Zydus Saroglitazar NDA gets US FDA Priority Review for PBC
Zydus Lifesciences announced that the US FDA granted Priority Review to its NDA for Saroglitazar to treat Primary Biliary Cholangitis. The PDUFA target action date is November 27, 2026. The EPICS-III Phase 3 trial demonstrated a statistically significant biochemical response, with 56.7% of treated patients achieving response versus 9.8% on placebo. Zydus Therapeutics plans to launch the drug in the US in Q4 of FY 27, subject to approval.

*this image is generated using AI for illustrative purposes only.
Zydus Lifesciences has received a US FDA Priority Review designation for its New Drug Application (NDA) for Saroglitazar, intended to treat Primary Biliary Cholangitis (PBC). The US FDA has assigned a Prescription Drug User Fee Act (PDUFA) target action date of November 27, 2026. This regulatory milestone is supported by positive Phase 3 results from the EPICS-III trial, which demonstrated a statistically significant biochemical response in patients treated with Saroglitazar compared to placebo.
EPICS-III Trial Results
The EPICS-III trial was a randomized, double-blind, placebo-controlled study evaluating Saroglitazar in adult patients with PBC who had an inadequate response to or intolerance of ursodeoxycholic acid (UDCA). The study met its primary endpoint at Week 52, showing a clinically meaningful biochemical response. The following table summarizes the key efficacy findings:
| Parameter: | Saroglitazar | Placebo |
|---|---|---|
| Biochemical Response | 56.7% | 9.8% |
| Treatment Difference | 48% (95% CI: 35.3, 60.8) | |
| P-value | < 0.001 | |
| Mean ALP Reduction | -33.5% | +6.5% |
| ALP Treatment Difference | -40.1% |
Patients receiving Saroglitazar achieved a reduction in alkaline phosphatase (ALP) levels of 33.5%, compared to a 6.5% increase in the placebo group. The treatment difference in mean ALP levels was 40.1%. Among participants with baseline ALP ≤ 3 × ULN, biochemical response was 83.1% for Saroglitazar versus 14.7% for placebo.
Safety and Secondary Endpoints
Saroglitazar was generally well-tolerated in the trial. Serious adverse events were reported in 6.3% of patients in the Saroglitazar group versus 11.1% in the placebo group. No treatment-related deaths were reported. As a secondary endpoint, patients treated with Saroglitazar experienced a statistically significant reduction in pruritus at Week 24 compared to placebo, with a change from baseline in 5-D Itch Total score of -5.9 versus -2.7.
Regulatory Pathway and Launch Plans
The Priority Review designation directs US FDA attention and resources to applications for drugs that may provide significant improvements in the treatment of serious conditions. Zydus Therapeutics, a wholly owned subsidiary of Zydus Lifesciences, plans to launch Saroglitazar in the United States in Q4 of FY 27, subject to approval. The data from the EPICS-III trial will be presented as a late-breaking session at the European Association for the Study of the Liver (EASL) Congress in Barcelona, Spain on May 30, 2026.
Historical Stock Returns for Zydus Life Science
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -0.75% | +3.54% | +14.69% | +14.99% | +17.38% | +71.92% |
How will Saroglitazar differentiate itself from existing and pipeline therapies for PBC in terms of efficacy and safety?
What market share can Zydus realistically capture in the US PBC treatment landscape upon launch?
Will the positive pruritus data allow Zydus to pursue expanded labeling for symptomatic relief in addition to biochemical improvement?


































