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Review
. 2022 Nov;26(4):747-764.
doi: 10.1016/j.cld.2022.06.013. Epub 2022 Sep 13.

Novel Therapies in Primary Biliary Cholangitis: What Is in the Pipeline?

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Review

Novel Therapies in Primary Biliary Cholangitis: What Is in the Pipeline?

Keri-Ann Buchanan-Peart et al. Clin Liver Dis. 2022 Nov.

Abstract

Primary biliary cholangitis is a chronic autoimmune disease characterized by inflammation and the progressive destruction of small intrahepatic bile ducts. Current first-line treatment includes ursodeoxycholic acid; however, a significant number of patients have an inadequate response to therapy. These patients are at risk of liver failure requiring liver transplantation and experience a poor quality of life due to refractory symptoms. This manuscript aims to shed light on the current and prospective treatment options that may slow disease progression and improve these patients' symptoms.

Keywords: Farnesoid X receptor; Immunomodulators; Novel; OCA; Peroxisome proliferator-activated receptor agonist; Primary biliary cholangitis; Therapy; Ursodeoxycholic acid.

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Conflict of interest statement

Disclosure K Buchanan-Peart has nothing to disclose. C Levy advises and has received grants from Cymabay, Gilead, Genfit, Intercept, Genkyotex, GSK, Mirum, Pliant, Target RWE, and Cara; advises for Escient and Teva; and has received grants from NGM, Novartis, Zydus, Mitsubishi, and Alnylam.

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