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Volixibat

Phase 2

Primary Biliary Cholangitis | Small molecule | Gastrointestinal |Mirum Pharmaceuticals, Inc.|Last Updated: Aug 26, 2026

Target and mechanism

Molecular targetSLC10A2
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment333

FDA Designations

No designations recorded

Clinical trial landscape

Volixibat · 2 trials · 3 indications

Phase 2 2
NCT05050136A Study to Evaluate Efficacy and Safety of an Investigational Drug Named Volixibat in Patients With Itching Caused by Primary Biliary CholangitisPrimary Biliary Cholangitis
ACTIVE NOT_RECRUITING333 Analytics
NCT04663308A Study to Evaluate Efficacy and Safety of an Investigational Drug Named Volixibat in Patients With Itching Caused by Primary Sclerosing Cholangitis (PSC)Primary Sclerosing Cholangitis
ACTIVE NOT_RECRUITING182 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Study to Evaluate Efficacy and Safety of an Investigational Drug Named Volixibat in Patients With Itching Caused by Primary Biliary Cholangitis
Primary Biliary CholangitisUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study to Evaluate Efficacy and Safety of an Investigational Drug Named Volixibat in Patients With Itching Caused by Primary Sclerosing Cholangitis (PSC)
Primary Sclerosing CholangitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean change in the daily itch scores using the Adult Itch Reported Outcome (Adult ItchRO) questionnaire
Baseline to week 28

The Adult ItchRO is an 11-point NRS measurement of itch severity ranging from 0=no itch to 10=worst possible itch.

Secondary Endpoints

Proportion of participants with itch response using the Adult ItchRO
Baseline to week 28
Incidence of adverse events
Baseline to week 28
Changes in alkaline phosphatase
Baseline to week 28
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1 Arm 1: Volixibat 20mgEXPERIMENTALParticipants randomized to this arm will receive volixibat 20mg twice daily.
Part 1 Arm 2: Volixibat 80mgEXPERIMENTALParticipants randomized to this arm will receive volixibat 80mg twice daily.
Part 1 Arm 3: PlaceboPLACEBO_COMPARATORParticipants in this arm will receive capsules matched to the study drug minus the active volixibat substance, twice daily.
Part 2 Arm 1: Volixibat Selected Dose 20mgEXPERIMENTALParticipants randomized to this arm will receive volixibat 20mg twice daily.
Part 2 Arm 2: PlaceboPLACEBO_COMPARATORParticipants in this arm will receive capsules matched to the study drug minus the active volixibat substance, twice daily.

Interventions

NameTypeDescription
VolixibatDRUGOral capsules, administered twice daily. Volixibat is an Ileal Bile Acid Transporter (IBAT) inhibitor.
PlaceboDRUGCapsules matched to study drug without the active pharmaceutical ingredient
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites130

Inclusion Criteria: * Provide signed informed consent at the screening visit as well as comply with all study visits and requirements through the end of the study * Male or female, age ≥18 years at the screening visit * Confirmed diagnosis of PBC in line with the AASLD guidelines * UDCA, anti-pruri...

Countries:United StatesArgentinaBelgiumBrazilCanadaChinaFranceGermanyIsraelItalyJapanNetherlandsSpainSwitzerlandUnited KingdomAustralia
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Recent Changes (Last 90 Days)

MEDIUMAug 26, 2026NCT04663308primaryCompletionDate: changed
MEDIUMAug 26, 2026NCT04663308primaryCompletionDate: changed
MEDIUMAug 25, 2026NCT05050136Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 25, 2026NCT05050136Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about Volixibat

What is Volixibat used for?

Volixibat is an investigational small molecule being developed for itching caused by Primary Sclerosing Cholangitis (PSC) and Primary Biliary Cholangitis (PBC). It is currently in Phase 2 clinical trials for both conditions.

What does Volixibat target?

Volixibat is a small molecule that targets the apical sodium-dependent bile acid transporter (ASBT). By inhibiting this transporter, it aims to reduce bile acid absorption and alleviate itching associated with cholestatic liver diseases.

Who makes Volixibat?

Volixibat is being developed by Mirum Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker MIRM.

What phase is Volixibat in?

Volixibat is in Phase 2 clinical development. It is not yet approved by the FDA and remains investigational, with active trials ongoing for both Primary Sclerosing Cholangitis and Primary Biliary Cholangitis.

What clinical trials is Volixibat in?

Volixibat is being studied in two Phase 2 trials: NCT04663308 for itching in Primary Sclerosing Cholangitis with 182 participants, and NCT05050136 for itching in Primary Biliary Cholangitis with 333 participants. Both are randomized, double-blind, placebo-controlled studies.

Is Volixibat the same as other drugs?

Volixibat is a distinct investigational drug and is not known to be the same as any other marketed medication. It is being studied specifically for pruritus associated with cholestatic liver diseases.