Clinical trial Recruiting at 1 site Observational

Maralixibat (Livmarli) use in Alagille syndrome and PFIC — Japanese database analysis

Official title: A Cohort Study to Investigate the Risk of Liver Disorder of Livmarli Oral Solution in Patients With Japan Alagille Syndrome (ALGS) and Progressive Familial Intrahepatic Cholestasis (PFIC) Registered in the Comprehensive and Informative Registry System for Childhood Liver Disease (CIRCLe)

Run by Takeda · NCT07293897 · Data updated 2026-11-12

This project will look at Japanese patients with Alagille syndrome or PFIC who received maralixibat (Livmarli) to see if taking the drug is linked to liver problems.

More Progressive Familial Intrahepatic Cholestasis trials

Quick facts

Study typeObservational
SexAll
Enrollment50 (estimated)
SponsorTakeda
Industry-sponsored
Locations1 site (Tokyo, Tokyo)
StatusRecruiting
StartedJanuary 13, 2026
Main results expectedJune 30, 2031
Study endsJune 30, 2031
Registry record updatedFebruary 20, 2026
Trial IDNCT07293897 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are Japanese patients with a recorded diagnosis of ALGS or PFIC who have at least one prescription for Livmarli during the enrollment window.

Probably not a fit

Patients without a diagnosis of ALGS or PFIC, those who never received Livmarli, or individuals whose care is not captured in the CIRCLe database would not be included and are unlikely to benefit directly.

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

What this trial studies

This observational database analysis uses the Comprehensive and Informative Registry system for Childhood Liver Disease (CIRCLe) in Japan to identify patients diagnosed with ALGS or PFIC who were prescribed maralixibat during the enrollment period. The index date is the first prescription of Livmarli, and existing medical records will be reviewed to document occurrences of liver disorders during treatment. No exclusion criteria are specified and the work involves retrospective data analysis rather than new interventions or visits. The project is sponsored by Takeda and aims to estimate the risk profile of maralixibat in a Japanese patient cohort.

Why it matters

Potential benefit: If successful, the study could clarify the risk of liver disorders with maralixibat in Japanese patients and help doctors make safer prescribing decisions.

How similar studies have gone: Clinical trials of maralixibat and other IBAT inhibitors have shown improvements in symptoms like pruritus and bile acid levels in pediatric cholestatic liver disease, but targeted database safety analyses in Japanese ALGS/PFIC patients are relatively limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has a diagnosis of ALGS or PFIC within the enrollment period.
* There is a prescription for Livmarli during the enrollment period (Index date: the date of the first prescription within the enrollment period).

Exclusion Criteria:

\- None

Where it's running

  • Takeda selected site
    Tokyo, Tokyo, Japan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.