Primary biliary cholangitis

Active Ingredient: Elafibranor

Indication for Elafibranor

Population group: only adults (18 years old or older)
Therapeutic intent: Adjunct intent

Elafibranor is indicated for the treatment of primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults who have had an inadequate response to UDCA, or as monotherapy in patients unable to tolerate UDCA.

This indication is approved under accelerated approval based on reduction of alkaline phosphatase (ALP). Improvement in survival or prevention of liver decompensation events have not been demonstrated. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trial(s).

For this indication, competent medicine agencies globally authorize below treatments:

80 mg once daily

For:

Dosage regimens

Oral, 80 milligrams elafibranor, once daily.

Detailed description

Before initiating elafibranor:

  • Evaluate for muscle pain or myopathy.
  • Verify that females of reproductive potential are not pregnant prior to initiating treatment with elafibranor.

The recommended dosage of elafibranor is 80 mg taken orally once daily with or without food.

Administration modification for bile acid sequestrants

Administer elafibranor at least 4 hours before or 4 hours after administering the bile acid sequestrant, or at as great an interval as possible.

Geriatric use

No dosage adjustment for patients 65 years of age and older is necessary. However, because of limited clinical experience with elafibranor in patients older than 75 years old, closer monitoring of adverse events in patients older than 75 years is recommended.

Dosage considerations

To be taken with or without food.

Active ingredient

Elafibranor

Elafibranor and its main active metabolite GFT1007 are peroxisome proliferator-activated receptor (PPAR) agonists, both of which activate PPAR-alpha, PPAR-gamma, and PPAR-delta in vitro. However, the mechanism by which elafibranor exerts its therapeutic effects in patients with PBC is not well understood. Pharmacological activity that is potentially relevant to therapeutic effects includes inhibition of bile acid synthesis through activation of PPAR-alpha and PPAR-delta.

Read more about Elafibranor

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