CCO Infectious Disease Podcast

Selected FXR Agonist PBC Studies: Conference Coverage of AASLD

Episode Summary

Listen as Kris V. Kowdley MD, FAASLD, FACP, FACG, discusses exciting new data from AASLD 2023 for people with PBC, including a study that evaluated real-world outcomes in patients treated with an FXR agonist as second-line therapy, lessons learned from PBC outcomes trials, and a late-breaking study of PBC treatment using an FXR agonist plus a fibrate.

Episode Notes

During the 2023 American Association for the Study of Liver Diseases conference, exciting and important results from many primary biliary cholangitis (PBC) clinical trials were reported, including 3 late-breaking studies on the PPAR-δ agonist seladelpar, the dual PPAR agonist elafibranor, and the combination of the FXR agonist obeticholic acid and a fibrate.

In this episode, Kris V. Kowdley MD, FAASLD, FACP, FACG, discusses topline results from several of these studies and more, including: 

• A combination of 3 studies—HEROES, COBALT, and COBALT EC—that evaluated the real-world effectiveness and safety of second-line therapy in PBC where OCA was added to the treatment regimen of people with PBC with an incomplete response to ursodeoxycholic acid 
• Lessons learned from a long-term outcomes study of people with PBC
• Results from 2 phase II studies of obeticholic acid plus bezafibrate in people with PBC who did not respond to or were intolerant of ursodeoxycholic acid

Presenter:

Kris V. Kowdley MD, FAASLD, FACP, FACG
Professor, Elson S. Floyd College of Medicine
Washington State University
Director, Liver Institute Northwest
Seattle, Washington      

Link to reviews of other PBC studies from AASLD 2023: 
https://bit.ly/3RvXXEI