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Long-Term Low-Intervention SafEty and Clinical Outcomes Clinical Study of LivmArli® in Patients With Alagille Syndrome in the European Union (LEAP-EU)

Long-Term Low-Intervention SafEty and Clinical Outcomes Clinical Study of LivmArli® in Patients With Alagille Syndrome in the European Union (LEAP-EU)

Recruiting
2 years and older
All
Phase 4

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Overview

The key objectives of this low-intervention clinical study are to evaluate tolerability, long-term safety and long-term efficacy for patients with Alagille syndrome (ALGS) who are prescribed Livmarli.

Description

This is a multicenter, open-label, low-intervention clinical study in participants diagnosed with Alagille syndrome (ALGS) who are treated with Livmarli for cholestatic pruritus.

Participants will be treated according to standard of care for the duration of the study and Schedule of Assessments.

Eligibility

Inclusion Criteria:

  • Informed consent and assent (as applicable)
  • ≥2 months of age at Day 1
  • A clinically and/or genetically confirmed ALGS diagnosis with pruritus secondary to chronic cholestasis
  • For the primary cohort, prescribed Livmarli at time of study entry
  • For the supplemental cohort, prescribed Livmarli prior to study entry

Exclusion Criteria:

  • History of Liver Transplant
  • Any contraindications against Livmarli (as per SmPC)
  • Any condition or abnormality that, in the opinion of the investigator, may interfere with the participation in or completion of the study
  • Received an investigational drug within 30 days before the first dose of Livmarli (Participation in previous maralixibat studies or expanded-access programs is acceptable.)
  • Baseline data before start of treatment of Livmarli are unavailable (\<2 values before treatment) for key safety (LFTs, FSV laboratory results) and key efficacy (sBA, pruritus) parameter

Study details
    Alagille Syndrome

NCT07290257

Mirum Pharmaceuticals, Inc.

31 January 2026

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