: ursodeoxycholic acid

Interventions

  • The two experimental groups will receive reduced dosage of UDCA at 10mg/Kg and 5mg/Kg everyday respectively, while the control group will receive standard dosage of UDCA.The treatment duration will be at least one year.

    Also known as: UDCA

06

What researchers measure

Primary outcomes

  1. Recurrence rate of primary biliary cholangitis

    Liver biochemical markers (AST and ALP in U/L, TBIL in umol/L) that restored to normal increase(bilirubin\>1xULN,ALP≥1.5X ULN, AST≥1.5XULN) again is considered to be PBC recurrence according to the Paris II criteria. The rate of recurrence will be described in percent.

    Time frame: change from baseline to month3,6,9,12.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — all IPD that underlie results in a publication

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

Time frame: within 6 months after the trial complete

Access criteria: IPD will be shared by Excel within six months after the trial complete with the public

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2020 (actual). Primary completion is estimated for May 2025, 64 months after the start.

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

Registered
Apr 27, 2020
First posted
Dec 2, 2020
StartActual
Jan 21, 2020
Primary completionEst.
May 2025
CompletionEst.
May 2025
Last update
Apr 1, 2025
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 Apr 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04650243
Responsible party
Sponsor
First posted
Dec 2, 2020
Start date
Jan 21, 2020
Primary completion
May 2025 (estimated)
Completion
May 2025 (estimated)
Last update
Apr 1, 2025

Study contacts

Li Wang
Contact
wangli2221@sina.com
8613801175089
Li Wang
study director · Peking Union Medical College Hospital

Oversight

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

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Studies of the drug tested here: Ursodeoxycholic Acid

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