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IQIRVO® (elafibranor) therapeutic indication1

IQIRVO is indicated for the treatment of primary biliary cholangitis (PBC) in combination with ursodeoxycholic acid (UDCA) in adults with an inadequate response to UDCA, or as monotherapy in adults unable to tolerate UDCA.1

IQIRVO ELATIVE trial

Study design and baseline characteristics

The ELATIVE trial: study design

The ELATIVE trial is a double-blind, randomised, placebo-controlled study to evaluate the efficacy and safety of IQIRVO in patients with PBC and inadequate response or intolerance to UDCA1

  • IQIRVO was tested as an add-on to UDCA: 95% (153/161) of patients were receiving concurrent UDCA therapy1
The ELATIVE trial: study design

Key secondary endpoints (normalisation of ALP at Week 52, and the change from baseline in the WI-NRS score through Week 52 and through Week 24) were assessed with the use of a pre-specified fixed sequence testing approach, at a two-sided alpha of 0.05, until a non-significant result was encountered.
Other secondary end points are reported as point estimates and 95% confidence intervals, which were not adjusted for multiple testing.

The ELATIVE trial: baseline characteristics

Footnotes

*ALP ULN was defined as 104 U/L for women (154/161 participants) and 129 U/L for men (7/161 participants).1
Advanced disease stage defined as liver stiffness at baseline >10 kPa and/or bridging fibrosis or cirrhosis on histology.2
The presence or absence of bridging fibrosis or cirrhosis was determined by histologic findings in the patients who underwent a liver biopsy.1

Abbreviations

ALP, alkaline phosphatase; kPa, kilopascals; mg, milligram; OLE, open-label extension; PBC, primary biliary cholangitis; PBC WI-NRS, primary biliary cholangitis worst itch numeric rating scale; UDCA, ursodeoxycholic acid; ULN, upper limit of normal; U/L, units per litre.

References

  1. Kowdley KV et al. N Engl J Med. 2024;390(9):795–805.
  2. Kowdley KV et al. Supplement to: N Engl J Med. 2024;390(9):795–805.
  3. IQIRVO® (elafibranor) Summary of product characteristics (SmPC). 2024.