LEAP-US Study for Alagille Syndrome and PFIC Patients on Livmarli

This 5-year study, called LEAP-US, is looking at the long-term safety and effects of Livmarli in patients with Alagille syndrome (ALGS) or Progressive Familial Intrahepatic Cholestasis (PFIC). Livmarli is a medication that helps reduce bile acid levels. You may be able to join if you have a confirmed diagnosis of ALGS or PFIC and are currently prescribed Livmarli. The study will track important health outcomes like the need for a liver transplant, changes in growth and development, and any long-term health issues for up to 180 days after stopping Livmarli. This study aims to understand how Livmarli impacts patients over time.

Study design
This is an observational study, meaning researchers will watch and collect information about 70 participants over time. It is not a randomized or blinded study.
What's involved
You will have your liver transplant waitlist status checked every 6 months for 5 years. Your weight and height will be measured annually for 5 years.
Compensation
Not stated in the trial record.
Follow-up
Long-term health outcomes will be recorded for up to 180 days after stopping Livmarli. Liver transplant waitlist status will be collected for 5 years, and growth will be assessed for 5 years.

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NCT06193928

Long-Term SafEty and Clinical Outcomes of LivmArli in Patients in the United States (LEAP-US)

Recruiting
Not specifiedAll AgesObservational
Mirum Pharmaceuticals, Inc.
~70 participants
Updated 2025-05-25 on ClinicalTrials.gov
What's tested:Livmarli

At a glance

Recruiting sites
8 of 8 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Incidence of Long-Term Clinical Outcomes
Measured over Long-term clinical outcomes (SBD, LT, portal hypertension, all-cause mortality) up to 180 days after discontinuation of Livmarli will be recorded.
+3 more outcomes measured
Alagille Syndrome
Progressive Familial Intrahepatic Cholestasis

NCT06193928

Where you'd take part

This study runs at 8 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Children Hospital of Pittsburgh

    Pittsburgh, Pennsylvaniastudy coordinator listed

    Recruiting

  • Children's Healthcare of Atlanta - Emory University School of Medicine

    Atlanta, Georgiastudy coordinator listed

    Recruiting

  • Children's Hospital Los Angeles CHLA

    Los Angeles, Californiastudy coordinator listed

    Recruiting

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvaniastudy coordinator listed

    Recruiting

  • Children's Mercy Kansas City, Department of Gastroenterology, Section of Hepatology

    Kansas City, Missouristudy coordinator listed

    Recruiting

  • Oregon Health and Science University, Division of Pediatric Gastroenterology, Department of Pediatrics

    Portland, Oregonstudy coordinator listed

    Recruiting

  • Section of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics and the Digestive Health Institute, Children's Hospital of Colorado and University of Colorado

    Aurora, Coloradostudy coordinator listed

    Recruiting

  • University of Utah, Division of Pediatric Gastroenterology, Hepatology and Nutrition

    Salt Lake City, Utahstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

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Eligibility criteria

Inclusion

A clinically and/or genetically confirmed ALGS diagnosis or PFIC diagnosis
Participant prescribed Livmarli

Exclusion

Refusal to provide informed consent/assent (if required by the local IRB)
Previously or currently on Livmarli through participation in a clinical study or expanded access program
Participants who have previously received an SBD or LT
Any condition or abnormalities that, in the opinion of the investigator, may interfere with the participant participating in or completing the study
Participants who have received an investigational drug within 30 days of the first dose of Livmarli
  • Incidence of Long-Term Clinical OutcomesLong-term clinical outcomes (SBD, LT, portal hypertension, all-cause mortality) up to 180 days after discontinuation of Livmarli will be recorded.

    The dates, and reasons for the following first events (of this first endpoint) will be collected: Surgical Biliary Diversion (SBD), Liver Transplant (LT), and all-cause mortality. In addition, manifestations of clinically evident portal hypertension (CEPH) will be captured during each interval event assessments.

  • Liver Transplant Indication and Waitlist StatusLT waitlist status will be collected at enrollment and every 6 months for 5 years.

    LT waitlist status will be collected, including when placed on or removed from LT waitlist.

  • Assessment of Growth and DevelopmentWeight (kilograms) and height (centimeters) z-scores will be collected every year for 5 years.

    Height and weight will be collected both at the time the participant started Livmarli and at the time of enrollment in the study. Subsequent weight will be collected for up to 5 years. Weight z-score (kilograms) and height z-score (centimeters) will be assessed and reported every year for 5 years.

  • Incidence of Clinical Events Potentially Related to Fat-Soluble Vitamin Deficiencies and Their Long-Term SequelaeThe incidence of events will be assessed and reported every year for 5 years.

    Bleeding events (including all gastrointestinal \[GI\] or non-GI bleeding requiring hospitalization, emergency department care, or transfusion) and fracture events will be reported.