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Publication Name World Journal of Hepatology
Manuscript ID 121491
Country Slovakia
Received
2026-03-26 03:45
Peer-Review Started
2026-03-26 03:45
First Decision by Editorial Office Director
2026-06-10 05:46
Return for Revision
2026-06-10 05:46
Revised
2026-06-23 07:59
Publication Fee Transferred
Second Decision by Editor
2026-07-09 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-09 08:36
Articles in Press
2026-07-09 08:36
Edit the Manuscript by Language Editor
2026-07-14 13:06
Typeset the Manuscript
2026-08-11 00:41
Publish the Manuscript Online
2026-08-18 03:51
ISSN 1948-5182 (online)
Open Access Open-Access: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Review
Article Title Second-line treatment of primary biliary cholangitis: To whom, what molecule, and when
Manuscript Source Invited Manuscript
All Author List Sylvia Drazilova, Peter Jarcuska, Tomas Koky, Martin Harhovsky, Slavomira Komarova, Jan Vasil and Martin Janicko
ORCID
Author(s) ORCID Number
Sylvia Drazilova http://orcid.org/0000-0003-2448-6757
Peter Jarcuska http://orcid.org/0000-0001-6169-9984
Tomas Koky http://orcid.org/0000-0003-1932-055X
Martin Janicko http://orcid.org/0000-0002-3329-3968
Funding Agency and Grant Number
Corresponding Author Peter Jarcuska, MD, PhD, Professor, 2nd Department of Internal Medicine, PJ Safarik University, Faculty of Medicine and L Pasteur University Hospital, Trieda SNP 1, Kosice 04011, Slovakia. peter.jarcuska@upjs.sk
Key Words Primary biliary cholangitis; Ursodeoxycholic acid; Second-line treatment; Elafibranor; Seladelpar; Therapeutic response
Core Tip Primary biliary cholangitis (PBC) is a disease with increasing prevalence, particularly in developed countries. First-line treatment of choice is ursodeoxycholic acid (UDCA), but only about two-thirds of patients achieve biochemical response. UDCA nonresponders have a higher risk of liver cirrhosis decompensation and poorer transplant-free survival. These patients should be considered for second-line therapy. This review provides a comprehensive overview of second-line treatment indications, selection of the most appropriate medication, timing of therapy initiation, benefits, and adverse effects of therapy, as well as the administration of second-line treatment in specific groups of PBC patients.
Publish Date 2026-08-18 03:51
Citation

Drazilova S, Jarcuska P, Koky T, Harhovsky M, Komarova S, Vasil J, Janicko M. Second-line treatment of primary biliary cholangitis: To whom, what molecule, and when. World J Hepatol 2026; 18(8): 121491

URL https://www.wjgnet.com/1948-5182/full/v18/i8/121491.htm
DOI https://doi.org/10.4254/wjh.121491
Full Article (PDF) WJH-18-121491-with-cover.pdf
Manuscript File 121491_Auto_Edited_005459.docx
Answering Reviewers 121491-answering-reviewers.pdf
Audio Core Tip 121491-audio.mp3
Conflict-of-Interest Disclosure Form 121491-conflict-of-interest-statement.pdf
Copyright License Agreement 121491-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 121491-non-native-speakers.PDF
Peer-review Report 121491-peer-reviews.pdf
Scientific Misconduct Check 121491-scientific-misconduct-check.png
Scientific Editor Work List 121491-scientific-editor-work-list.pdf
CrossCheck Report 121491-crosscheck-report.pdf