New drug shows promise for babies with rare liver disorders
NCT ID NCT04729751
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested the safety of a drug called maralixibat in 27 infants under 12 months old with Alagille syndrome or progressive familial intrahepatic cholestasis (PFIC), two rare liver diseases that cause bile buildup. The drug is given as an oral solution and aims to reduce bile acids and improve liver function. The main goal was to see if it is safe and tolerable in this young age group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- maralixibat (oral solution)
- What this could lead to
- If it works, this could offer a way to manage cholestatic liver disease in infants, reducing itching and bile acid buildup without immediate surgery.
- What could go wrong
- This is a small, early-phase study focused on safety, not proof of effectiveness. The drug may not work for all types of these rare diseases, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
27 people
The number who actually took part.
- Started
-
Sep 2021
- Finished
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Dec 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 to 364 days
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Body weight of ≥2.5 kg 2. \<12 months of age at the baseline visit (ROW). \>31 days and \<12 months of age at the baseline visit (US). 3. Gestational age ≥36 weeks at birth. For children born with gestational age between 32 and 36 weeks, a postmenstrual age of ≥36 weeks is required. 4. Diagnosis of PFIC or ALGS Exclusion criteria: 1. Predicted complete absence of bile salt excretion pump (BSEP) function 2. History of surgical disruption of the enterohepatic circulation 3. History of liver transplant or imminent need for liver transplant 4. Decompensated cirrhosis 5. Presence of any other disease or condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs, including bile salt metabolism in the intestine (e.g., inflammatory bowel disease), per investigator discretion 6. Presence of other significant liver disease or any other conditions or abnormalities which, in the opinion of the investigator or medical monitor, may compromise the safety of the participant or interfere with the participant's participation in or completion of the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Children Hospital LA
Los Angeles, California, 90027, United States
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Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
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Cliniques Universitaires Saint-Luc
Brussels, Belgium
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Consultorio de Joshue David Covarrubias Esquer
Zapopan, 45050, Mexico
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Hopital Necker
Paris, France
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Hôpital Kremlin Bicêtre
Le Kremlin-Bicêtre, France
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Instytut Pomnik-Centrum Zdrowia Dziecka
Warsaw, Poland
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King's College Hospital
London, United Kingdom
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Medstar Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
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Ochsner Hospital for Children
New Orleans, Louisiana, 70121, United States
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Seattle Children's Hospital
Seattle, Washington, 98105, United States
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Sociedade Beneficente de Senhoras - Hospital Sírio-Libanês
São Paulo, 01308-000, Brazil
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Texas Children's Hospital
Houston, Texas, 77030, United States
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University of California - San Francisco
San Francisco, California, 94158, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a vitamin d cocktail fix deficiency in kids with liver disease?
- New registry tracks Real-World use of PFIC drug odevixibat
- Baby jaundice may leave lasting marks on teeth, new study investigates
- New study tracks Real-World safety of odevixibat in rare liver disease
- Can a common cholesterol drug shrink skin lumps in kids with rare liver disease?