Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 18 to 70

Fenofibrate added to UDCA for people with primary biliary cirrhosis not fully responding to UDCA

Official title: Fenofibrate for Patients With Primary Biliary Cirrhosis Who Had An Inadequate Response to Ursodeoxycholic Acid

Run by Xijing Hospital of Digestive Diseases · NCT02823366 · Data updated 2026-11-12

This trial tests adding fenofibrate to UDCA for adults with primary biliary cirrhosis who did not fully respond to UDCA alone.

More Primary Biliary Cirrhosis trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment104 (estimated)
SponsorXijing Hospital of Digestive Diseases
Academic / other
Locations1 site (Xi'an, Shaanxi)
StatusRecruiting
StartedJanuary 2016
Main results expectedDecember 2028
Study endsDecember 2028
Registry record updatedOctober 30, 2026
Trial IDNCT02823366 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with primary biliary cirrhosis who have been on UDCA for at least 6 months and have not achieved a complete biochemical response.

Probably not a fit

Patients who do not respond to fenofibrate or who develop intolerable side effects may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 3, randomized, open-label study evaluates whether adding fenofibrate to ongoing UDCA therapy improves liver biochemistry and clinical outcomes in patients with primary biliary cirrhosis who have not achieved a complete biochemical response to UDCA. Participants continue UDCA and are assigned to receive fenofibrate in addition to their current treatment. The study focuses on cholestasis-related markers and safety in a population with documented PBC. Eligibility requires prior UDCA use, specific serologic or histologic criteria, and the absence of major exclusion conditions such as decompensated liver disease or other hepatotoxic exposures. The trial is conducted at Xijing Hospital in Xi’an, China, under lead sponsorship by Xijing Hospital of Digestive Diseases.

Why it matters

Potential benefit: If fenofibrate proves beneficial, patients may see improvements in liver biochemistry and possibly slower disease progression.

How similar studies have gone: Prior research and laboratory data suggest fenofibrate could help cholestasis, but results in PBC have been variable and more evidence is needed.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Signed informed consent
2. Patient with PBC defined by 2 in 3 of the following criteria: a.Positive antimitochondrial antibody type M2; b.Abnormal serum alkaline phosphatases (ALP \> 1,5N) and aminotransferase (AST or ALT \> 1N) activities; c.Histological hepatic injuries consistent with PBC.
3. Had been treated with UDCA more than 6 months, and failed to achieve a complete biochemical response.

Exclusion Criteria:

1. Pregnancy or desire of pregnancy.
2. Breast-feeding.
3. Co-existing liver diseases such as acute or chronic viral hepatitis, alcoholic liver disease, choledocholithiasis, autoimmune hepatitis, biopsy-proven non-alcoholic fatty liver disease, Wilson's disease and hemochromatosis.
4. History or presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy, or poorly controlled ascites).
5. History of urolithiasis, nephritis or renal failure (clearance of creatinine \< 60 ml/mn).
6. Hepatotoxic drugs use before recruiting.
7. Fenofibrate anaphylaxis.

Where it's running

  • Xijing Hosipital
    Xi'an, Shaanxi, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.