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. 2014 Jun;37(100):57–76. doi: 10.1016/j.mam.2013.12.001

Table 3.

FXR ligands with potential clinical application.

Agonist Clinical application Comments
CDCA (Chenofalk TN) Gallstone disease, cerebrotendinous xanthomatosis Hepatotoxicity in rhesus monkey, but not in humans
OCA/6-ECDCA/INT-747 (semisynthetic derivative of CDCA) PBC, NAFLD/NASH, bile acid diarrhoea, gallstone disease, portal hypertension Beneficial in combination with UDCA (biochemically non-responders to UDCA) or as monotherapy (treatment-naïve patients) in PBC.
Dose-dependent pruritus
INT-767 (synthetic derivative of OCA) Preclinical Preclinical: biochemical and histological improvement in MDR2−/− mouse model of sclerosing cholangitis
GW4064 (synthetic agonist) Preclinical Not further developed for clinical use
FXR-450/WAY-362450 (synthetic agonist) NAFLD Phase 1 trial in healthy Japanese men was terminated due to pharmacokinetic issues
PX-104 NAFLD Phase 2 trial to assess the safety and tolerability in NAFLD patients