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.
Observational data show IBAT inhibitor promise for pruritus in late-onset PFIC and ICP

Real-world data show promise for IBAT inhibitor use in adults with late-onset PFIC and women with ICP.
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.
Case series suggests IBAT inhibitor benefits in adults with hereditary BSEP deficiency

Clinical data suggest comparable IBAT inhibitor response for adults with hereditary BSEP deficiency as seen in pediatric trials.
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 late-onset genetic cholestasis

Dr Silvia Vilarinho and Dr Deepak Joshi share the highlights from AASLD The Liver Meeting 2025, with an emphasis on late-onset genetic cholestasis, and offer quick insights into new data on the growing utility of genetic testing and expanding therapeutic implications.
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.
Seladelpar improves wellbeing and lowers itch impact

Marlyn Mayo reviews RESPONSE analyses on seladelpar symptom effects in PBC.
Survey reveals limitations to pruritus assessment in PSC

Marlyn Mayo discusses findings on physician attitudes to managing pruritus in PSC.
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.
Maralixibat offers clinically meaningful pruritus reductions in PSC

A real-world analysis of PSC patients given maralixibat suggests it offers meaningful improvements in pruritus.
Genetic etiology may explain majority of adult-onset cholestatic disorders

Most cases of unexplained cholestasis in adults have an identifiable underlying genetic cause.
Digital mind–body intervention helps symptom management in liver disease

A mind–body intervention accessed online may help patients with liver disease better manage their symptoms.
Volixibat improves fatigue and sleep in PBC alongside pruritus

An analysis of trial data indicates that, alongside reducing pruritus, volixibat helps normalize fatigue and sleep in PBC patients.
Gene mutations linked to adult cholestasis

Mitchell Shiffman discusses the value of genetic testing in adults with undefined cholestasis.
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.
Predictive model with standard clinical parameters differentiates PSC and SSC

Natural language programming could help identify which adults with cholestasis have late-onset progressive familial intrahepatic cholestasis.
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.
ELATIVE: Sustained elafibranor benefit and biomarker potential

Mark Swain on 3-year elafibranor benefits, proteomics in PBC.
Seladelpar cholestasis benefits extend long term

Discussing the ASSURE findings for seladelpar in PBC with Daniel Pratt.
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.
IBAT inhibitors may improve post-liver transplant pruritus

Treatment-refractory pruritus following liver transplant may be successfully treated with IBAT inhibitors, suggests a US case series.
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.
Countdown to AASLD 2025: A preview with Marlyn Mayo and Andreas Kremer

Dr Marlyn Mayo and Dr Andreas Kremer discuss what’s ahead at AASLD 2025, with a focus on advances in primary biliary cholangitis and primary sclerosing cholangitis. They share their perspectives on emerging research, key topics to watch, and what they are most looking forward to at this year’s meeting.
Countdown to AASLD 2025: A preview with Deepak Joshi and Silvia Vilarinho

Dr Deepak Joshi and Dr Silvia Vilarinho discuss what’s ahead at AASLD 2025, focusing on late-onset genetic cholestasis and Alagille syndrome, and share what they are most looking forward to at this year’s meeting.
Countdown to AASLD 2025: A preview with Marlyn Mayo and Andreas Kremer

Dr Marlyn Mayo and Dr Andreas Kremer discuss what’s ahead at AASLD 2025, with a focus on advances in primary biliary cholangitis and primary sclerosing cholangitis. They share their perspectives on emerging research, key topics to watch, and what they are most looking forward to at this year’s meeting.
IBAT inhibitor case studies point to adult intrahepatic cholestasis benefits

Ileal bile acid transporter inhibitors help treat adults with drug-induced or pregnancy-related intrahepatic cholestasis
Diagnosing and managing late-onset genetic cholestasis: a clinical pathway tool

A practical algorithm tool to help you navigate the different clinical presentations, reach an accurate diagnosis, and take optimal first management steps.
Updates on IBAT inhibitors from EASL 2025

Dr Richard Thompson and Dr Verena Keitel-Anselmino discuss the latest updates on IBAT inhibitors from EASL 2025, including their potential use in PBC patients based on promising phase I and II trial results.
EASL guidelines offer ‘framework’ for intrahepatic cholestasis of pregnancy care

Research confirms that the EASL guidelines aid risk stratification for intrahepatic cholestasis of pregnancy.
Intrahepatic cholestasis of pregnancy EASL guidelines aid risk stratification

Ms Nina Rodriguez and Dr Tatyana Kushner confirm that the 2023 EASL guidelines can help risk stratify patients with intrahepatic cholestasis of pregnancy.
Odevixibat update for adult PFIC, older Alagille syndrome patients

Updated results for adult participants of the PEDFIC2 trial and older children taking part in the ASSERT-EXT study.
Genetic analysis aids diagnosis for atypical PFIC presentation

Case studies demonstrate the utility of genetic analysis and whole-exome sequencing for the diagnosis of progressive familial intrahepatic cholestasis in patients with nonspecific liver disease.
Unmet needs in late-onset genetic cholestasis: an expert discussion

This CME-accredited expert discussion aims to highlight the unmet needs in late-onset genetic cholestasis and provide guidance on the use of genetic testing in the diagnostic workup and initial management steps for the different genotypes, with reference to key trials and updates from The Liver Meeting 2024: American Association for the Study of Liver Diseases (AASLD).
Comprehensive PBC management: innovative and personalized plans to enhance patient outcomes

Led by Emma Culver, this interactive case study follows a 40-year-old woman who is referred to the clinic following profound fatigue, and discusses how management plans can be personalized to best support patient outcomes.
PFIC trial updates continue to support IBAT inhibitor efficacy and safety

Professor Richard Thompson shares his PFIC poster findings on the long-term efficacy and safety data of the PEDFIC 2 trial and the relationship between serum bile acid and event-free survival in the MARCH and MARCH-ON trials.
EASL guidelines direct genetic cholestatic liver management

An EASL expert panel has developed clinical practice guidelines for the management of progressive familial intrahepatic cholestasis and other genetic cholestatic liver diseases.
Navigating Challenges in PBC Management: Focus on Inadequate Responders and Symptomatic Itching

In this case study module, Marlyn Mayo discusses 3 short patient profiles to illustrate difficult situations when treating patients with PBC including managing inadequate response to initial therapy and symptomatic itching.
Breaking down PBC: a comprehensive guide

Led by Kris Kowdley, this interactive, comprehensive guide to Primary Biliary Cholangitis (PBC) provides details on the pathogenesis, diagnosis, management and latest clinical data for PBC. Click through the sections, or download the PDF to use as a guide in your clinic.
Breaking down PBC: a comprehensive guide

Interactive, comprehensive guide to Primary Biliary Cholangitis (PBC) providing details on the pathogenesis, diagnosis, management and latest clinical data.
PBC Clinical insights: evaluating therapeutic response and disease management

CME case study for the identification and management of Primary Biliary Cholangitis (PBC) including therapy response and disease management, for a 42 year old with abnormal liver blood test results.
Coping with PBC: treatment challenges and QoL insights

Kris Kowdley meets with patient Sabrina Reeser as they discuss the patient experience of treatment for PBC, including treatment challenges, variability in doctor-patient communication and involvement in clinical trials.
The evolving landscape of PBC: new therapies and future directions

Kris Kowdley and David Jones share their insights on the evolving landscape of PBC, including new and upcoming therapy options, and how these may change practice for the disease.
Barriers and symptoms burden: the unmet needs in PBC

Drs Marlyn Mayo and Gideon Hirschfield discuss the unmet needs in PBC management, highlighting the significant burden that symptoms pose for patients, the importance of monitoring and a patient-centric management approach offering insights into what might lie ahead in 2024.
The Liver Meeting 2023 – updates to the current landscape

Dr Palak Trivedi joins Dr Gideon Hirschfield to explore pivotal insights from The Liver Meeting 2023. Together, they highlight crucial updates, unveil novel findings, and deliver a concise overview of the current landscape of PBC.