Factbox: Madrigal's drug wins first US approval for fatty liver disease NASH as rivals circle

March 14 (Reuters) - Madrigal Pharmaceuticals'  MDGL.O 
drug became the first to win regulatory approval to treat a
serious type of fatty liver disease formerly known as
non-alcoholic steatohepatitis (NASH) as the race to tap a
multi-billion dollar market intensifies.
    The approval on Thursday follows limited success to develop
a treatment for the disease, which is closely tied to obesity
and is spreading fast.
    
    The following companies are also developing treatments for
NASH, formally known as metabolic dysfunction-associated
steatohepatitis:  
  
 Company          Drug name /     Further      Recent updates
                  developmental   plans        
                  stage                        
 Akero            Efruxifermin    Drug being   The drug
 Therapeutics     (Mid-stage)     tested in    significantly
  AKRO.O                          two ongoing  reduced scarring
                                  late-stage   after nearly two
                                  studies and  years in the
                                  a separate   mid-stage study,
                                  mid-stage    data showed in
                                  study        March
 Altimmune        Pemvidutide     Mid-stage    Drug, in
  ALT.O           (Mid-stage)     trial data   December 2022,
                                  for the      achieved more
                                  drug         than 75%
                                  expected in  reduction in
                                  first        liver fat
                                  quarter of   content,
                                  2025         compared to
                                               placebo in an
                                               early-stage
                                               trial
 Boehringer       Survodutide     Full trial   Trial data from
 Ingelheim        (Mid-stage)     data to be   February showed
 and                              presented    significant
 Zealand Pharma                   in coming    improvement in
  ZELA.CO                         months       liver
                                               inflammation and
                                               damage without
                                               worsening
                                               fibrosis or
                                               scarring  
 Eli Lilly        Tirzepatide     -            The drug helped
  LLY.N           (Mid-stage)                  up to 74% of
                                               patients achieve
                                               "absence of the
                                               disease" at 52
                                               weeks, compared
                                               to 13% of
                                               patients on
                                               placebo
 Ionis            ION224          -            Trial data
 Pharmaceuticals  (Mid-stage)                  published in
 Inc  IONS.O                                   March showed
                                               significant
                                               improvement in
                                               liver
                                               inflammation and
                                               damage without
                                               worsening
                                               fibrosis or
                                               scarring
 Merck & Co       Efinopegdutide  -            Mid-stage trial
  MRK.N            (Mid-stage)                 data from June
                                               showed that
                                               efinopegdutide
                                               significantly
                                               reduced liver
                                               fat in patients
                                               compared to
                                               semaglutide  
 Novo Nordisk     Semaglutide     Late-stage   No data
  NOVOb.CO        (Late-stage)    study        
                                  expected to  
                                  enroll       
                                  about 1,200  
                                  patients     
 Viking           VK2809          Additional   The drug, in
 Therapeutics     (Mid-stage)     data from    May, helped
  VKTX.O                          the study    significantly
                                  to be        reduce liver fat
                                  presented    in patients
                                  in the       
                                  first half   
                                  of 2024      
 89bio  ETNB.O    Pegozafermin    Company      Began first
                  (Late-stage)    expects to   late-stage study
                                  begin        for the drug on
                                  second       Wednesday, which
                                  late-stage   is intended to
                                  trial in     support a filing
                                  MASH         for accelerated
                                  patients in  approval in the
                                  the second   U.S.
                                  quarter of   
                                  2024         
 
 (Reporting by Pratik Jain and Mariam Sunny in Bengaluru;
Editing by Sriraj Kalluvila and Shounak Dasgupta)
 ((Pratik.Jain@thomsonreuters.com))

Recent news on 89bio

See all news