Substance / Medication

Obeticholic acid

Overview

Active Ingredient
obeticholic acid
RxNorm CUI
1798288

Indications

® OCALIVAis indicated for the treatment of adult patients with primary biliary cholangitis (PBC) either in combination with ursodeoxycholic acid (UDCA) with an inadequate response to UDCA or as monotherapy in patients unable to tolerate UDCA. Clinical Studies (14) [see] This indication is approved under accelerated approval based on a reduction in alkaline phosphatase (ALP). An improvement in survival or disease-related symptoms has not been established. Continued approval for this indication ma

Labeler: Intercept Pharmaceuticals IncUpdated: 2024-11-07T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

Warnings and Precautions (5.1) [see] Hepatic decompensation and failure, sometimes fatal or resulting in liver transplant, have been reported with OCALIVA treatment in primary biliary cholangitis (PBC) patients with either compensated or decompensated cirrhosis. Contraindications (4) [see]. OCALIVA

Contraindications

When this intervention should not be used

OCALIVA is contraindicated in patients with: Warnings and Precautions (5.1) [see] decompensated cirrhosis (e.g., Child-Pugh Class B or C) or a prior decompensation event. Warnings and Precautions (5.1) [see] compensated cirrhosis who have evidence of portal hypertension (e.g., ascites, gastroesophag

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Clinical Trials

2 trials linked to this intervention

2
Total Trials
0
Recruiting
0
With Results

Research Evidence

Published studies and systematic reviews

Sort:
Efficacy and Safety of Obeticholic Acid as Second-Line Therapy in Primary Biliary Cholangitis: Systematic Review and Meta-Analysis.
Abreu Eliabe S, Fernandes Gabriel Prusch, Lacerda Henrique de Carvalho et al. · J Gastroenterol Hepatol · 2025
PMID: 41025397Meta-Analysis
Obeticholic Acid vs Fibrates as Second-Line Therapy for Primary Biliary Cholangitis: Systematic Review and Meta-Analysis.
Abreu Eliabe S, Reginato Pedro Henrique, Pitanga Jorge Ferreira Jasmineiro et al. · Dig Dis Sci · 2025
PMID: 40253557Meta-Analysis
Role of Obeticholic Acid, a Farnesoid X Receptor Agonist, in Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-analysis.
Kamrul-Hasan Abm, Mondal Sunetra, Nagendra Lakshmi et al. · touchREV Endocrinol · 2024
PMID: 39526049Meta-AnalysisFull text (PMC)
Efficacy and safety of obeticholic acid in liver disease-A systematic review and meta-analysis.
Kulkarni Anand V, Tevethia Harsh Vardhan, Arab Juan Pablo et al. · Clin Res Hepatol Gastroenterol · 2021
PMID: 33722778Meta-Analysis
Obeticholic acid for the treatment of nonalcoholic steatohepatitis.
Shah Raj A, Kowdley Kris V · Expert Rev Gastroenterol Hepatol · 2020
PMID: 32241197Meta-Analysis

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Obeticholic acid (substance)
SNOMED CT
720257002
UMLS CUI
C1143018
RxNorm CUI
1798288
Labeler
Intercept Pharmaceuticals Inc

Clinical Data

This intervention maps to 1 entities in the Ltrl knowledge graph.

1
Conditions
0
Biomarkers
0
Specialists
0
Symptoms
2
Clinical Trials

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.