Actively Recruiting

All Genders
ID06193928

Long-Term Safety and Clinical Outcomes of Livmarli in Patients with Alagille Syndrome or Progressive Familial Intrahepatic Cholestasis in the United States

Led by Mirum Pharmaceuticals, Inc. · Updated on 2025-05-25

70

Participants Needed

8

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate the long-term safety and clinical outcomes of patients with Alagille syndrome (ALGS) or Progressive familial intrahepatic cholestasis (PFIC) who are treated with Livmarli. The study is a 5-year, prospective, observational cohort trial designed to monitor these patients in the United States. Livmarli is a novel drug that reduces bile acid levels by inhibiting the ileal bile acid transporter and has been approved for treating cholestatic pruritus in ALGS and PFIC patients of certain ages. Participants prescribed Livmarli and diagnosed with ALGS or PFIC will be observed over five years. Two dosing schedules are noted: 380 mcg/kg once daily and 570 mcg/kg twice daily. The study includes regular assessments of liver transplant waitlist status every six months and annual evaluations of growth and development. The treatment is given as prescribed by healthcare providers, and the study collects data without altering the prescribed therapy. During the study, participants will have their long-term clinical outcomes monitored, including events up to 180 days after stopping Livmarli. Data on liver transplant indications, growth measurements like weight and height z-scores, and events related to fat-soluble vitamin deficiencies will be collected at specified intervals. The trial aims to provide comprehensive safety and outcome information over the full 5-year period.

CONDITIONS

Brief Title

Long-Term SafEty and Clinical Outcomes of LivmArli in Patients in the United States (LEAP-US)

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinically and/or genetically confirmed diagnosis of Alagille syndrome (ALGS) or Progressive familial intrahepatic cholestasis (PFIC)
  • Currently prescribed Livmarli
Not Eligible

You will not qualify if you...

  • Refusal to provide informed consent or assent if required by local regulations
  • Currently or previously receiving Livmarli through a clinical study or expanded access program
  • History of surgical biliary diversion or liver transplant
  • Any condition that may interfere with participation or study completion as judged by the investigator
  • Received an investigational drug within 30 days before starting Livmarli

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Long-term Monitoring

Duration - Up to 5 years

Participants who are prescribed Livmarli are observed for clinical outcomes and health status over time.

Visits every 6 months for up to 5 years, with yearly assessments for growth, development, and clinical events

Trial Site Locations

Total: 8 locations

1

Children's Hospital Los Angeles CHLA

Los Angeles, California, United States, 90027

Actively Recruiting

2

Section of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics and the Digestive Health Institute, Children's Hospital of Colorado and University of Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

3

Children's Healthcare of Atlanta - Emory University School of Medicine

Atlanta, Georgia, United States, 30322

Actively Recruiting

4

Children's Mercy Kansas City, Department of Gastroenterology, Section of Hepatology

Kansas City, Missouri, United States, 64108

Actively Recruiting

5

Oregon Health and Science University, Division of Pediatric Gastroenterology, Department of Pediatrics

Portland, Oregon, United States, 97239

Actively Recruiting

6

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

7

Children Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States, 15260

Actively Recruiting

8

University of Utah, Division of Pediatric Gastroenterology, Hepatology and Nutrition

Salt Lake City, Utah, United States, 84112

Actively Recruiting

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Research Team

C

Clinical Trials Mirum

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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