Akero The First To Show Fibrosis Improvement In Cirrhotic MASH

The FGF21 analog is the first metabolic dysfunction-associated steatohepatitis drug to demonstrate benefit in cirrhotic patients. Several FGF21 agents are being tested in MASH.

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Akero has the first MASH drug to show a fibrosis benefit in cirrhotic patients

When Akero Therapeutics failed to meet the 36-week primary endpoint in its Phase IIb SYMMETRY study of efruxifermin in metabolic dysfunction-associated steatohepatitis (MASH) in October 2023, the company argued that the study showed a positive numerical direction and that longer-term treatment might demonstrate a statistically significant benefit, a view some analysts seconded because the study enrolled the sickest MASH patients, those with cirrhosis (F4 fibrosis).

Key Takeaways
  • Akero’s efruxifermin is the first MASH candidate to show a fibrosis benefit in cirrhotic patients in 96-week data from a Phase IIb study.

In 96-week data from SYMMETRY reported on 27 January, Akero’s 15-month-old assertion proved true, as 39% of patients receiving a...

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