Study summary

A dual PPAR pill produced liver-test responses in half of patients

ELATIVE trial (elafibranor) · 161 people, phase 3 · Published November 2023, New England Journal of Medicine; FDA accelerated approval June 2024

51%biochemical response at 52 weeks, vs 4% with placebo

What was tested

Elafibranor, a PPAR-alpha/delta agonist, against placebo, added to ursodiol for primary biliary cholangitis with inadequate response.

What they found

What it means

The other new second-line option; long-term studies are testing whether it prevents cirrhosis and liver failure.

N Engl J Med, via PubMed ↗ ← Back to the outlook
Last reviewed 2026-11-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.