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Primary biliary cholangitis (PBC) is a chronic autoimmune liver disease marked by progressive destruction of the small intrahepatic bile ducts, resulting in cholestasis and long-term hepatic impairment. According to the Primary Biliary Cholangitis Epidemiology Forecast by Expert Market Research, the global prevalence of PBC is estimated at nearly 18 cases per 100,000 individuals, indicating a growing patient base worldwide. Current treatment relies on ursodeoxycholic acid, with limited response in some patients. As per the primary biliary cholangitis pipeline analysis by Expert Market Research, the drug pipeline is expanding, focusing on FXR agonists, PPAR modulators, and anti-fibrotic therapies. The rising disease awareness, unmet clinical needs, and active clinical development are expected to drive steady growth in the PBC therapeutics landscape in the coming years.
Major companies involved in the primary biliary cholangitis pipeline analysis include COUR Pharmaceutical Development Company, Inc., Cascade Pharmaceuticals, Inc., and others.
Leading drugs currently in the pipeline include CS0159, CNP-104, Fenofibrate, and others.
The pipeline momentum is strengthening, driven by novel FXR and PPAR agonists, expanding combination therapies, and increased focus on second-line options addressing inadequate response to ursodeoxycholic acid.
The Primary Biliary Cholangitis Pipeline Analysis Report by Expert Market Research gives comprehensive insights into primary biliary cholangitis therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for primary biliary cholangitis. The primary biliary cholangitis report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The primary biliary cholangitis pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with primary biliary cholangitis treatment guidelines to ensure optimal care practices.
The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to primary biliary cholangitis.

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Primary biliary cholangitis is a rare, chronic autoimmune liver disease characterized by progressive destruction of the small intrahepatic bile ducts. It occurs when immune-mediated inflammation impairs bile flow, leading to bile acid accumulation, cholestasis, ongoing liver injury, fibrosis, and, if untreated, eventual cirrhosis and liver failure.
Primary biliary cholangitis treatment focuses on slowing disease progression, improving cholestasis, and relieving symptoms. Ursodeoxycholic acid is first-line therapy, while newer agents target bile acid regulation and inflammatory pathways in patients with inadequate response. In August 2024, Gilead Sciences’ Livdelzi (seladelpar) received United States Food and Drug Administration accelerated approval as a primary biliary cholangitis pipeline therapy, demonstrating significant alkaline phosphatase reduction and pruritus improvement, positioning it as a promising option for patients with inadequate response or intolerance to ursodeoxycholic acid.
This analysis highlights key epidemiological insights shaping the pipeline. According to the primary biliary cholangitis epidemiology forecast by Expert Market Research, the global pooled prevalence is approximately 18.1 cases per 100,000 population, while the incidence is about 1.8 new cases per 100,000 person-years, indicating a gradually rising trend. Incidence increases significantly with age, particularly above 70 years. As per Zakary Warsop et al., 2024, prevalence in the United Kingdom ranges from 20 to 35 per 100,000, with a strong female predominance. These trends guide targeted therapeutic development.
This section of the report covers the analysis of primary biliary cholangitis drug candidates based on several segmentations, including:
By Phase
The pipeline assessment report covers 50+ drug analyses based on phase:
By Drug Class
The primary biliary cholangitis pipeline analysis report covers 50+ drug analyses based on drug classes:
By Route of Administration
The pipeline assessment report covers 50+ drug analyses based on the route of administration:
The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to EMR analysis, phase II and III, at 39%, cover a major share of the total primary biliary cholangitis clinical trials, highlighting a strong mid- to late-stage development focus. Phase I accounts for 12%, while early phase I represents 7%. Overall, this phase distribution reflects a maturing and increasingly competitive primary biliary cholangitis pipeline with a clear emphasis on advancing clinically validated therapies.
The drug molecule categories covered under the primary biliary cholangitis pipeline analysis include small molecules, monoclonal antibodies, and peptides. The primary biliary cholangitis report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for primary biliary cholangitis. Farnesoid X receptor agonists continue to represent a key drug class in the pipeline despite recent regulatory setbacks. For instance, obeticholic acid previously demonstrated disease-modifying potential by regulating bile acid synthesis. Additionally, next-generation bile acid modulators and non-steroidal farnesoid X receptor agonists are under evaluation to improve efficacy and safety outcomes.
The EMR report for the primary biliary cholangitis pipeline covers the profile of key companies involved in clinical trials and their drugs under development. It provides a detailed primary biliary cholangitis therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is the list of a few players involved in primary biliary cholangitis clinical trials:
This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for primary biliary cholangitis. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of primary biliary cholangitis drug candidates.
CS0159 is a potent, non-steroidal farnesoid X receptor (FXR) small-molecule agonist being developed by Cascade Pharmaceuticals, Inc. The Phase III study is currently evaluating the efficacy and safety of orally administered CS0159 in patients with primary biliary cholangitis who are showing an inadequate response or intolerance to ursodeoxycholic acid. The trial is examining how once-daily CS0159 modulates bile acid synthesis, reduces cholestatic liver injury, and improves biochemical markers of disease progression, while maintaining an acceptable safety profile over long-term treatment.
CNP-104 is a biodegradable nanoparticle therapy sponsored by COUR Pharmaceutical Development Company, Inc., and is currently being evaluated in a phase 2a First-in-Human study for primary biliary cholangitis. The study examines the safety, tolerability, pharmacodynamics, and efficacy of multiple ascending doses in patients unresponsive to UDCA and/or OCA. CNP-104 is encapsulating the PDC-E2 autoantigen to induce immune tolerance by selectively modulating pathogenic T-cells driving bile duct inflammation. The drug is being administered via intravenous infusion, with patients being closely monitored for safety, immunogenicity, and sustained therapeutic response.
Fenofibrate is being evaluated in an early phase 1, open-label, long-term clinical study sponsored by Xijing Hospital of Digestive Diseases for patients with primary biliary cholangitis. The study is examining the safety and tolerability of fenofibrate when administered orally in PBC subjects. Fenofibrate is a selective peroxisome proliferator-activated receptor alpha (PPARα) agonist that modulates lipid metabolism, bile acid synthesis, and inflammatory pathways. By activating PPARα, the drug is expected to improve cholestasis and liver biochemical markers while supporting long-term disease management in PBC patients.
*Please note that this is only a partial list; the complete list of drugs will be available in the full report.*
The Primary Biliary Cholangitis Pipeline Analysis Report provides a strategic overview of the latest and future landscape of treatments for primary biliary cholangitis. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from the essential insights into primary biliary cholangitis collaborations, regulatory environments, and potential growth opportunities.
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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