89bio’s FGF21 Analog May Offer Fibrosis Benefit In Cirrhotic NASH Patients

At AASLD, 89bio presented subgroup analysis from its successful Phase IIb NASH study indicating that the drug may meaningfully reduce fibrosis even in the sickest patients, those with cirrhosis.

Cirrhotic liver
89bio's pegozafermin shows fibrosis reduction in small subgroup of cirrhotic NASH patients • Source: Shutterstock

Perhaps already best positioned in the competitive FGF21 analog class in non-alcoholic steatohepatitis development, 89bio, Inc. bolstered its positioning with a late-breaker presentation on 12 November at the American Association for the Study of Liver Disease meeting with subgroup analysis from its successful Phase IIb study of pegozafermin showing that the weekly injectable drug might offer fibrosis benefit in the sickest patients, those with cirrhosis (F4 fibrosis).

Key Takeaways
  • 89bio presented Phase IIb subgroup analysis at the AASLD conference suggesting a fibrosis-reduction benefit for pegozafermin in cirrhotic NASH patients.

  • These data findings follow Akero data showing a numeric but not statistically significant reduction in fibrosis in cirrhotic patients with its efruxifermin, an FGF21 analog like the 89bio candidate

89bio is competing primarily with Akero Therapeutics, Inc. and its Phase II efruxifermin and privately held Boston Pharmaceuticals Inc. with its BOS-580 in the FGF21 class. 89bio reported successful data from the Phase IIb ENLIVEN study in March showing that pegozafermin could reduce fibrosis and resolve NASH in patients with F2 or F3 fibrosis scores

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