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PEDFIC is the largest clinical trial 
program in PFIC1

All images are actor portrayals.

PFIC: PEDFIC Trial Program

Bylvay has been studied in the largest phase 3 clinical trial program in cholestatic pruritus of ALGS and PFIC to date1,2

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45

sites

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15

countries 
participated

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PEDFIC 1 • 24 WEEKS1

Double-blind, randomized, placebo-controlled

Oral Capsules/Sprinkle  
Once Daily

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PEDFIC 1 participants had a confirmed diagnosis of      
PFIC 1 or PFIC 2 and a history of significant pruritus1,5

PEDFIC 1 participants had a  
confirmed diagnosis of PFIC 1 or  
PFIC 2 and a history of significant  
pruritus1,5

Co-primary Endpoints1,5

  • Change in pruritus through week 24
  • sBA response

Secondary Endpoints1,5

  • Proportion of patients with positive pruritus assessments 
    every 4 weeks
  • Change in sleep parameters through week 24

PEDFIC 2 • 72 WEEKS1,3,4

Ongoing open-label extension

Bylvay 120 mcg/kg/day

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PEDFIC 2 includes a cohort continued from PEDFIC 1  
and a second cohort open to any PFIC type4

Key Endpoints4,6

  • Effect on pruritus
  • Effect on sBA
  • Proportion of patients with positive pruritus assessments
  • Change in sleep parameters

ALGS=Alagille syndrome; PFIC=progressive familial intrahepatic cholestasis; sBA=serum bile acid.

References:
  • Bylvay Prescribing Information. Boston, MA: Albireo Pharma, Inc.; 2023.
  • ClinicalTrials.gov. A double-blind, randomized, placebo-controlled, phase 3 study to demonstrate efficacy and safety of A4250 in children with progressive familial intrahepatic cholestasis types 1 and 2 (PEDFIC 1). NCT03566238. Updated September 5, 2021. Accessed April 23, 2023.
  • Data on file PEDFIC 1 and 2 Figure Pru and sBA. 2022. Boston, MA: Albireo Pharma, Inc.
  • Data on file A4250-008. Boston, MA: Albireo Pharma, Inc.
  • Thompson RJ, Arnell H, Artan R, et al. Odevixibat treatment in progressive familial intrahepatic cholestasis: a randomised, placebo-controlled, phase 3 trial. Lancet Gastroenterol Hepatol. 2022;7:830-842.
  • ClinicalTrials.gov. An open-label extension study to evaluate long-term efficacy and safety of A4250 in children with progressive familial intrahepatic cholestasis types 1 and 2 (PEDFIC 2). NCT03659916. Updated October 12, 2022. Accessed April 23, 2023.
  • Bylvay Prescribing Information. Boston, MA: Albireo Pharma, Inc.; 2023.
  • ClinicalTrials.gov. A double-blind, randomized,
    placebo-controlled, phase 3 study to demonstrate
    efficacy and safety of A4250 in children with
    progressive familial intrahepatic cholestasis types 1
    and 2 (PEDFIC 1). NCT03566238. Updated September
    5, 2021. Accessed April 23, 2023.
  • Data on file PEDFIC 1 and 2 Figure Pru and sBA. 2022. Boston, MA: Albireo Pharma, Inc.
  • Data on file A4250-008. Boston, MA: Albireo Pharma, Inc.
  • Thompson RJ, Arnell H, Artan R, et al. Odevixibat treatment in progressive familial intrahepatic cholestasis: a randomised, placebo-controlled, phase 3 trial. Lancet Gastroenterol Hepatol. 2022;7:830-842.
  • ClinicalTrials.gov. An open-label extension study to evaluate long-term efficacy and safety of A4250 in children with progressive familial intrahepatic cholestasis types 1 and 2 (PEDFIC 2). NCT03659916. Updated October 12, 2022. Accessed April 23, 2023.