Background And Aims: Alagille syndrome (ALGS) is characterized by chronic cholestasis with associated pruritus and extrahepatic anomalies. Maralixibat, an ileal bile acid transporter inhibitor, is an approved pharmacologic therapy for cholestatic pruritus in ALGS. Since long-term placebo-controlled studies are not feasible or ethical in children with rare diseases, a novel approach was taken comparing 6-year outcomes from maralixibat trials with an aligned and harmonized natural history cohort from the G lobal AL agille A lliance (GALA) study.
View Article and Find Full Text PDFIn general, A nanofluid is a substance in which solids and fluids are mixed. The nano-powder of zirconium oxide (ZrO) and silicon carbide (SiC) was dispersed into the distilled water (DW) using the widely adopted two-step technique. A Brookfield viscometer was used to measure the viscosity of the nanoparticles of ZrO/DW and SiC/DW, where the temperature ranged between 20 and 60 °C and different solid volume fractions of 0.
View Article and Find Full Text PDFBackground And Aims: Refractory pruritus and other complications of cholestasis are indications for liver transplantation (LT) in patients with Alagille syndrome (ALGS). We evaluated predictors of event-free survival and transplant-free survival in patients with ALGS treated with maralixibat (MRX), an ileal bile acid transporter inhibitor.
Approach And Results: We assessed patients with ALGS from 3 clinical trials of MRX with up to 6 years of follow-up.
Background: Primary sclerosing cholangitis (PSC) is frequently associated with pruritus, which significantly impairs quality of life. Maralixibat is a selective ileal bile acid transporter (IBAT) inhibitor that lowers circulating bile acid (BA) levels and reduces pruritus in cholestatic liver diseases. This is the first proof-of-concept study of IBAT inhibition in PSC.
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