Ipsen to Showcase New PBC Findings with IQIRVO from ELATIVE Study
Ipsen announced that new Primary Biliary Cholangitis data with IQIRVO from the ELATIVE trial will be presented in two late-breaking sessions, at The Liver Meeting( 2025, hosted by the American Association for the Study of Liver Diseases. In interim data from the ELATIVE long-term, open label extension trial, which includes over three years of follow-up in 115 patients with PBC, observed that IQIRVO delivers sustained improvements in biomarkers of cholestasis and stabilization in markers of fibrosis, with IQIRVO treatment, suggesting potential for slowing disease progression. In addition, consistent trends in improvements were shown in fatigue and pruritus symptoms. At week 182, 72% of patients receiving IQIRVO maintained a biochemical response, with a 47% reduction in alkaline phosphatase from baseline. The proportion of patients achieving normal ALP levels remained consistent with previously presented Phase III results from the ELATIVE trial. Improvements in patients with moderate-to-severe fatigue were sustained, with similar results observed for pruritus and data also confirmed a long-term, well-characterized safety profile with no new safety signals. In a second late-breaking presentation of a further analysis of the ELATIVE trial, showing the relationship between changes in the expression of fatigue-associated proteins and reported outcomes of fatigue in patients on IQIRVO, was presented. The clinical findings from this analysis are consistent with previously published mechanistic data, suggesting that PPAR alpha/delta agonist activation may modulate key pathways involved in energy metabolism and mitochondrial function. Fatigue remains one of the most common and burdensome symptoms for patients with PBC. Currently, there are no therapies approved to address it, however, clinically meaningful improvements in fatigue have been observed with IQIRVO, which is a PPAR alpha/delta agonist, versus placebo, in the ELATIVE trial with around one in two patients reporting a significant reduction in fatigue severity4 Together, these data support further research into how IQIRVO may help address fatigue in PBC.