Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Reducing medication regimen for UDCA in PBC patients

Official title: Clinical Research of Tapering Ursodeoxycholic Acid in Primary Biliary Cholangitis Patients With A Complete Response

Run by Peking Union Medical College Hospital · NCT04650243 · Data updated 2026-11-12

This study is testing if lowering the dose of a medication called UDCA can still help people with Primary Biliary Cholangitis who are doing well on their current treatment.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorPeking Union Medical College Hospital
Academic / other
Locations1 site (Beijing)
StatusRecruiting
StartedJanuary 21, 2020
Main results expectedMay 2025
Study endsMay 2025
Registry record updatedApril 1, 2025
Trial IDNCT04650243 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with diagnosed PBC who have shown improved liver biochemical indices after initial UDCA treatment.

Probably not a fit

Patients with overlapping liver diseases, decompensated liver function, or serious complications may not benefit from this study.

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

What this trial studies

This study investigates the feasibility of tapering the dosage of Ursodeoxycholic Acid (UDCA) in patients with Primary Biliary Cholangitis (PBC) who have shown a complete response to standard treatment. Participants will be randomly assigned to two experimental groups receiving reduced dosages of UDCA and one control group receiving the standard dosage. The effects of the therapy will be monitored every three months to assess liver function and overall health outcomes. This approach aims to alleviate the financial burden of lifelong medication while maintaining treatment efficacy.

Why it matters

Potential benefit: If successful, this study could provide a more cost-effective treatment regimen for PBC patients without compromising their liver function.

How similar studies have gone: While there have been studies on UDCA treatment, this specific approach of tapering dosage in stable PBC patients is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Satisfied the diagnostic criteria of PBC by the AASLDin 2000;
* Age≥18 years
* Clinical stage 2 and 3 (i.e. abnormal liver function and symptomatic phase);
* Patients with improved liver biochemical index( ALP and AST≤1.5× upper limit of normal, with a normal bilirubin level) after 6 to 12 months treatment of UDCA;
* Informed consent obtained.

Exclusion Criteria:

* Overlapped with other liver diseases (such as HBV, HCV, alcoholic cirrhosis, etc.) or serum ALT, AST more than 2 ULN;
* Decompensation of liver function (Child grade B/C);
* Complicated with important organ failure (such as renal insufficiency), serious infection or other serious complications;
* Pregnancy, preparation for pregnancy or pregnancy Lactation, psychiatric subjects, etc.;
* Participating in other clinical trials or participated in other clinical trials in three months.

Where it's running

  • Peking Union Medical College Hospital
    Beijing, China
    Recruiting

Study contacts

Similar studies

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

  • Seladelpar and Cilofexor in Primary Biliary Cholangitis (PBC)

    This study tests whether combining seladelpar with cilofexor helps people with primary biliary cholangitis more than seladelpar alone or placebo.

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  • Austrian PBC Registry

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    Recruiting Medical University of Vienna · Klagenfurt, Carinthia and 10 other locations · NCT07598669

  • Biochemical response and health outcomes in people with primary biliary cholangitis

    We will follow adults with primary biliary cholangitis who are taking ursodeoxycholic acid (UDCA) to see if their alkaline phosphatase levels after treatment predict how long they stay free of complications.

    Recruiting RenJi Hospital · Shanghai, Shanghai Municipality · NCT07449793

  • Saroglitazar Magnesium for PBC with incomplete UDCA response or intolerance

    This study tests whether Saroglitazar Magnesium can help people with primary biliary cholangitis who still have high alkaline phosphatase despite UDCA or cannot take UDCA.

    Recruiting Phase 3 Zydus Therapeutics Inc. · Lakewood Rch, Florida · NCT07424677

  • CS0159 for primary biliary cholangitis when UDCA doesn't work or isn't tolerated.

    This test tries to see if taking CS0159 once daily helps adults with primary biliary cholangitis who have an inadequate response to or cannot tolerate UDCA.

    Recruiting at 39 sites Phase 3 Cascade Pharmaceuticals, Inc · Hefei, Anhui and 41 other locations · NCT07282353

  • Saroglitazar Magnesium-V as add-on therapy for primary biliary cholangitis

    This trial tests whether Saroglitazar Magnesium-V, compared with placebo, can improve long-term clinical outcomes in adults with primary biliary cholangitis who are on UDCA.

    Recruiting at 3 sites Phase 3 Zydus Therapeutics Inc. · Marietta, Georgia and 2 other locations · NCT07216235

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.