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Marcelo Kugelmas

Marcelo Kugelmas

Gastroenterologist and Director of Hepatology and Clinical Research at South Denver Gastroenterology in the Denver area.

Sep 22, 2026

1:26
So, Marcelo, how do you approach management of pruritus in these patients? And is this an unmet need?
1:32
Yes, Christina.
1:34
There are multiple interventions that we can try for patients with cholestatic pruritus.
1:39
I typically use non-sedating antihistamines during the day and sedating ones at nighttime.
1:45
If these do not work, bile acid resins, such as cholestyramine, are typically tried.
1:51
Other drugs that can be used, including sertraline, naltrexone, or rifampin, we use from time to time.
1:59
Some providers suggest using phototherapy or even going as far as using plasmapheresis with albumin dialysis for severe refractory cases.
3:22
Arsal, can you briefly review for us the Phase III GLSEN study, including efficacy and safety?
1:26
So, Marcelo, how do you approach management of pruritus in these patients? And is this an unmet need?
1:32
Yes, Christina.
1:34
There are multiple interventions that we can try for patients with cholestatic pruritus.
1:39
I typically use non-sedating antihistamines during the day and sedating ones at nighttime.
1:45
If these do not work, bile acid resins, such as cholestyramine, are typically tried.
1:51
Other drugs that can be used, including sertraline, naltrexone, or rifampin, we use from time to time.
1:59
Some providers suggest using phototherapy or even going as far as using plasmapheresis with albumin dialysis for severe refractory cases.
3:22
Arsal, can you briefly review for us the Phase III GLSEN study, including efficacy and safety?

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