EASL 2026 Reflections: Key takeaways in late-onset genetic cholestasis and Alagille syndrome

Dr Silvia Vilarinho and Dr Deepak Joshi reflect on the highlights from EASL Congress 2026, focusing on late‑onset genetic cholestasis and new insights in Alagille syndrome. They discuss the expanding role of genomic testing in adults, the move toward multidisciplinary Genetic Grand Rounds, and emerging IBAT‑targeted therapies and pregnancy data that are changing diagnosis and management.
Evolving therapeutic approaches in late-onset genetic cholestasis

Carola Dröge and Verena Keitel-Anselmino discuss IBAT inhibitor therapy in adults with hereditary BSEP-deficiency at EASL 2026.
Intrahepatic cholestasis of pregnancy recurs in 4 in 10 pregnancies

Researchers evaluate the incidence of intrahepatic cholestasis of pregnancy recurrence and identify potential predictors.
Uncovering hidden genetic causes in adult cholestasis

Jeremy Nayagam highlights research on genetic testing in adults with unexplained cholestatic liver disease and hepatitis and explains why such testing is important in the diagnosis of these patients.
Targeted gene sequencing panel resolves unexplained cholestasis in about 5% of adults

A targeted next generation sequencing gene panel could offer a definitive diagnosis for some adults with unexplained cholestasis.
Bilirubin and platelet count predict native liver survival in adolescents with ALGS

Researchers identify factors predicting improved native liver survival in adolescents with Alagille syndrome.
Genetic variants explain substantial proportion of undiagnosed cholestasis and hepatitis

Study findings support early genetic testing for unexplained idiopathic chronic cholestasis and hepatitis of unknown origin.
AASLD 2025 Reflections: Key takeaways in primary sclerosing cholangitis

Dr Marlyn Mayo and Dr Andreas Kremer share key insights on primary sclerosing cholangitis from AASLD The Liver Meeting 2025, and explore the latest in therapeutic developments and symptomatology.
AASLD 2025 Reflections: Key takeaways in primary biliary cholangitis

Dr Andreas Kremer and Dr Marlyn Mayo highlight key advances in primary biliary cholangitis from AASLD The Liver Meeting 2025, and provide quick insights into the latest data on next-generation therapies.
Ongoing seladelpar treatment continues to benefit PBC patients

Giving seladelpar beyond 12 months offers primary biliary cholangitis patients improvements in pruritus and biochemical markers, show ongoing analyses.
Gut microbiome may influence PSC development

Marios Nikolaidis shares findings on the gut microbiome in PSC management.
Sustained responses to elafibranor in PSC

Mitchell Shiffman comments on ELMWOOD findings for elafibranor in PSC.
PRO-C3 may illuminate liver disease progression in PBC

A correlation between PRO-C3 and liver measures in PBC suggests it could represent a novel disease biomarker.
Long-term elafibranor therapy improves PBC outcomes

ELATIVE open-label extension trial findings support long-term elafibranor treatment in patients with PBC.
Pharmacodynamic findings support linerixibat pruritus benefits in patients with PBC

Andreas Kremer explains post-hoc analysis findings from the phase 3 GLISTEN trial showing an effect of linerixibat on biomarkers and mediators of pruritus in patients with PBC.
Real-world data support seladelpar use in PBC patients switching from obeticholic acid

Real-world evidence supports seladelpar use in patients with PBC initiating seladelpar second-line or switching from obeticholic acid.
Responses to elafibranor in primary sclerosing cholangitis maintained after initial treatment

An open-label trial extension showed that the PPAR agonist elafibranor maintained efficacy, and former placebo patients saw improvements.
Elafibranor improves symptom burden, unaffected by BMI

Andreas Kremer discusses post-hoc analyses from the ELATIVE trial showing independent improvement in patient-reported outcomes with elafibranor for patients with PBC and efficacy irrespective of BMI.