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Ursodeoxycholic acid

Generic Name
Ursodeoxycholic acid
Brand Names
Reltone, Urso, Urso Forte
Drug Type
Small Molecule
Chemical Formula
C24H40O4
CAS Number
128-13-2
Unique Ingredient Identifier
724L30Y2QR
Background

Ursodeoxycholic acid (UDCA), also known as ursodiol, is a naturally-occurring bile acid that constitutes a minor fraction of the human bile acid pool. UDCA has been used to treat liver disease for decades: its first use in traditional medicine dates back more than a hundred years. UDCA was first characterized in the bile of the Chinese black bear and is formed by 7b-epimerization of chenodeoxycholic acid, which is a primary bile acid. Due to its hydrophilicity, UDCA is less toxic than cholic acid or chenodeoxycholic acid.

UDCA was first approved by the FDA in 1987 for dissolution of gallstones and for primary biliary cirrhosis in 1996. UDCA works by replacing the hydrophobic or more toxic bile acids from the bile acid pool.

Indication

Ursodeoxycholic acid is indicated for the treatment of patients with primary biliary cholangitis.

It is used for the short-term treatment of radiolucent, noncalcified gallbladder stones in patients selected for elective cholecystectomy. It is also used to prevent gallstone formation in obese patients experiencing rapid weight loss.

Associated Conditions
Gallstones, Primary Biliary Cholangitis

Glucocorticoids for Acute Drug Induced Liver Injury With Hyperbilirubinemia

Not Applicable
Not yet recruiting
Conditions
Drug Induced Liver Injury
Interventions
First Posted Date
2025-04-10
Last Posted Date
2025-04-10
Lead Sponsor
General Hospital of Shenyang Military Region
Target Recruit Count
232
Registration Number
NCT06922669
Locations
🇨🇳

Department of Gastroenterology, General Hospital of Northern Theater Command (formerly called General Hospital of Shenyang Military Area), Shenyang, Liaoning, China

Prevention of Recurrence of Clostridioides Difficile Colitis with Ursodeoxycholic Acid (UCDA) As a Supplement to Standard Therapy

Early Phase 1
Not yet recruiting
Conditions
Clostridioides Difficile Infection
Interventions
First Posted Date
2025-03-19
Last Posted Date
2025-03-19
Lead Sponsor
Medical College of Wisconsin
Target Recruit Count
30
Registration Number
NCT06884748
Locations
🇺🇸

Daniel Stein, Milwaukee, Wisconsin, United States

Obeticholic Acid Versus Placebo, in Combination with Ursodeoxycholic Acid in Patients with Primary Biliary Cirrhosis

Phase 3
Completed
Conditions
PBC
Interventions
Drug: Placebo
First Posted Date
2024-12-04
Last Posted Date
2024-12-04
Lead Sponsor
Shanghai Fudan-Zhangjiang Bio-Pharmaceutical Co., Ltd.
Target Recruit Count
100
Registration Number
NCT06715319
Locations
🇨🇳

The First Hospital of Jilin University, Changchun, Jilin, China

Efficacy and Safety of Ursodeoxycholic Acid in Reversing Gastric Intestinal Metaplasia: A Multicenter, Placebo, Randomized Controlled Trial

Phase 4
Not yet recruiting
Conditions
Gastric Intestinal Metaplasia
Interventions
First Posted Date
2024-09-24
Last Posted Date
2024-09-24
Lead Sponsor
Yongquan Shi
Target Recruit Count
196
Registration Number
NCT06610760

A Pilot Study of Fenofibrate and Ursodeoxycholic Acid in the Treatment of Newly Diagnosed Primary Biliary Cholangitis

Early Phase 1
Conditions
Primary Biliary Cholangitis (PBC)
Interventions
First Posted Date
2024-09-19
Last Posted Date
2024-12-27
Lead Sponsor
Han Ying
Target Recruit Count
30
Registration Number
NCT06591455
Locations
🇨🇳

Xijing hospital, Xi'an, Shaanxi, China

A Multicenter, Randomized, Controlled Trial of Prednisone Combined with Ursodeoxycholic Acid in the Treatment of Primary Biliary Cholangitis with Moderate to Severe Interface Hepatitis Characteristics

Phase 2
Conditions
Primary Biliary Cholangitis (PBC)
Interventions
First Posted Date
2024-09-19
Last Posted Date
2024-12-27
Lead Sponsor
Han Ying
Target Recruit Count
244
Registration Number
NCT06591468
Locations
🇨🇳

Xijing hospital, Xi'an, Shaanxi, China

Efficacy & Safety of Oral Adjuvants to Phototherapy in Neonatal Hyperbilirubinemia

Phase 4
Not yet recruiting
Conditions
Neonatal Hyperbilirubinemia
Interventions
First Posted Date
2024-07-24
Last Posted Date
2024-08-09
Lead Sponsor
Amira Adel Fouly
Target Recruit Count
80
Registration Number
NCT06517862
Locations
🇪🇬

Neonatal Intensive Care Unit (NICU) of Ain Shams University Hospitals, Cairo, Egypt

Fenofibrate in Patients With Primary Biliary Cholangitis (PBC)

Phase 2
Recruiting
Conditions
Primary Biliary Cholangitis
Interventions
First Posted Date
2024-04-15
Last Posted Date
2024-04-15
Lead Sponsor
Xijing Hospital of Digestive Diseases
Target Recruit Count
117
Registration Number
NCT06365424
Locations
🇨🇳

Xijing Hospital, Xi'an, Shaanxi, China

Study to Evaluate the Efficacy and Safety of DWJ1464 in Patients with Chronic Liver Disease

Phase 4
Completed
Conditions
Chronic Liver Disease
Interventions
Drug: Placebo of DWJ1464
First Posted Date
2024-02-22
Last Posted Date
2024-12-30
Lead Sponsor
Daewoong Pharmaceutical Co. LTD.
Target Recruit Count
263
Registration Number
NCT06272630
Locations
🇰🇷

SoonChunHyang University Seoul Hospital, Seoul, Korea, Republic of

Fenofibrate in Combination with Ursodeoxycholic Acid in Primary Biliary Cholangitis

Phase 2
Recruiting
Conditions
Primary Biliary Cholangitis
Interventions
First Posted Date
2023-12-18
Last Posted Date
2024-12-27
Lead Sponsor
Han Ying
Target Recruit Count
184
Registration Number
NCT06174402
Locations
🇨🇳

The second hospital of Lanzhou University, Lanzhou, Gansu, China

🇨🇳

Jiangsu Province Hospital, Nanjing, Jiangsu, China

🇨🇳

Nanjing Drum Tower Hospital, Nanjing, Jiangsu, China

and more 6 locations
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