- |||||||||| pemvidutide (ALT-801) / Altimmune
Clinical, Journal: Effect of pemvidutide, a GLP-1/glucagon dual receptor agonist, on MASLD: A randomized, double-blind, placebo-controlled study. (Pubmed Central) - Dec 18, 2024 P1 In future, more efforts, such as mutation to FGF21 or linking FGF21 with effective antibody to form dual targets, could be done to obtain more effective FGF21 analogs. In patients with MASLD, weekly pemvidutide treatment yielded significant reductions in LFC, markers of hepatic inflammation, and body weight compared to placebo.
- |||||||||| MASH 2B TRIALS- A SYSTEMATIC REVIEW () - Oct 15, 2024 - Abstract #AASLD2024AASLD_2363;
Lanifibranor and icosabutate showed promise, especially in T2D patients. FGF21 analogues like efruxifermin improved fibrosis, while FGF19 trials had variable results.
- |||||||||| aldafermin (NGM282) / NGM Biopharma, efruxifermin (AKR-001) / Akero Therap, pegozafermin (BIO89-100) / 89Bio
Fibroblast Growth Factor Analogues in Metabolic Dysfunction Associated Steatotic Liver Disease: A Network Meta-Analysis (Exhibit Hall E) - Aug 20, 2024 - Abstract #ACG2024ACG_3435; Twelve RCTs comprising 1,420 patients with MASLD were included, involving four FGF agonists: efruxifermin, aldafermin, pegbelfermin, and pegozafermin at various doses. Most significant mean reduction in hepatic fat fraction (HFF) [MD = -67.98, 95% CI [-102.12; -33.84], P 30% [RR=4.68, 95% CI [2.57; 7.97], P1 stage without MASH worsening followed by efruxifermin at 50 mg ( P =0.04).
- |||||||||| efruxifermin (AKR-001) / Akero Therap
Insulin-Sensitizing Effects of Efruxifermin Improve Glycemic Control in Patients with MASH and Type 2 Diabetes (Poster Hall (West A4-B2); 897) - May 20, 2024 - Abstract #ADA2024ADA_2904; EFX has consistently improved markers of whole-body glucose and lipid metabolism in patients with MASH and T2D, even on top of stable T2D medications including GLP-1RA. EFX-mediated insulin sensitization may potentiate effects of insulin or insulin secretagogues, possibly enabling patients to reduce use of insulin and/or other T2D medications to mitigate weight gain, incidence of hypoglycemia, or other side effects.
- |||||||||| Mounjaro (tirzepatide) / Eli Lilly, efruxifermin (AKR-001) / Akero Therap
Tirzepatide and Efruxifermin Demonstrate Therapeutic Benefits for NASH in a Preclinical Metabolic Syndrome Animal Model, B6-Alms1-del Mice (Poster Hall (West A4-B2); 1639) - May 20, 2024 - Abstract #ADA2024ADA_2586; Consistently, Efruxifermin treatment exhibited more significant NASH resolution than Tirzepatide treatment.In summary, we demonstrated the therapeutic effects of Tirzepatide and Efruxifermin in B6-Alms1-del mice, which aligned with recent clinical observations. Consequently, B6-Alms1-del mice could serve as a valuable model for preclinical studies of anti-NASH agents targeting GLP-1R/GIPR and FGF21.
- |||||||||| Comparative efficacy of pharmacologic therapies in MASH: Systematic review and meta-analysis (New Hall) - Jan 6, 2024 - Abstract #APASL2024APASL_707;
For MRI-PDFF response, Aldafermin (SUCRA = 92.61), Efruxifermin (SUCRA = 81.00) and Resmetirom (SUCRA = 55.54) had the highest probability of being ranked the most effective intervention for achieving MRI-PDFF response at week 12. These data provide relative rank-order efficacy of various MASH therapies in terms of improvements in MRI-PDFF.
- |||||||||| efruxifermin (AKR-001) / Amgen
Journal: Efruxifermin in non-alcoholic steatohepatitis. (Pubmed Central) - Nov 13, 2023 These data provide relative rank-order efficacy of various MASH therapies in terms of improvements in MRI-PDFF. No abstract available
- |||||||||| Lipaglyn (saroglitazar) / Zydus Lifesci, efruxifermin (AKR-001) / Amgen, lanifibranor (IVA337) / Inventiva
Review, Journal: Emerging therapeutic options for non-alcoholic fatty liver disease: A systematic review. (Pubmed Central) - Sep 13, 2023 The data analyzed in this review showed clinically significant improvement in individual histological features of NAFLD in both animal and human trials for all four classes, as well as good safety profiles (P < 0.05). We believe this compilation of information will have positive clinical implications in obtaining an FDA-approved therapy for NAFLD.
- |||||||||| efruxifermin (AKR-001) / Amgen
Review, Journal: Efruxifermin, an investigational treatment for fibrotic or cirrhotic non-alcoholic steatohepatitis (NASH). (Pubmed Central) - Jul 17, 2023 While some other FGF-21 agonists (e.g. pegbelfermin) are currently not further investigated, available evidence supports the development of EFX as a promising anti-NASH drug in fibrotic and cirrhotic populations. However, antifibrotic efficacy, long-term safety and benefits (i.e. cardiovascular risk, decompensation events, disease progression, liver transplantation, mortality) remain to be determined.
- |||||||||| efruxifermin (AKR-001) / Amgen
Characterization of the patterns of resolution of histopathology after efruxifermin treatment of patients with NASH fibrosis (F2/3) for 24 weeks (Poster Area) - Apr 12, 2023 - Abstract #EASLILC2023EASL_ILC_1943; EFX 50mg demonstrated striking rates of ballooning resolution, associated with improved NAS, SAF-Activity and total SAF scores. Resolution of histopathology was mirrored by normalization of non-invasive biomarkers of NASH disease activity (ALT, AST) and fibrogenesis (Pro-C3) in the majority (>60%) of treated patients.3 Evaluation of qualitative patterns of regression of NASH and fibrosis with EFX may be useful in understanding the breadth of response across the NASH population and assessing the potential for further improvements with longer-term treatment.
- |||||||||| BOS-580 / Boston Pharma, efruxifermin (AKR-001) / Amgen
Review, Journal: Fibroblast Growth Factor-21 as a Potential Therapeutic Target of Nonalcoholic Fatty Liver Disease. (Pubmed Central) - Jan 31, 2023 However, the definite effect of FGF-21 on NAFLD may be clarified after the completion of the ongoing clinical trials with paired liver biopsies and histological endpoints. The aim of this review is to critically summarize experimental and clinical data of FGF-21 in NAFLD, in an attempt to highlight existing knowledge and areas of uncertainty, and subsequently, to focus on the potential therapeutic effects of FGF-21 and its analogs in NAFLD.
- |||||||||| efruxifermin (AKR-001) / Amgen
EFRUXIFERMIN (EFX) IN NONALCOHOLIC STEATOHEPATITIS WITH FIBROSIS: RESULTS FROM A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PHASE 2b TRIAL (HARMONY) (Ballroom ABC) - Nov 2, 2022 - Abstract #AASLD2022AASLD_2394; EFX significantly improved liver histology, LFC, and noninvasive markers of liver injury, fibrosis, and glucose and lipid metabolism in patients with F2/F3 fibrosis due to NASH. Both doses of EFX were generally well-tolerated, with mild-to-moderate GI events the most frequent AEs, and few AE-related study discontinuations.
- |||||||||| Farxiga (dapagliflozin) / Ono Pharma, AstraZeneca
Clinical, Review, Journal: Non-Alcoholic Steatohepatitis (NASH) - A Review of a Crowded Clinical Landscape, Driven by a Complex Disease. (Pubmed Central) - Feb 2, 2022 At the time of writing this review, only Zydus Cadila's new drug application for Saroglitazar had been approved (2020) for NASH therapy in India...Obeticholic acid (Intercept Pharmaceuticals), Cenicriviroc (Allergan), Aramchol (Galmed Pharmaceuticals), Resmetirom (Madrigal Pharmaceuticals), Dapagliflozin and Semaglutide (Novo Nordisk) are in advanced Phase 3 clinical trials, while Belapectin (Galectin Therapeutics), MSDC-0602K (Cirius Therapeutics), Lanifibranor (Inventiva), Efruxifermin (Akero) and Tesamorelin (Theratechnologies) are expected to start Phase 3 trials soon...Hence, the development of a single therapy for NASH seems challenging and unlikely, despite the plethora of later stage trials due to report. We therefore predict that clinical, patient and company interest in pipeline and next-generation therapies will remain high for some time to come.
- |||||||||| efruxifermin (AKR-001) / Amgen
[VIRTUAL] Normalization of Liver Fat Following Treatment with Efruxifermin & Relationship with Histologic & Metabolic Improvements () - Oct 9, 2021 - Abstract #NASHSummitUS2021NASH_Summit_US_85; Identification of improvement or regression patterns of NASH may be useful in assessing disease regression beyond NASH resolution and ≥1 stage improvement in fibrosis. Learning about the six-fold higher probability of NASH resolution with liver fat normalization Investigating the correlation between change in liver fat and decrease in markers of liver stress, injury, and restoration of metabolic health Analyzing the consistent improvements in fibrosis as assessed by serum markers, imaging, and histology in NASH patients with F1-F4 fibrosis
|