Seladelpar is a peroxisome proliferator-activated receptor (PPAR)-delta (δ) agonist. Seladelpar is a single enantiomer of the R-configuration.[L51149] On August 14, 2024, seladelpar was granted accelerated approval by the FDA for the treatment of primary biliary cholangitis,[L51154] which is a condition associated with aberrant bile acid metabolism. Seladelpar works to block bile acid synthesis.[A264234]
Seladelpar is indicated for the treatment of primary biliary cholangitis (PBC) in combination with [ursodeoxycholic acid] (UDCA) in adults who have had an inadequate response to UDCA, or as monotherapy in patients unable to tolerate UDCA.[L51149] This indication is approved under accelerated approval and is subject to change. Use of seladelpar is not recommended in patients who have or develop decompensated cirrhosis (e.g., ascites, variceal bleeding, hepatic encephalopathy).[L51149]
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