- |||||||||| Ocaliva (obeticholic acid) / Intercept
METABOLIC DISEASE TREATMENT BY MIR-22 INHIBITOR AND OBETICHOLIC ACID VIA FGF21 AND FGFR1 INDUCTION (Hynes Convention Center, Hall B) - Sep 29, 2019 - Abstract #AASLD2019AASLD_1654; The simultaneous induction of miR-22 as well as FGF21 and its receptor by metabolic stimulators may maintain FGF21 sensitivity and restrict persistent ERK1/2 activation. Reducing miR-22 enhances hepatic FGF21 and activates AMPK, which is an effective approach to improving insulin sensitivity and treating steatosis.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
OBETICHOLIC ACID IMPROVES HEPATOBILIARY SECRETION OF BILE ACIDS IN PATIENTS WITH PBC (Hynes Convention Center, Hall B) - Sep 29, 2019 - Abstract #AASLD2019AASLD_1474; This 11 C-CSar PET study in PBC patients shows that OCA improves the hepatic uptake and biliary secretion of bile acids thus reducing bile acid load in the hepatocytes. These “first-in-man” findings demonstrate OCA-mediated anti-cholestatic effects and increase the understanding of PBC pathophysiology.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Trial completion date, Trial primary completion date: Phase 2 Study of Obeticholic Acid for Lipodystrophy Patients (clinicaltrials.gov) - Sep 23, 2019 P2, N=20, Recruiting, TGR5 is thus involved in regulating water metabolism in the kidney. Trial completion date: Dec 2019 --> Dec 2020 | Trial primary completion date: Jun 2019 --> Jun 2020
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Enrollment change: Role of Obeticholic Acid in the Patients of NAFLD With Raised ALT (clinicaltrials.gov) - Sep 16, 2019 P=N/A, N=70, Recruiting, CDAA-fed rats develop early-onset progressive NASH, which offers the opportunity to probe anti-NASH compounds with potential disease-modifying properties. N=150 --> 70
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Journal: Metabolism of obeticholic acid in brown bullhead (Ameiurus nebulosus). (Pubmed Central) - Sep 16, 2019 In addition, metabolites of obeticholic acid (sulphate and glucuronide) and several hydroxy-obeticholic acid derivatives were found, representing typical pathways of primary and secondary steroid metabolism. Brown bullhead exposed to obeticholic acid at a dose of 100 mg/kg gave no overt signs of distress or toxicity.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Biomarker, Review, Journal: Drug Development for Nonalcoholic Fatty Liver Disease: Landscape and Challenges. (Pubmed Central) - Sep 15, 2019 Smooth collaboration between bench scientists, biotechnology, pharmaceutical industries, and clinicians will be pivotal to target identification, development of effective therapies, biomarker discovery, and ultimately to bring pipeline drugs to market. This review examines the key challenges remaining in NAFLD drug development, outlines early and late phase clinical trials of candidate treatments, and discusses the journey toward biomarker discovery which may facilitate development of novel endpoints in NAFLD clinical trials, enabling meaningful response to be determined noninvasively.
- |||||||||| Lacromid (bezafibrate) / Remedica
Review, Journal: Primary biliary cholangitis-established and novel therapies (Pubmed Central) - Sep 14, 2019 Patients with insufficient treatment response or risk factors have to be treated consequently. Due to the improved anti-cholestatic treatment options, therapies to reduce fatigue and pruritus are increasingly important.
- |||||||||| tropifexor (LJN452) / Novartis, Ocaliva (obeticholic acid) / Intercept, cilofexor (GS-9674) / Gilead
Clinical, Journal: Nonsteroidal FXR Ligands: Current Status and Clinical Applications. (Pubmed Central) - Sep 14, 2019 Clinical efficacy superior to most other treatment options was shown by FXR agonists such as obeticholic acid (OCA) as they improved various metabolic features including liver steatosis as well as liver inflammation and fibrosis...Therefore a quest for novel, proprietary FXR agonists is ongoing with the aim to increase FXR potency and selectivity over other proteins and to overcome at least some of the OCA-associated clinical side effects through an improved pharmacology. In this chapter we will discuss the historical and ongoing efforts in the identification and development of nonsteroidal, which largely means non-bile acid-type, FXR agonists for clinical use.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Biomarker, Journal: Obeticholic Acid: An Update of Its Pharmacological Activities in Liver Disorders. (Pubmed Central) - Sep 14, 2019 Phase II and III trials have shown that OCA might attenuate the severity of liver fibrosis in patients with NASH, but it has no efficacy in reversing the steatotic component of the disease, while reduces the circulating levels of HDL-C and increases LDL-C. In summary, OCA has been the first-in-class of FXR ligands advanced to a clinical stage and is now entering its third decade of life, highlighting the potential benefits and risk linked to FXR-targeted therapies.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Journal: The Pharmacology of Bile Acids and Their Receptors. (Pubmed Central) - Sep 14, 2019 Currently, in addition to obeticholic acid, a semisynthetic derivative of CDCA and the first in class of FXR ligands approved for clinical use, either selective or dual FXR and GPBAR1 ligands, have been developed, and some of them are undergoing pre-approval trials. The effects of FXR and GPBAR1 ligands in different therapeutic area are reviewed.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Journal: Targeting FXR in Cholestasis. (Pubmed Central) - Sep 14, 2019 Further FXR agonists as well as a FGF19 analogue are currently tested in clinical trials for different cholestatic liver diseases. This chapter will summarize the current knowledge on the role of FXR in cholestasis both in rodent models and in human diseases.
- |||||||||| Ocaliva (obeticholic acid) / Intercept
Trial completion date, Trial primary completion date: Role of Obeticholic Acid in the Patients of NAFLD With Raised ALT (clinicaltrials.gov) - Sep 11, 2019 P=N/A, N=150, Recruiting, This chapter will summarize the current knowledge on the role of FXR in cholestasis both in rodent models and in human diseases. Trial completion date: Oct 2019 --> Mar 2020 | Trial primary completion date: Jul 2019 --> Dec 2019
- |||||||||| INT-767 / Intercept
Journal: Simultaneous inhibition of FXR and TGR5 exacerbates atherosclerotic formation. (Pubmed Central) - Sep 11, 2019 We demonstrated that 1) FXR and TGR5 dual deficiency exacerbated the development of atherosclerosis and 2) the anti-atherogenic effect of INT-767 requires the anti-inflammatory effect but not the lipid-lowering effect through the simultaneous activation of FXR and TGR5. Our results indicate that dual activation of FXR and TGR5 is a promising strategy for treating atherosclerosis.
- |||||||||| P3 data, Review, Journal: Phase 3 drug pipelines in the treatment of NASH. (Pubmed Central) - Sep 10, 2019
However, the fact that the race to develop an effective drug against NASH has reached the home stretch, with five drug candidates (obeticholic acid, elafibranor, selonsertib, cenicriviroc, and resmetirom) in phase 3 stage of the trial, is welcome news for patients. The very earliest a NASH drug could hit the market is 2021, assuming all goes well as planned.
- |||||||||| INT-767 / Intercept
Journal: INT-767 prevents NASH and promotes visceral fat brown adipogenesis and mitochondrial function. (Pubmed Central) - Aug 23, 2019 INT-767 also induces a significant reduction of fatty acid synthesis and fibrosis markers, while increasing lipid handling, insulin signaling and mitochondrial markers. In conclusion, INT-767 significantly counteracts HFD-induced liver and fat alterations, restoring insulin sensitivity and prompting preadipocytes differentiation toward a metabolically healthy phenotype.
- |||||||||| Ocaliva (obeticholic acid) / Intercept, azathioprine orodispersible / Generic Mfg.
Primary Biliary Cholangitis With Autoimmune Hepatitis Overlap in Twin Males: A Unique Case of Related Autoimmune Diseases (Exhibit Halls 3 and 4 (Street Level)) - Aug 8, 2019 - Abstract #ACG2019ACG_3026; Although it is known that PBC and AIH are associated with human leukocyte antigen genes on chromosome 6, further study of the association between these disorders is limited by the paucity of patients. Early diagnosis of this condition is essential to prevent liver related complications with medical management.
- |||||||||| bile acid cholic acid (INT-777) / Intercept
Journal: Lysophosphatidic acid activates satellite glia cells and Schwann cells. (Pubmed Central) - Aug 1, 2019 Peripheral rat Schwann cells, which are of glial lineage as the satellite glia cells, were also responsive to LPA 18:1. Summarizing, LPA 18:1 primarily activates rather glial cells than neurons, which may subsequently modulate neuronal responsiveness and sensory sensations such as itch and pain.
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