Real-World Data Study to Evaluate the Effectiveness of OCA on Hepatic Outcomes in PBC Patients

NCT ID: NCT05292872

Last Updated: 2025-01-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

4577 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-06-01

Study Completion Date

2021-12-31

Brief Summary

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This is an observational, retrospective cohort study of patients with primary biliary cholangitis (PBC) who failed ursodeoxycholic acid (UDCA) treatment, using a real-world data source, the Komodo Health United States (US) claims database. The study is designed to evaluate the effectiveness of obeticholic acid (OCA). All patients who meet diagnostic criteria for PBC in the database between 01 Jun 2015 and 31 Dec 2021 and who meet all eligibility criteria were considered for this study.

Detailed Description

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Conditions

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Primary Biliary Cholangitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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OCA-treated

PBC participants with a history of UDCA failure (inadequate response, intolerance, or discontinuation) who initiated Obeticholic acid (OCA) in the study window.

No interventions assigned to this group

Non-OCA Treated

PBC participants with a history of UDCA failure who were eligible but not treated with OCA (or off-label fibrates) in the study window.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Definite or probable PBC diagnosis
2. Inadequate response or intolerance to UDCA
3. Age ≥18 years at the index date
4. Continuous enrollment and evaluable data for at least 12 months before the index date (inclusive)

Exclusion Criteria

1. History or presence of other concomitant liver diseases
2. History of non-skin malignancy or melanoma
3. History of HIV
4. Medical conditions that may cause non-hepatic increases in ALP
5. Patients with laboratory values indicative of hepatic decompensation or significant hepatobiliary injury
6. History of liver transplant
7. Evidence of fenofibrate, or bezafibrate use
8. History or presence of hepatic decompensating events
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Target RWE

INDUSTRY

Sponsor Role collaborator

Syneos Health

OTHER

Sponsor Role collaborator

Komodo Health, Inc.

INDUSTRY

Sponsor Role collaborator

Intercept Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lynda Szczech, MD

Role: STUDY_DIRECTOR

Intercept Pharmaceuticals

Locations

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Intercept Pharmaceuticals, Inc

San Diego, California, United States

Site Status

Countries

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United States

References

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Brookhart MA, Mayne TJ, Coombs C, Breskin A, Ness E, Bessonova L, Chu YJ, Li J, Fried MW, Hansen BE, Kowdley KV, Jones D, Mells G, Trivedi PJ, Hiu S, Kareithi DN, Wason J, Smith R, Seeger JD, Hirschfield GM. Hepatic real-world outcomes with obeticholic acid in primary biliary cholangitis (HEROES): A trial emulation study design. Hepatology. 2025 Jun 1;81(6):1647-1659. doi: 10.1097/HEP.0000000000001174. Epub 2025 Jan 3.

Reference Type DERIVED
PMID: 39630028 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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747-405

Identifier Type: -

Identifier Source: org_study_id

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