GSK plc has made a significant stride in addressing the unmet needs of patients suffering from cholestatic pruritus associated with primary biliary cholangitis (PBC). The US Food and Drug Administration (FDA) has accepted the New Drug Application (NDA) for linerixibat, signaling a potential breakthrough in managing this debilitating symptom.
FDA Acceptance Marks a Key Milestone
The acceptance of linerixibat’s NDA by the FDA underscores GSK’s commitment to advancing treatments for rare autoimmune liver diseases. Linerixibat, an investigational inhibitor targeting the ileal bile acid transporter (IBAT), demonstrated promising results in the phase III GLISTEN trial. This acceptance sets the stage for a possible approval by the PDUFA goal date of March 24, 2026, contingent on the drug’s efficacy and safety profiles.
Clinical Trial Success Boosts Hope for Patients
The GLISTEN trial, a comprehensive global study involving 238 PBC patients across 19 countries, showcased linerixibat’s ability to significantly reduce itch levels and improve sleep quality. Participants reported a rapid and sustained decrease in pruritus compared to the placebo group, highlighting the drug’s potential to enhance the quality of life for those affected by PBC-related itch.
- Linerixibat addresses a symptom with limited current treatment options.
- Positive trial outcomes could lead to new standard of care for PBC patients.
- Global trial participation indicates widespread support and demand for effective treatments.
The data presented at the European Association for the Study of the Liver (EASL) Congress reinforced the drug’s efficacy and safety, positioning linerixibat as a hopeful candidate in hepatology. GSK’s strategic focus on liver diseases continues to expand, with ongoing research into treatments for chronic hepatitis B, alcohol-related liver disease, and metabolic dysfunction-associated steatohepatitis (MASH).
Linerixibat’s mechanism of action involves reducing bile acid re-uptake, thereby lowering the mediators responsible for itch. This targeted approach not only alleviates symptoms but also addresses the underlying pathophysiology of cholestatic pruritus. If approved, linerixibat could become a pivotal therapy in managing PBC, offering relief to up to 90% of patients experiencing varying degrees of itch severity.
As GSK continues to innovate in the field of hepatology, the potential approval of linerixibat represents a critical advancement. Patients and healthcare providers eagerly anticipate the FDA’s decision, which could herald a new era in the treatment of PBC-related pruritus, ultimately improving patient outcomes and quality of life.
GSK’s proactive approach in addressing rare liver conditions not only demonstrates their dedication to patient-centric solutions but also highlights the importance of targeted therapies in managing complex autoimmune diseases. Keeping abreast of such developments ensures that stakeholders are well-informed and prepared for the integration of new treatments into clinical practice.

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