About this trial
Up to 40% of patients with PBC have an inadequate response to standard treatment with UDCA, hence bezafibrate, a PPAR-agonist is being introduced as add-on therapy in these patients. sCD163, fibrosis markers and bile acid composition are of special interest in PBC. In this study, the investigators will investigate how treatment with bezafibrate influence levels of macrophage activation markers and fibrosis markers as well as bile acid composition in patients offered bezafibrate as add-on therapy to UDCA.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
PBC patient offered bezafibrate treatment
Disqualifiers
patient age under 18
life expectancy less than 6 months
known cancer
planned liver transplantation within 6 months
Trial population
All patients with inadequate response to UDCA treatment (ALP\>170 I/U), who are offered, and accept, add-on treatment with bezafibrate at Aarhus University hospital or Hvidovre hospital are invited to partipate in the study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Blood sampling
Other interventionBlood sampling
Fibroscan
DeviceMeasurement of liver stiffness
Question
Other interventionQuestion about pruritus
Treatment groups
Trial outcomes
Primary outcomes
Treatment effect on sCD163 levels
Treatment effect on sCD163 levels measured in mg/L
Treatment effect on levels of fibrosis markers
Treatment effect on levels of fibrosis markers
Treatment effect on liver stiffness
Treatment effect on liver stiffness measured in kilopascal
Treatment effect on bile acid composition
investigation of bile acid composition before and after treatment
Secondary outcomes
Treatment effect on the degree of pruritus
Treatment effect on the degree of pruritus measured using questionaires
Sponsors and contacts
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University of Aarhus
Lead sponsor
Aarhus University Hospital
Collaborator
Hvidovre University Hospital
Collaborator