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FDA Expands LIVMARLI Label for PFIC Patients

FDA expands LIVMARLI's label for treating cholestatic pruritus in PFIC patients aged 12 months and older.

Mrudula Kulkarni
By Mrudula Kulkarni
Managing Editor - Pharma Now
Jul 27, 2024Updated Jun 26, 2025 · 2 min read
FDA Expands LIVMARLI Label for PFIC Patients
https://www.pharmaceutical-technology.com/news/fda-mirum-livmarli/
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Reviewed by Mrudula Kulkarni, Managing Editor - Pharma Now

The FDA has authorised a label expansion for LIVMARLI® (maralixibat) oral solution, which is intended to treat cholestatic pruritus in patients with progressive familial intrahepatic cholestasis (PFIC). This announcement was made by Mirum Pharmaceuticals today. The higher concentration formulation of LIVMARLI, which was assessed in the MARCH Phase 3 research, and usage in PFIC patients aged 12 months and above are included in the enlarged label.

According to Chris Peetz, CEO of Mirum, "the launch of LIVMARLI in PFIC is going well, and we are thrilled that it will now be available for patients 12 months and older." Children with PFIC are typically identified while they are young, and starting therapy as soon as possible can assist to guarantee that they experience fewer days of pruritus related to this condition.

The U.S. Food and Drug Administration has authorised LIVMARLI® (maralixibat) oral solution, a once-daily ileal bile acid transporter (IBAT) inhibitor, for the treatment of two paediatric cholestatic liver disorders. In the United States and Europe, it is authorised for the treatment of cholestatic pruritus in individuals with Alagille syndrome (ALGS) who are three months of age or older. Additionally, it is licensed in Europe for the treatment of progressive familial intrahepatic cholestasis (PFIC) in patients three months of age and older, as well as in the United States for the treatment of cholestatic pruritus in patients 12 months of age and older.

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Mrudula Kulkarni
Written by
Mrudula Kulkarni
Managing Editor - Pharma Now

My international experience as a researcher in Taiwan for three years has equipped me with a global perspective, enabling me to create content that resonates with an international audience.



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