A Study Evaluating the Safety, Tolerability, and Efficacy of Aramchol Meglumine in Primary Sclerosing Cholangitis

Inclusion Criteria: Male or female age 18 years and above (inclusive at first screening visit) Established diagnosis of large duct PSC based on abnormal cholangiography as assessed by magnetic resonance cholangiopancreatography (MRCP) or Endoscopic retrograde cholangiopancreatography (ERCP) Alkaline phosphatase > 150 IU/l Stable inflammatory bowel disease therapy > 3months for IBD patients If receiving treatment with Ursodeoxycholic acid (UDCA; ursodiol), therapy is at a dose of <20 mg/kg/day, has been stable for at least 6 months before screening Ability to understand the nature of the study and to sign a written informed consent form (ICF) Exclusion Criteria: Other causes of liver disease, including secondary sclerosing cholangitis or viral, metabolic, or alcoholic liver disease, as assessed clinically Active Crohn's disease (CDAI > 40) or ulcerative colitis (Mayo IBD score > 4) or active non-hemorrhoidal rectal bleeding Small bowel resection > 100 cm Cirrhosis (clinically evident or by biopsy) Prior hepatic decompensation event Recent (< 6 weeks) acute cholangitis or hospitalization for PSC or IBD Bleeding diathesis or other contraindication for liver biopsy Known GI or hepatobiliary malignancy Prior liver transplantation Prior exposure to study drug Active untreated viral hepatitis or other concomitant liver disease