CymaBay Appears Stronger Threat To Ocaliva In PBC Than Ipsen/Genfit

CymaBay and Genfit have been positioning their failed NASH candidates, both PPAR agonists, for approval in second-line primary biliary cholangitis. Analysts call both approvable, but say CymaBay’s drug has a better overall profile.

2023 AASLD
PPAR agonists from Genfit and CymaBay are battling for a second-line indication in PBC • Source: Scrip

Cholestatic liver disease, disorders related to slowing or stalling of the biliary system, have been fallback options for companies also working in the non-alcoholic steatohepatitis space, and two companies that struck out in NASH are on the verge of submitting their PPAR agonists for US approval in primary biliary cholangitis, where they would take on another failed NASH drug, Intercept Pharmaceuticals, Inc./Alfasigma SpA’s Ocaliva, in second-line treatment.

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