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Do you add elafibranor or seladelpar to UDCA within the first year of treatment in a patient with primary biliary cholangitis who has an inadequate alkaline phosphatase response but no symptoms of pruritus?

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All patient factors being equal, is elafibranor or seladelpar your "go-to" second line agent in the management of PBC?

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1 Answer
Mednet Member
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Hepatology · UChicago Medicine
Answered on

I usually will wait for a year with the first line agent, ursodiol, if it is well-tolerated and there are no symptoms, before declaring inadequate alkaline phosphatase response and moving on to a second line agent for primary biliary cholangitis.

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