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 |