ClinicalTrials.gg
RecruitingNCT06016842ELFIDENCEUpdated Oct 23, 2026

A Long-Term Study of Elafibranor in Adult Participants With Primary Biliary Cholangitis

A Phase 3 interventional study of Elafibranor and Matched 80 mg placebo in Primary Biliary Cholangitis (PBC), sponsored by Ipsen. Recruiting at 198 sites in 28 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Ipsen · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2023; still recruiting 3 years 2 months later.
Updated Oct 1, 2026First sites in Colombia and PeruSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
276
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The participants of this study will have confirmed Primary Biliary Cholangitis (PBC) and cirrhosis (scarring of the liver).

PBC is a slowly progressive disease, characterised by damage to the bile ducts in the liver, leading to a build-up of bile acids which causes further damage.

The liver damage in PBC may lead to cirrhosis. PBC may also be associated with multiple symptoms. Many patients with PBC may require liver transplant or may die if the disease progresses and a liver transplant is not done.

This study will compare a daily dose of elafibranor (the study drug) to a daily dose of placebo (a dummy treatment) and will last up to 3.5 years for each participant.

The main aim of this study is to determine if elafibranor is better than placebo in preventing clinical outcome events showing disease worsening (including progression of disease leading to liver transplant or death).

This study will also study the safety of long-term treatment with elafibranor, as well as the impact on symptoms such as itching and tiredness.

02

Conditions studied

  • Primary Biliary Cholangitis (PBC)
03

In context

Liver Cirrhosis, Biliary

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

This study's planned enrollment of 276 is above the median of 60 across 151 interventional studies indexed under Liver Cirrhosis, Biliary.

Browse Liver Cirrhosis, Biliary studies →

Lead sponsor

Ipsen is the lead sponsor of 289 studies on the registry; 17 are open to participants now.

Of its 26 completed or terminated interventional studies of FDA-regulated products, 22 (85%) have results posted.

Counted across the registry records on this site, refreshed daily.

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

  • Male or female participants must be ≥18 years of age at the time of signing the .
  • Participants with a definite or probable diagnosis of primary biliary cholangitis (PBC)
  • Participants with cirrhosis at SV1. • Participants must be A or Child Pugh B.
  • use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion criteria

Exclusion Criteria :

  • History or presence of other concomitant liver disease including but not limited to:

    • i) Primary sclerosing cholangitis (PSC).
    • ii) hepatitis (AIH) by simplified Diagnostic Criteria of the International Autoimmune Hepatitis Group (IAIHG) ≥6, or if treated for an overlap of PBC with AIH, or if there is clinical suspicion and evidence of overlap AIH features, that cannot be explained alone by insufficient response to UDCA.
    • iii) Positive surface antigen (HBsAg). Participants with negative HBsAg and positive hepatitis B core antibody (HBcAb) may be eligible if hepatitis B virus deoxyribonucleic acid (HBV DNA) is negative.
    • iv) virus (HCV) infection defined by positive anti-HCV antibody and positive HCV ribonucleic acid (RNA) (Note: Participants with positive anti-HCV antibody due to previously treated HCV infection, may be enrolled if a confirmatory HCV RNA is undetectable and sustained viral response has been documented).
    • v) Alcohol-associated liver disease (ALD).
    • vi) Nonalcoholic steatohepatitis (NASH).
    • vii) Other chronic liver diseases, such as alpha-1 antitrypsin deficiency.
  • History or presence of hepatic decompensation, including:

    • i) History of liver transplantation, current placement on a liver transplant list, current model for end-stage liver disease including (MELD) 3.0 score >12 due to hepatic impairment.
    • ii) Evidence of complications of cirrhosis, including hepatic decompensation or evidence of significant portal hypertension complications including presence of uncontrolled ascites; history of variceal bleeding or related interventions (e.g. variceal banding, or transjugular intrahepatic portosystemic shunt placement); presence of hepatic encephalopathy Grade 2 or higher per West-Haven criteria; history or presence of spontaneous bacterial peritonitis. Note: participants with low-risk varices (Grade I) without history of bleeding or other treatment may be eligible to enrol.
    • iii) Hepatorenal syndrome (HRS) (type I or II ). • vi) Hospitalisation for liver-related complication within 12 weeks prior to SV1.
  • Known history of (HIV) infection or having a positive confirmatory test for HIV type 1 or 2.
  • Medical conditions that may cause non-hepatic increases in ALP (e.g. Paget's disease).
  • Evidence of any other unstable or untreated clinically significant immunological, endocrine, hematologic, gastrointestinal, neurological, or psychiatric disease as evaluated by the investigator; other clinically significant conditions that are not well controlled.
  • Non-hepatic medical conditions that may diminish to \<2 years, including known cancers.
  • History of hepatocellular carcinoma.
  • Alpha-fetoprotein (AFP) >20 ng/mL with 4-phase liver computerised tomography (CT) or magnetic resonance imaging (MRI) imaging suggesting presence of hepatocellular carcinoma.
  • Known or history of malignancy within the last 5 years. Participants with non-melanoma skin cancer, or carcinoma in situ (e.g. breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded.
  • Administration of the following medications is prohibited during the study, and prior to the study as per the timelines specified below: • i) 3 months prior to baseline: fibrates, seladelpar, glitazones, obeticholic acid, azathioprine, cyclosporine, methotrexate, mycophenolate, pentoxifylline, budesonide and other systemic (parenteral and oral chronic administration only); potentially hepatotoxic drugs (including α-methyl-dopa, sodium valproic acid, isoniazid or nitrofurantoin).
  • Participants who are currently participating in, plan to participate in, or have participated in an drug study or medical device study containing active substance within 30 days or 5 half-lives, whichever is longer, prior to the screening period.

    i) If the previous study was for an experimental therapy being studied for potential benefit in PBC, and the potential therapeutic agent was proven to have no beneficial effect in PBC and there are no safety concerns, the participant may enrol after 30 days or 5 half-lives from the last dose of the therapeutic agent, whichever is longer.ii) For therapeutic agents being studied for potential benefit in PBC for which it is still unclear if there may be a potential benefit, participants may enrol after 6 months from the last dose of the therapeutic agent.

  • (ECG) with corrected by Fridericia's formula (QTcF) >450 msec in males or QTcF >470 msec in females for participants without bundle branch block. For participants with bundle branch block or other intraventricular conduction delay, a longer QTcF >480 msec would be exclusionary.
  • Total (TB) >5x
  • (ALT) and/or aspartate aminotransferase (AST) >5x ULN at SV1
  • Creatinine phosphokinase (CPK) >2x ULN.
  • count \<50,000/μL
  • (INR) >1.8 in the absence of anticoagulant therapy.
  • Estimated (eGFR) \<45 mL/min/1.73m2 per the Modification of Diet in Renal Disease (MDRD)-6 Study formula at SV1.
  • Significant renal disease, including nephritic syndrome, chronic kidney disease (CKD) (defined as participants with evidence of significantly impaired kidney function or underlying kidney injury).
  • For female participants: known current pregnancy, or has a positive serum pregnancy test, or is breastfeeding.
  • Participants unwilling or unable to be abstinent from alcohol during the study.
  • History of alcohol abuse, or other substance abuse within 1 year prior to SV1.
  • Known to elafibranor or to any of the of the investigational product(s).
  • Mental instability or incompetence, such that the validity of or ability to be compliant with the study is uncertain.
  • Any other condition that, in the opinion of the investigator, would interfere with study participation or completion, or would put the participant at risk, including a potential participant assessed as being at high risk of noncompliance with the study.
  • Alkaline phosphatase (ALP) ≥10x ULN.
  • Albumin \<2.8 g/dL due to impaired hepatic function.
Terms in these criteria, in plain language(22)

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

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.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
276 participants (estimated)

Study arms

  • Experimental
    Elafibranor 80 mg

    Participants will take 1 tablet of elafibranor 80 mg per day orally with a glass of water at approximately the same time each morning, with or without food.

    Drug: Elafibranor

  • Placebo comparator
    Placebo

    Participants will take 1 placebo tablet per day orally (matching the 80 mg elafibranor sized tablet) with a glass of water at approximately the same time each morning, with or without food.

    Other: Matched 80 mg placebo

Interventions

  • Duration: up to an estimated 42-month (3.5-year) double-blind treatment period during which elafibranor 80 mg tablet will be administered once daily

  • OtherMatched 80 mg placebo

    Duration: up to an estimated 42-month (3.5-year) double-blind treatment period during which matching placebo tablet will be administered once daily

06

What researchers measure

Primary outcomes

  1. Event-free survival

    Event-free survival is defined as the time from randomisation to either adjudicated disease progression or death, whichever occurs first.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

Secondary outcomes

  1. Percentage of participants experiencing Treatment Emergent Adverse Events (TEAEs), treatment-related TEAEs, Serious Adverse Events (SAEs), and Adverse Events of Special Interests (AESIs)

    An adverse event (AE) is any unfavourable medical occurrence in a trial participant administered the investigational product. The AE does not necessarily have a causal relationship with the treatment. AESIs are AEs that may or may not be serious but are of special importance to a particular drug or class of drugs.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

  2. Percentage of participants developing clinically significant changes in physical examination findings

    Complete physical examination at screening and targeted examination at all other clinical visit timepoints.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

  3. Percentage of participants developing clinically significant changes in vital signs

    Percentage of participants with clinically significant changes in Vital Signs will be reported. The clinical significance will be graded by the investigator.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

  4. Percentage of participants developing clinically significant changes in Electrocardiogram (ECG) readings.

    Percentage of participants with clinically significant changes in ECG readings will be reported. The clinical significance will be graded by the investigator.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

  5. Percentage of participants with clinically significant changes in laboratory parameters (blood chemistry, hematology, coagulation and urinalysis)

    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.

    Time frame: From baseline until 4 weeks after the last dose of study intervention (maximum duration of 3.5 years)

  6. Change from baseline in Alkaline phosphatase (ALP)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  7. Change from baseline in Total Bilirubin (TB)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  8. Percentage of participants with ALP≤ 1.67x ULN and TB≤ ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  9. Percentage of participants with complete biochemical response

    Defined as normal levels of TB, ALP, transaminases, albumin, and International normalised ratio (INR)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  10. Percentage of participants with normalisation of TB and ALP

    Defined as TB\< Upper Limit Normal (ULN) and ALP\< ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  11. Percentage of participants with stabilisation in TB (i.e. no increase)

    Defined as TB\< 1x ULN or increase from baseline \<0.1x ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  12. Percentage of participants with a response based on albumin normalisation

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  13. Change from baseline in liver stiffness measurement (LSM)

    Assessed by vibration-controlled transient elastography (VCTE) using Fibroscan® on the day of the visit.

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  14. Change from baseline in PBC risk scores based in Global PBC Study Group (GLOBE) score

    The GLOBE score is a validated risk assessment tool providing an estimate of transplant-free survival for patients with PBC. It was developed by the Global PBC Study Group using Cox regression model on over 4,000 patients with PBC. Lower GLOBE score predicts lower risk. It is calculated from the following equation: GLOBE score = (0.044378 \* age + 0.93982 \* LN(total bilirubin/ULN) +(0.335648 \* LN(alkaline phosphatase/ULN)) - 2.266708 \* albumin /LLN -0.002581 \* platelet count per 109/L) + 1.216865 GLOBE scoring system, which calculation is based on serum values of bilirubin, ALP, albumin and platelet count after 1 year of treatment and age at baseline. A high number is indicative of a worse score.

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  15. Change from baseline in PBC risk scores based on United Kingdom (UK)-PBC score.

    PBC risk score developed by United Kingdom (UK)-PBC Consortium is a scoring system and the calculation is based on laboratory test measurements and upper limits of normal (ULN) for the total bilirubin (BIL12); alanine transaminase or aspartate transaminase (TA12), and alkaline phosphatase (ALP12) after at least 12 months of UDCA, and the laboratory test measurements and lower limits of normal (LLN) for the serum albumin and platelet count in the same timeframe. A high number is indicative of a worse score.

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  16. Percentage of participants with LSM ≥15 kPa

    Assessed by VCTE using Fibroscan®

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  17. Change in serum levels of Aspartate aminotransferase (AST) compared to the baseline

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  18. Change in serum levels of ALT compared to the baseline

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  19. Change in serum levels of Gamma-glutamyl transferase (GGT) compared to the baseline

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  20. Change from baseline in hepatic function: Conjugated (direct) bilirubin

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  21. Change in serum levels of Albumin compared to the baseline

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  22. Change from baseline in hepatic function: international normalised ratio (INR)

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  23. Change from baseline in hepatic function: fractionated ALP

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  24. Percentage of participants with no worsening of LSM

    Assessed by VCTE using Fibroscan® defined as no increase \>2kPa from baseline

    Time frame: At Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  25. Percentage of participants with ALP reduction of 40%

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  26. Percentage of participants with ALP reduction >40% or ALP normalisation (Barcelona criteria)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  27. Percentage of participants with ALP <1.5x ULN, ALP decrease ≥15% and TB ≤ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  28. Percentage of participants with ALP <1.5x ULN, ALP decrease ≥40% and TB ≤ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  29. Percentage of participants with ALP <1.67x ULN, ALP decrease ≥15% and TB ≤ULN

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  30. Percentage of participants with ALP <3x ULN, AST <2x ULN and TB ≤1 mg/dL (Paris I)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  31. Percentage of participants with ALP ≤1.5x ULN, AST ≤1.5x ULN and TB ≤1 mg/dL (Paris II criteria)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  32. Percentage of participants with normalisation of abnormal TB

    Time frame: Assessed at Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  33. Percentage of participants with normalisation of abnormal TB and albumin (Rotterdam criteria)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  34. Percentage of participants with TB ≤0.6× ULN in participants with TB >0.6× ULN at baseline

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  35. Change from baseline in lipid parameters: total cholesterol (TC)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  36. Change from baseline in lipid parameters: high density lipoprotein cholesterol (HDL-C)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  37. Change from baseline in lipid parameters: calculated very low density lipoprotein cholesterol (VLDL-C)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  38. Change from baseline in lipid parameters: low density lipoprotein cholesterol (LDL-C)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  39. Change from baseline in lipid parameters: triglycerides (TG)

    Time frame: At Month 6, Month 12, and every 12 months up to end of treatment (maximum duration of 3.5 years)

  40. Percentage of participants with a response in PBC Worst Itch NRS score

    Defined as ≥2-point reduction from baseline NRS in participants with a baseline NRS ≥4

    Time frame: Through 6 months up to end of treatment (maximum duration of 3.5 years)

  41. Percentage of participants with a response in PBC Worst Itch NRS

    Defined as ≥3-point reduction from baseline NRS in participants with a baseline NRS ≥4

    Time frame: Assessed through 6 months up to end of treatment (maximum duration of 3.5 years)

  42. Change from baseline in 5D-Itch scale

    Questionnaire that assesses symptoms in terms of 5 domains: degree, duration, direction, disability and distribution. Participants rate their symptoms over the preceding 2-week period on a 1 to 5 scale, with 5 being the most affected.

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  43. Change from baseline in Patient Global Impression of Severity (PGI-S)

    A 1-item, 5-point scale designed to assess the participant's impression of disease severity

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  44. Patient Global Impression of Change (PGI-C)

    A 1-item, 5-point scale designed to assess the participant's impression of change in disease severity since the baseline visit

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  45. Change from baseline in Patient Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 7a

    Consists of 7 items that measure both the experience of fatigue and the interference of fatigue on daily activities over the past week. Response options are on a 5-point Likert scale, ranging from 1 to 5. Scores can range from 7 to 35, with higher scores indicating greater fatigue.

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  46. Change from baseline in the Epworth Sleepiness Scale (ESS)

    Self-administered questionnaire that consists of 8 questions asking to rate how likely it is to fall asleep in different situations commonly encountered in daily life (each question can be scored from 0 to 3 points; '0' indicates no sleepiness, '3' indicates significant sleepiness). It provides a total score which has been shown to relate to the participant's level of daytime sleepiness (total score range 0-24 points).

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  47. Change from baseline in PBC-40 score

    40-item questionnaire that assesses symptoms across 6 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'. Six items (3/3 in the itch domain, 2/10 in the social domain, and 1/7 in the general symptoms 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 to 5 per item (0 to 5 on items with a 'does not apply' option) with 5 being the most affected (greatest burden). The PBC-40 has a 4-week recall period.

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  48. Change from baseline in PBC Worst Itch Numeric Rating Scale (NRS) score

    Self-administered patient-reported outcome questionnaire that measures itch intensity. It asks participants to rate the intensity of their Worst Itch on an 11-point scale ranging from 0 (no itch) to 10 (Worst Itch imaginable): - once daily (24-hour recall period) using the eDiary during the screening and initial 2 years of the study, - at the clinic visits (7-day recall period), from Year 3 onwards

    Time frame: Assessed through 6 months up to end of treatment (maximum duration of 3.5 years)

  49. Change from baseline in EuroQol 5-dimensional 5-level questionnaire (EQ-5D-5L)

    Self-administered standardised questionnaire that assesses the 5-dimensions of mobility, self-care, usual activities, pain/discomfort, anxiety/depression descriptively (each dimension has 5 levels) and the overall health state via an EQ Visual Analogue Scale (VAS).

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  50. Change from baseline in Work Productivity and Activity Impairment General Health (WPAI-GH)

    Questionnaire that measures absenteeism, presenteeism as well as the impairments in unpaid activity because of health problem during the past seven days. It consists of 6 questions: 1=currently employed; 2=hours missed because of health problems; 3=hours missed because of other reasons; 4=hours actually worked; 5=degree health affected productivity while working (using a 0 to 10 Visual Analogue Scale (VAS)); 6=degree health affected productivity in regular unpaid activities (VAS).

    Time frame: Assessed at every 6 months up to end of treatment (maximum duration of 3.5 years)

  51. Time to the first occurrence of each of individual adjudicated clinical outcome events

    Among: • All-cause mortality • Liver-related mortality • Liver transplant • MELD-3.0 score ≥15 in participants with baseline MELD score ≤12 • Liver decompensation

    Time frame: From baseline until 4 weeks after the last dose of study intervention

  52. Percentage of participants who experience any subsequent adjudicated clinical outcome events after the first occurrence of such an event

    Among: • All-cause mortality • Liver-related mortality • Liver transplant • MELD-3.0 score ≥15 in participants with baseline MELD score ≤12 • Liver decompensation

    Time frame: From baseline until 4 weeks after the last dose of study intervention

  53. Area under the plasma concentration-time curve from time 0 to 24 hours: AUC0-24

    Time frame: At Day 1/Baseline, Month 6 and Month 12 (during a dosing period of 24 hours)

  54. Maximum (peak) plasma drug concentration: Cmax

    Time frame: At Day 1/Baseline, Month 6 and Month 12 (during a dosing period of 24 hours)

  55. Time to reach maximum (peak) plasma concentration following drug administration): Tmax

    Time frame: At Day 1/Baseline, Month 6 and Month 12 (during a dosing period of 24 hours)

  56. Apparent clearance of drug from plasma (CL)

    Time frame: At Day 1/Baseline, Month 6 and Month 12 (during a dosing period of 24 hours)

  57. Apparent volume of distribution (VZ)

    Time frame: At Day 1/Baseline, Month 6 and Month 12 (during a dosing period of 24 hours)

  58. Change from baseline in model for end-stage liver disease (MELD) 3.0 score

    The MELD 3.0 score is calculated from parameters (sex, creatinine, bilirubin, INR, sodium and albumin) where a high score indicates a greater risk of needing a liver transplant.

    Time frame: From screening until end of treatment (maximum duration of 3.5 years)

  59. Change from baseline in Child Pugh grade

    Child Pugh grade is calculated using bilirubin, albumin, INR, ascites and encephalopathy. A high grade is indicative of worse liver disease.

    Time frame: From screening until end of treatment (maximum duration of 3.5 years)

07

Study locations

140 of 198 sites recruiting
  • Arizona Liver Health
    Tucson, Arizona 85641, United States
    Recruiting
  • Arkansas Diagnostic Center, PA
    Little Rock, Arkansas 55130, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Southern California Research Center
    Coronado, California 92118, United States
    Recruiting
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • GastroIntestinal BioSciences
    Los Angeles, California 90067, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • University of California Los Angeles
    Los Angeles, California 90404, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of California Davis Medical Center
    Sacramento, California 95817, United States
    Recruiting
  • University of Colorado
    Aurora, Colorado 80045, United States
    Recruiting
  • Peak Gastroenterology Associates
    Colorado Springs, Colorado 80829, United States
    Recruiting
  • South Denver Gastroenterology, P.C.
    Englewood, Colorado 80113, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Rocky Mountain Gastroenterology
    Littleton, Colorado 80120, United States
    Recruiting
  • University Of Miami School Of Medicine, Center For Liver Diseases
    Miami, Florida 33136, United States
    Recruiting
  • Bolanos Clinical Research
    Pembroke Pines, Florida 12105, United States
    Recruiting
  • International Center for Research
    Tampa, Florida 33614, United States
    Recruiting
  • University of Kansas Medical Center (KUMC) - University of Kansas Liver Center - Hepatology Clinic
    Kansas City, Kansas 66160, United States
    Not yet recruiting
  • Louisiana Research Center, LLC
    Shreveport, Louisiana 71103, United States
    Recruiting
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Huron Gastroenterology Associates - Center for Digestive Care
    Ypsilanti, Michigan 48197, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Mayo Clinic
    Rochester, Minnesota 55905, United States
    Recruiting
  • Southwest Gastroenterology Associates, PC (SWGA)
    Albuquerque, New Mexico 87109, United States
    Terminated

    Not enrolling at this site — choose another above.

  • NYU Langone Gastroenterology and Hepatology Associates
    New York, New York 10016, United States
    Recruiting
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Recruiting
  • Gastroenterology Center of the Midsouth
    Cordova, Tennessee 38138, United States
    Recruiting
  • Texas Clinical Research Institute
    Arlington, Texas 22201, United States
    Recruiting
  • American Research Corporation
    Austin, Texas 78757, United States
    Recruiting
  • Rush University Medical Center - University Cardiovascular Surgeons
    Dallas, Texas 60612, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Liver Center of Texas
    Dallas, Texas 75203, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Methodist Transplant Physicians
    Dallas, Texas 75203, United States
    Recruiting
  • University of Texas Southwestern Medical Center at Dallas
    Dallas, Texas 75390, United States
    Recruiting
  • Baylor Scott & White All Saints Medical Center - Forth Worth
    Fort Worth, Texas 76104, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Liver Associates of Texas
    Houston, Texas 77030, United States
    Recruiting
  • Houston Methodist Cancer Center
    Houston, Texas 77584, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Gastro health & Nutrition
    Katy, Texas 77904, United States
    Terminated

    Not enrolling at this site — choose another above.

  • American Research Corporation at The Texas Liver Institute
    San Antonio, Texas 78015, United States
    Recruiting
  • Starhope Liver Center, PA - Starhope Clinical Research, LLC
    San Antonio, Texas 78251, United States
    Recruiting
  • Impact Research Tx
    Waco, Texas 76710, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of Virginia Medical Center
    Charlottesville, Virginia 22903, United States
    Recruiting
  • Bon Secours St. Mary's Hospital of Richmond, Inc
    Richmond, Virginia 23226, United States
    Recruiting
  • Virginia Commonwealth University Medical Center - West Hospital
    Richmond, Virginia 23298, United States
    Not yet recruiting
  • Medstar Georgetown Transplant Institute University Hospital (MGUH)
    Columbia, Washington 20007, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research at Liver Institute Northwest
    Seattle, Washington 98105, United States
    Recruiting
  • University Physicians and Surgeons Inc, dba Marshall Health
    Huntington, West Virginia 25701, United States
    Recruiting
  • DIM Centro Medico
    Buenos Aires, Argentina
    Recruiting
  • Fundacion Respirar (Centro Medico Dra. De Salvo) - Instituto Argentino de Investigaciones Clinicas (IAIC) S.R.L
    Buenos Aires, Argentina
    Recruiting
  • Hospital Britanico de Buenos Aires
    Buenos Aires, Argentina
    Recruiting
  • Hospital Italiano de Buenos Aires
    Buenos Aires, Argentina
    Recruiting
  • Centro Medico Colon
    Córdoba, Argentina
    Recruiting
  • Hospital Espanol de Mendoza
    Mendoza, Argentina
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Universitario Austral
    Pilar, Argentina
    Recruiting
  • Hospital El Cruce
    San Juan Bautista, Argentina
    Recruiting
  • Sunshine Coast University Hospital
    Birtinya, Australia
    Recruiting
  • Footscray Hospital, Western Health
    Footscray, Australia
    Recruiting
  • Nepean Clinical School
    Kingswood, Australia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Monash University - Monash Health -Monash Medical Centre
    Melbourne, Australia
    Withdrawn

    Not enrolling at this site — choose another above.

  • St George Hospital
    Sydney, Australia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Westmead Hospital
    Westmead, Australia
    Recruiting
  • Universitair Ziekenhuis Antwerpen
    Edegem, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • Ziekenhuis Oost-Limburg
    Genk, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • Gent University Hospital
    Ghent, Belgium
    Recruiting
  • Algemeen Ziekenhuis Delta
    Roeselare, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • NUPEC Cardio
    Belo Horizonte, Brazil
    Recruiting
  • Universidade Federal de Goias
    Goiânia, Brazil
    Recruiting
  • Hospital de Clinicas de Porto Alegre (HCPA)
    Porto Alegre, Brazil
    Recruiting
  • Instituto D'Or de Pesquisa e Ensino - Hospital Aliança
    Salvador, Brazil
    Recruiting
  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo
    São Paulo, Brazil
    Recruiting
  • Hospital de Base - Centro Integrado de Pesquisa ( CIP )
    São Paulo, Brazil
    Recruiting
  • Universidade Estadual Paulista Julio De Mesquita Filho (UNESP) Hospital das Clinicas Faculdade de Medicina de Botucatu (HCFMB)
    São Paulo, Brazil
    Recruiting
  • Diagnostic-Consultative Center Aleksandrovska EOOD
    Sofia, Bulgaria
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Tokuda Hospital, Dept. of Internal Medicine
    Sofia, Bulgaria
    Recruiting
  • University Hospital City Clinic Cancer Center
    Sofia, Bulgaria
    Recruiting
  • University of Alberta - Faculty of Medicine & Dentistry - The Centre of Excellence for Gastrointestinal Inflammation and Immunity Research (CEGIIR)
    Edmonton, Canada
    Recruiting
  • University Health Network (UHN) - Toronto General Hospital (TGH) - Toronto General Research Institute (TGRI)
    Toronto, Canada
    Recruiting
  • Universidad De Los Andes
    Las Condes, Chile
    Recruiting
  • Centro de Estudios Clinicos e Investigaciones Medicas (CECIM)
    Santiago, Chile
    Recruiting
  • Enroll SpA
    Santiago, Chile
    Recruiting
  • Hospital Clinico de la Pontificia Universidad Catolica de Chile
    Santiago, Chile
    Recruiting
  • University of Chile Clinical Hospital (Hospital Clinico de la Universidad de Chile)
    Santiago, Chile
    Recruiting
  • Centro Medico Cedid - Centro de Diagnostico Digestivo
    Viña del Mar, Chile
    Recruiting
  • Clinica de la Costa
    Barranquilla, Colombia
    Recruiting
  • Clinica Imbanaco de S.A.S.
    Cali, Colombia
    Recruiting
  • Salud SURA Chipichape
    Cali, Colombia
    Recruiting
  • Fundacion Oftalmologica de Santander-Clinica Ardila Lulle La FOSCAL
    Floridablanca, Colombia
    Recruiting
  • Hospital Pablo Tobon Uribe
    Medellín, Colombia
    Recruiting
  • Servicios de Salud IPS Suramericana S.A.S. Industriales
    Medellín, Colombia
    Recruiting
  • Hepato-Gastroenterologie HK, s.r.o.
    Hradec Králové, Czechia
    Recruiting
  • Krajska Nemocnice Liberec
    Liberec, Czechia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Artroscan
    Ostrava, Czechia
    Recruiting
  • Research Site s.r.o.
    Pilsen, Czechia
    Recruiting
  • Institute for Clinical and Experimental Medicine - IKEM
    Prague, Czechia
    Recruiting
  • Bispebjerg Hospital
    Copenhagen, Denmark
    Recruiting
  • Hopital Beaujon
    Clichy, France
    Recruiting
  • Hospital Henri Mondor
    Créteil, 94000, France
    Recruiting
  • Centre Hospitalier Regional Universitaire de Lille - Hopital Claude Huriez
    Lille, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospices Civils de Lyon (HCL) - Hopital de la Croix-Rousse
    Lyon, France
    Recruiting
  • Hopital Saint Joseph - Marseille
    Marseille, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • CHU de Nice, Hopital de l'Archet
    Nice, France
    Recruiting
  • Hopital Pitie-Salpetriere - APHP
    Paris, 75013, France
    Recruiting
  • CHU Poitiers
    Poitiers, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Clinique Pasteur
    Toulouse, France
    Withdrawn

    Not enrolling at this site — choose another above.

Showing the first 100 of 198 sites across 28 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — 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.

Time frame: 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.

Access criteria: Further details on Ipsen's sharing criteria and process for sharing are available here (https://www.ipsen.com/science/clinical-trials/clinical-data-transparency/).

Data sharing details ↗ · www.ipsen.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
12 sites added — first sites in Colombia and Peru. South Denver Gastroenterology, P.C. is now Active, not recruiting
Show 12 added (6 Colombia, 1 United States, 1 France, 1 Mexico, 1 Peru, 1 Romania, 1 South Korea)
  • Starhope Liver Center, PA - Starhope Clinical Research, LLC · San Antonio, United States
  • Clinica de la Costa · Barranquilla, Colombia
  • Clinica Imbanaco de S.A.S. · Cali, Colombia
  • Salud SURA Chipichape · Cali, Colombia
  • Fundacion Oftalmologica de Santander-Clinica Ardila Lulle La FOSCAL · Floridablanca, Colombia
  • Hospital Pablo Tobon Uribe · Medellín, Colombia
  • Servicios de Salud IPS Suramericana S.A.S. Industriales · Medellín, Colombia
  • Hopital Beaujon · Clichy, France
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ) · Mexico City, Mexico
  • Clinica Delgado · Lima, Peru
  • Spitalul Clinic De Urgenta Prof. Dr. Octavian Fodor · Cluj-Napoca, Romania
  • Soon Chun Hyang University Bucheon Hospital · Bucheon-si, South Korea
Oct 1, 2026
Show all 2 updates
  1. Oct 23, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 1, 2026
    12 sites added — first sites in Colombia and Peru. South Denver Gastroenterology, P.C. is now Active, not recruiting
    Show 12 added (6 Colombia, 1 United States, 1 France, 1 Mexico, 1 Peru, 1 Romania, 1 South Korea)
    • Starhope Liver Center, PA - Starhope Clinical Research, LLC · San Antonio, United States
    • Clinica de la Costa · Barranquilla, Colombia
    • Clinica Imbanaco de S.A.S. · Cali, Colombia
    • Salud SURA Chipichape · Cali, Colombia
    • Fundacion Oftalmologica de Santander-Clinica Ardila Lulle La FOSCAL · Floridablanca, Colombia
    • Hospital Pablo Tobon Uribe · Medellín, Colombia
    • Servicios de Salud IPS Suramericana S.A.S. Industriales · Medellín, Colombia
    • Hopital Beaujon · Clichy, France
    • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ) · Mexico City, Mexico
    • Clinica Delgado · Lima, Peru
    • Spitalul Clinic De Urgenta Prof. Dr. Octavian Fodor · Cluj-Napoca, Romania
    • Soon Chun Hyang University Bucheon Hospital · Bucheon-si, South Korea
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06016842
Lead sponsor
Ipsen
Responsible party
Sponsor
First posted
Aug 30, 2023
Start date
Aug 31, 2023
Primary completion
May 31, 2029 (estimated)
Completion
May 31, 2029 (estimated)
Last update
Oct 23, 2026

Study contacts

Ipsen Clinical Study Enquiries
Contact
clinical.trials@ipsen.com
See e mail
Ipsen Medical Director
study director · Ipsen

Oversight

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

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Studies of the drug tested here: Elifibranor

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