Efficacy and Safety of Odevixibat in Children With Biliary Atresia Who Have Undergone a Kasai HPE (BOLD)

Last updated: April 29, 2026
Sponsor: Albireo, an Ipsen Company
Overall Status: Active - Not Recruiting

Phase

3

Condition

Gall Bladder Disorders

Treatment

Placebo

Odevixibat

Clinical Study ID

NCT04336722
A4250-011
2019-003807-37
2024-512086-14-00
  • Ages < 111
  • All Genders

Study Summary

Double-blind, randomized, placebo-controlled, Phase 3 study to investigate the efficacy and safety of odevixibat compared to placebo in children with biliary atresia who have undergone a Kasai hepatoportoenterostomy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • A male or female patient with a clinical diagnosis of BA

  • Age at Kasai HPE ≤90 days

  • Eligible to start study treatment within 3 weeks post-Kasai HPE

Exclusion

Key Exclusion Criteria:

  • Patients with intractable ascites

  • Ileal resection surgery

  • ALT ≥10× upper limit of normal (ULN) at screening

  • Patients reliant only on total parenteral nutrition, or not able to take studymedication orally, at randomization

  • Acute ascending cholangitis (patients may be randomized after resolution of acuteascending cholangitis)

  • Choledochal cystic disease

  • INR >1.6 (the patient may be treated with Vitamin K intravenously; sample may beredrawn and if INR is ≤1.6 at resampling the patient may be randomized)

  • Any other conditions or abnormalities, including congenital abnormalities, majorcardiac surgery, hepatic, biliary, or GI disease which, in the opinion of theInvestigator or Medical Monitor, may compromise the safety of the patient, theintegrity of study results, or patient compliance with study requirements

  • Weight <3.5kg at randomization

Study Design

Total Participants: 254
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
July 08, 2020
Estimated Completion Date:
June 26, 2026

Study Description

Up to 70 sites will be initiated for this study in North America, Europe, Middle East, and Asia Pacific.

Connect with a study center

  • Women's and Children's Hospital (Women's and Children's Health Network, Incorporated.)

    North Adelaide, South Australia
    Australia

    Site Not Available

  • Women's and Children's Hospital (Women's and Children's Health Network, Incorporated.)

    North Adelaide 8469169, South Australia 2061327
    Australia

    Site Not Available

  • Women's Children's Hospital

    North Adelaide,
    Australia

    Site Not Available

  • Royal Children's Hospital

    Parkville, 3052
    Australia

    Site Not Available

  • Royal Children's Hospital

    Parkville 2153770, 3052
    Australia

    Site Not Available

  • The Children´s Hospital at Westmead

    Sydney,
    Australia

    Site Not Available

  • The Children´s Hospital at Westmead

    Sydney 2147714,
    Australia

    Site Not Available

  • Cliniques Universitaires Saint-Luc

    Brussels,
    Belgium

    Site Not Available

  • Cliniques Universitaires Saint-Luc

    Brussels 2800866,
    Belgium

    Site Not Available

  • UZ Gent

    Gent,
    Belgium

    Site Not Available

  • UZ Gent

    Ghent,
    Belgium

    Site Not Available

  • UZ Gent

    Ghent 2797656,
    Belgium

    Site Not Available

  • CHU Sainte-Justine

    Montreal,
    Canada

    Site Not Available

  • CHU Sainte-Justine

    Montreal 6077243,
    Canada

    Site Not Available

  • CHU Sainte-Justine

    Montréal,
    Canada

    Site Not Available

  • The Hospital for Sick Children

    Toronto,
    Canada

    Site Not Available

  • The Hospital for Sick Children

    Toronto 6167865,
    Canada

    Site Not Available

  • Guangzhou Women and Children's Medical Center

    Guangzhou, Guangdong
    China

    Site Not Available

  • Guangzhou Women and Children's Medical Center

    Guangzhou 1809858, Guangdong 1809935
    China

    Site Not Available

  • Children's Hospital of Fudan University

    Shanghai,
    China

    Site Not Available

  • Children's Hospital of Fudan University

    Shanghai 1796236,
    China

    Site Not Available

  • Hôpital Femme Mère Enfant

    Bron,
    France

    Site Not Available

  • Hôpital Femme Mère Enfant

    Bron 3029931,
    France

    Site Not Available

  • Bicêtre Hospital

    Le Kremlin-Bicêtre,
    France

    Site Not Available

  • Bicêtre Hospital

    Le Kremlin-Bicêtre 3003737,
    France

    Site Not Available

  • Jeanne de Flandre Hospital

    Lille,
    France

    Site Not Available

  • Jeanne de Flandre Hospital

    Lille 2998324,
    France

    Site Not Available

  • Necker University Hospital - Enfants malades

    Paris,
    France

    Site Not Available

  • Necker University Hospital - Enfants malades

    Paris 2988507,
    France

    Site Not Available

  • Charité - Universitätsmedizin Berlin

    Berlin,
    Germany

    Site Not Available

  • Charité - Universitätsmedizin Berlin

    Berlin 2950159,
    Germany

    Site Not Available

  • University Medical Center Hamburg-Eppendorf UKE

    Hamburg,
    Germany

    Site Not Available

  • University Medical Center Hamburg-Eppendorf UKE

    Hamburg 2911298,
    Germany

    Site Not Available

  • Hannover Medical School

    Hanover,
    Germany

    Site Not Available

  • Hannover Medical School

    Hanover 2910831,
    Germany

    Site Not Available

  • Dr von Hauner Children´s Hospital LMU

    Munich,
    Germany

    Site Not Available

  • Dr. von Hauner Children´s Hospital LMU

    Munich,
    Germany

    Site Not Available

  • Dr von Hauner Children´s Hospital LMU

    Munich 2867714,
    Germany

    Site Not Available

  • University Children´s Hospital Tuebingen

    Tuebingen,
    Germany

    Site Not Available

  • University Children´s Hospital Tuebingen

    Tübingen,
    Germany

    Site Not Available

  • University Children´s Hospital Tuebingen

    Tübingen 2820860,
    Germany

    Site Not Available

  • Semmelweis Egyetem I.sz Gyermekgyógyászati Klinika

    Budapest,
    Hungary

    Site Not Available

  • Semmelweis Egyetem I.sz Gyermekgyógyászati Klinika

    Budapest 3054643,
    Hungary

    Site Not Available

  • Shaare Zedek Medical Center

    Jerusalem,
    Israel

    Site Not Available

  • Shaare Zedek Medical Center

    Jerusalem 281184,
    Israel

    Site Not Available

  • Schneider Children´s Medical Center of Israel

    Petah Tikva,
    Israel

    Site Not Available

  • Schneider Children´s Medical Center of Israel

    Petah Tikva 293918,
    Israel

    Site Not Available

  • ASST Papa Giovanni XXIII

    Bergamo,
    Italy

    Site Not Available

  • ASST Papa Giovanni XXIII

    Bergamo 3182164,
    Italy

    Site Not Available

  • Meyer Children´s University Hospital

    Florence,
    Italy

    Site Not Available

  • Meyer Children´s University Hospital

    Florence 3176959,
    Italy

    Site Not Available

  • University Hospital of Padova

    Padova,
    Italy

    Site Not Available

  • University Hospital of Padova

    Padua,
    Italy

    Site Not Available

  • University Hospital of Padova

    Padua 3171728,
    Italy

    Site Not Available

  • ISMETT - Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione

    Palermo,
    Italy

    Site Not Available

  • ISMETT - Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione

    Palermo 2523920,
    Italy

    Site Not Available

  • Ospedale Pediatrico Bambino Gesù

    Roma,
    Italy

    Site Not Available

  • Ospedale Pediatrico Bambino Gesù

    Roma 8957247,
    Italy

    Site Not Available

  • Regina Margherita Children´s Hospital

    Turin,
    Italy

    Site Not Available

  • Regina Margherita Children´s Hospital

    Turin 3165524,
    Italy

    Site Not Available

  • Samsung Medical Center

    Seoul,
    Korea, Republic of

    Site Not Available

  • Seoul National University Children's Hospital

    Seoul,
    Korea, Republic of

    Site Not Available

  • Hospital Raja Perempuan Zainab II

    Kota Bharu,
    Malaysia

    Site Not Available

  • Hospital Raja Perempuan Zainab II

    Kota Bharu 1736376,
    Malaysia

    Site Not Available

  • University of Malaya Medical Centre

    Kuala Lumpur,
    Malaysia

    Site Not Available

  • University of Malaya Medical Centre

    Kuala Lumpur 1735161,
    Malaysia

    Site Not Available

  • University Medical Center Groningen

    Groningen,
    Netherlands

    Site Not Available

  • University Medical Center Groningen

    Groningen 2755251,
    Netherlands

    Site Not Available

  • Starship Child Health

    Auckland,
    New Zealand

    Site Not Available

  • Starship Child Health

    Auckland 2193733,
    New Zealand

    Site Not Available

  • Instytut Pomnik-Centrum Zdrowia Dziecka

    Warsaw,
    Poland

    Site Not Available

  • Instytut Pomnik-Centrum Zdrowia Dziecka

    Warsaw 756135,
    Poland

    Site Not Available

  • Samsung Medical Center

    Seoul,
    South Korea

    Site Not Available

  • Seoul National University Children's Hospital

    Seoul,
    South Korea

    Site Not Available

  • Samsung Medical Center

    Seoul 1835848,
    South Korea

    Site Not Available

  • Seoul National University Children's Hospital

    Seoul 1835848,
    South Korea

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona 3128760,
    Spain

    Site Not Available

  • National Taiwan University Hospital

    Taipei,
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei,
    Taiwan

    Site Not Available

  • National Taiwan University Hospital

    Taipei 1668341,
    Taiwan

    Site Not Available

  • Taipei Veterans General Hospital

    Taipei 1668341,
    Taiwan

    Site Not Available

  • Hacettepe University Ihsan Dogramaci Childrens Hospital

    Ankara,
    Turkey

    Site Not Available

  • Akdeniz University Medical Faculty

    Antalya,
    Turkey

    Site Not Available

  • Istanbul University, Istanbul Medical Faculty

    Istanbul,
    Turkey

    Site Not Available

  • Hacettepe University Ihsan Dogramaci Childrens Hospital

    Ankara,
    Turkey (Türkiye)

    Site Not Available

  • Hacettepe University Ihsan Dogramaci Childrens Hospital

    Ankara 323786,
    Turkey (Türkiye)

    Site Not Available

  • Akdeniz University Medical Faculty

    Antalya,
    Turkey (Türkiye)

    Site Not Available

  • Akdeniz University Medical Faculty

    Antalya 323777,
    Turkey (Türkiye)

    Site Not Available

  • Istanbul University, Istanbul Medical Faculty

    Istanbul,
    Turkey (Türkiye)

    Site Not Available

  • Istanbul University, Istanbul Medical Faculty

    Istanbul 745044,
    Turkey (Türkiye)

    Site Not Available

  • Birmingham Women´s and Children´s Hospital

    Birmingham,
    United Kingdom

    Site Not Available

  • Birmingham Women´s and Children´s Hospital

    Birmingham 2655603,
    United Kingdom

    Site Not Available

  • Leeds General Infirmary

    Leeds,
    United Kingdom

    Site Not Available

  • Leeds General Infirmary

    Leeds 2644688,
    United Kingdom

    Site Not Available

  • Children's Hospital Los Angeles

    Los Angeles, California 90027
    United States

    Site Not Available

  • Stanford Children's Health

    Palo Alto, California 94304
    United States

    Site Not Available

  • Rady Children's Hospital

    San Diego, California 92123
    United States

    Site Not Available

  • UCSF Benioff Children's Hospital San Francisco

    San Francisco, California 94158
    United States

    Site Not Available

  • Children's Hospital Los Angeles

    Los Angeles 5368361, California 5332921 90027
    United States

    Site Not Available

  • Stanford Children's Health

    Palo Alto 5380748, California 5332921 94304
    United States

    Site Not Available

  • Rady Children's Hospital

    San Diego 5391811, California 5332921 92123
    United States

    Site Not Available

  • UCSF Benioff Children's Hospital San Francisco

    San Francisco 5391959, California 5332921 94158
    United States

    Site Not Available

  • Children's Hospital Colorado

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Children's Hospital Colorado

    Aurora 5412347, Colorado 5417618 80045
    United States

    Site Not Available

  • Nemours/Alfred I. duPont Hospital for Children

    Wilmington, Delaware 19803
    United States

    Site Not Available

  • Nemours/Alfred I. duPont Hospital for Children

    Wilmington 4145381, Delaware 4142224 19803
    United States

    Site Not Available

  • Children's National Medical Center

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • Children's National Medical Center

    Washington D.C., District of Columbia 20010
    United States

    Site Not Available

  • Children's National Medical Center

    Washington D.C. 4140963, District of Columbia 4138106 20010
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33146
    United States

    Site Not Available

  • University of Miami

    Miami 4164138, Florida 4155751 33146
    United States

    Site Not Available

  • Children's Healthcare of Atlanta - Emory University School of Medicine

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Children's Healthcare of Atlanta - Emory University School of Medicine

    Atlanta 4180439, Georgia 4197000 30322
    United States

    Site Not Available

  • Ann & Robert H. Lurie Children's Hospital

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Ann & Robert H. Lurie Children's Hospital

    Chicago 4887398, Illinois 4896861 60611
    United States

    Site Not Available

  • Indiana University school of Medicine

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Indiana University school of Medicine

    Indianapolis 4259418, Indiana 4921868 46202
    United States

    Site Not Available

  • Johns Hopkins Children's Center

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Johns Hopkins Children's Center

    Baltimore 4347778, Maryland 4361885 21287
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Boston Children's Hospital

    Boston 4930956, Massachusetts 6254926 02115
    United States

    Site Not Available

  • University of Michigan Children's Hospital

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • University of Michigan Children's Hospital

    Ann Arbor 4984247, Michigan 5001836 48109
    United States

    Site Not Available

  • Children's Mercy Hospital

    Kansas City, Missouri 64108
    United States

    Site Not Available

  • Washington University in St. Louis

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University in St. Louis

    St Louis, Missouri 63110
    United States

    Site Not Available

  • Children's Mercy Hospital

    Kansas City 4393217, Missouri 4398678 64108
    United States

    Site Not Available

  • Washington University in St. Louis

    St Louis 4407066, Missouri 4398678 63110
    United States

    Site Not Available

  • The Children's Hospital at Montefiore

    Bronx, New York 10467
    United States

    Site Not Available

  • Hassenfeld Children's Hospital at NYU Langone

    New York, New York 10016
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10029
    United States

    Site Not Available

  • NYU Grossman school of Medicine

    New York, New York 10016
    United States

    Site Not Available

  • NewYork-Presbyterian Morgan Stanley Children's Hospital

    New York, New York 10032
    United States

    Site Not Available

  • The Children's Hospital at Montefiore

    The Bronx, New York 10467
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York 5128581, New York 5128638 10029
    United States

    Site Not Available

  • NYU Grossman school of Medicine

    New York 5128581, New York 5128638 10016
    United States

    Site Not Available

  • NewYork-Presbyterian Morgan Stanley Children's Hospital

    New York 5128581, New York 5128638 10032
    United States

    Site Not Available

  • The Children's Hospital at Montefiore

    The Bronx 5110266, New York 5128638 10467
    United States

    Site Not Available

  • Duke Central Tower

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Duke University

    Durham, North Carolina 27705
    United States

    Site Not Available

  • Duke Central Tower

    Durham 4464368, North Carolina 4482348 27710
    United States

    Site Not Available

  • Cincinnati Children's Hospital

    Cincinnati, Ohio 45229
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Cincinnati Children's Hospital

    Cincinnati 4508722, Ohio 5165418 45229
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland 5746545, Oregon 5744337 97239
    United States

    Site Not Available

  • The Children´s Hospital of Philadelphia

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania 15224
    United States

    Site Not Available

  • The Children´s Hospital of Philadelphia

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Site Not Available

  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh 5206379, Pennsylvania 6254927 15224
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas 4684888, Texas 4736286 75390
    United States

    Site Not Available

  • University of Utah

    Salt Lake City, Utah 84113
    United States

    Site Not Available

  • University of Utah

    Salt Lake City 5780993, Utah 5549030 84113
    United States

    Site Not Available

  • Seattle Children's Hospital

    Seattle, Washington 98105
    United States

    Site Not Available

  • Seattle Children's Hospital

    Seattle 5809844, Washington 5815135 98105
    United States

    Site Not Available

  • Medical College of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

  • Medical College of Wisconsin

    Milwaukee 5263045, Wisconsin 5279468 53226
    United States

    Site Not Available

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