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Spotlight -

This Year In Medicine 2025

Opinion|Videos|December 4, 2024

PPAR Agonists for Treatment of PBC

Author(s)Nancy Reau, MD, John Vierling, MD, FACP, FAASLD, AGAF, Aparna Goel, MD

Key Takeaways

PPAR agonists are approved for PBC management, either with UDCA or as monotherapy for UDCA-intolerant patients.
These agents modulate lipid metabolism, inflammation, and fibrosis by activating peroxisome proliferator-activated receptors.
Newer PPAR agonists may target multiple PPAR subtypes, unlike fibrates which primarily target PPAR-alpha.
FDA approval highlights the clinical importance of PPAR agonists, offering alternative treatment for PBC patients with limited options.

SHOW MORE

The panel of experts explore the use of FDA-approved peroxisome proliferator-activated receptor (PPAR) agonists in the management of primary biliary cholangitis (PBC), discussing their scientific basis, how they differ from fibrates, and their role in combination with ursodeoxycholic acid (UDCA) or as monotherapy for UDCA-intolerant patients.

Episodes in this series

4 experts are featured in this series.

EP. 1 Pathophysiology of PBC

4 experts are featured in this series.

EP. 2 Presentation and Diagnosis of PBC

4 experts are featured in this series.

EP. 3 Differential Diagnosis of PBC

4 experts are featured in this series.

EP. 4 Disease Progression and Extrahepatic Manifestations of PBC

4 experts are featured in this series.

EP. 5 Second-Line Treatments and Management of Symptoms in PBC

4 experts are featured in this series.

EP. 6 Treatment Goals and First-Line Therapy in PBC

4 experts are featured in this series.

EP. 7 Seladelpar for Treatment of PBC

4 experts are featured in this series.

EP. 8 PPAR Agonists for Treatment of PBC

4 experts are featured in this series.

EP. 9 Elafibranor and Choosing Amongst PPAR Agonists in PBC

4 experts are featured in this series.

EP. 10 Pruritus Control With PPAR Agonists in PBC

4 experts are featured in this series.

EP. 11 Integration of PPAR Agonists in Treatment Landscape of PBC

4 experts are featured in this series.

EP. 12 Treatment Response to PPAR Agonists and Other Therapies in PBC

4 experts are featured in this series.

EP. 13 Thoughts on the Current State of PBC Management

4 experts are featured in this series.

EP. 14 Outcomes and Adoption of PPAR Agonists in PBC

Video content above is prompted by the following:

We now have FDA-approved PPAR agonists for the management of PBC in combination with UDCA or as monotherapy for patients who are intolerant to UDCA. What is the scientific basis for use of PPAR agonists in PBC? And how are these different than fibrates?

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