A New Novel Drug Could Impact the #1 Symptom of PBC

By 
PicnicHealth Team
November 1, 2022
Blog post originally written by the AllStripes community team. AllStripes was acquired by PicnicHealth in 2023.

Even though Primary Biliary Cholangitis (PBC) is considered a rare disease, it is the most common chronic cholestatic liver disease found in adult women. Thousands of people are living with this disease right now, the majority of which have itching symptoms. The “itch” is known as cholestatic pruritus and it is the biggest needed treatment area related to PBC. Not enough has been done to improve the quality of life with PBC as many have a constant itch that creates issues in every aspect of their life. 

Some of the problems patients face include:  

  • Skin issues: Many develop welts from scratching so hard or other skin irritation issues. 
  • Social anxiety: Many patients are unable to go to social activities or be in public because of the constant itch. 
  • Emotional stress: Dealing with such an irritating symptom can cause plenty of emotional stress and frustration among patients. It can feel like nothing is ever going to get better. 
  • Cognitive function: Not being able to focus on anything but the itch can cause cognitive issues and generally being able to live in the moment. 

No new therapies have been approved to treat this itch in PBC since the 1960s. This is why PicnicHealth has developed a research partner that is looking to develop a novel drug for these symptoms. The drug is currently in Phase 2b and needs more data in order to take the next necessary step in the process. 

The itch is typically underreported in medical records so it has been difficult for our partner to paint the unmet need picture. They need to discuss the itch symptoms with as many patients as possible in order to better provide the necessary information to decision-makers. Providing information on your, or your loved one’s, itch symptoms could drive this novel drug forward and potentially help this firm establish a solution to one of the largest struggles those with PBC are living with every day. 

Find out how you can help contribute the needed information to help build the foundation for those that are diagnosed today and will be tomorrow.

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Create a List

List the names of all the doctors, hospitals, and other facilities your loved one visits regularly, along with those they have visited in the past. Try to go back as far as you can, striving for at least the last 5-10 years, but do your best. Even if you can’t remember them all, having a strong baseline can help you quickly identify gaps in records.

Ensure You Have the Appropriate Legal Status

It is important to make sure that you are fully empowered to make decisions on behalf of your loved one with Alzheimer’s. Your relationship status with the patient may not be enough to legally give you access to your loved one's medical information. It is a good idea to talk to an expert about securing special legal status, such as Power of Attorney (POA), a legal document that allows an individual to name someone as their decision maker should they no longer be able to make decisions on their own.

Gather and Organize the Medical Records in One Place

It’s important to have all of your loved one’s medical records together in one spot. This makes it much easier for you and your loved one’s physicians to accurately map the patient’s medical journey and more easily share information between doctors. Fortunately, tools exist to make record management and access simple. A free resource like PicnicHealth helps you collect and organize all of this information. PicnicHealth’s intuitive timeline allows you to pinpoint data across the medical history, eliminating your need for keeping heavy binders filled with paper records or keeping track of multiple software portal logins.

Review the Medical Records to be an Informed Advocate

The better you understand your loved one's medical history, the better you can advocate on their behalf. Access and understanding of this information will help you to ask informed questions with physicians. Through regular communication backed by the data in the medical records, you can help your loved one’s care team develop a more successful care plan.

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Together, we can make a difference.

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1

Build a support network.

When you’re juggling appointment times and insurance claims, putting a robust support system together might not strike you as the most urgent task. Investing the time to cultivate relationships with people can turn to in times of need will pay dividends. The next time you need a last-minute ride or just someone to listen, you won’t be on your own.

There are many condition-specific support groups and support groups for caregivers generally in person or online. In addition to the encouragement and empathy they provide, support groups can be a helpful source of tips, resources, and recommendations for navigating caregiving.

2

Stay organized.

The backbone of effective caregiving is organization. Keep medical information, appointment schedules, and medication lists in order. Use a planner or a digital service like PicnicHealth to stay on top of your responsibilities. This attention to detail can prevent future complications and reduce day-to-day stress.

3

Explore treatments and clinical trials.

We’ve seen incredible breakthroughs in treatment over the past couple of years, powered by patients and their caregivers participating in research. Stay in the loop about the latest in medical advancements and available resources that could benefit your loved one. Whether it’s a new therapy option or a community service that aids independence, being informed can make a world of difference in the quality of care you provide.

4

Make time for self-care.

It may seem self-centered to focus on self-care—but when you feel good, you can be a better caregiver. Whether it’s exercise, a mindfulness practice, a soak in the bath, or just time to rest when you need it, carve out those moments in the day when you can unwind, reset, and stay healthy mentally and physically. Think of it as building up your reserves of kindness, patience, and understanding—which can only benefit your loved one. No one can pour from an empty cup.

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LC-FAOD Odyssey: A Preliminary Analysis, presented at INFORM 2021

Data from real-world medical records:

(from 13 patients with LC-FAOD)

16 yrs old

Median age at enrollment

38% Female

15 providers / patient

7.5 years of data / patient

Data from patient-reported outcome (PRO) survey

(from 13 patients with LC-FAOD)

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However, it's important to consult with a healthcare provider or registered dietitian to determine the appropriate amount of protein for your individual needs. In general, a diet with moderate protein intake (about 0.8 grams per kilogram of body weight per day) is recommended for people with kidney diseases.

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