Table 2.
FXR agonists and FGF-19 analogues that target hepatic lipid and glucose metabolism
| Drug | Mechanism of action | Mode of administration | Regulatory status | Clinical effect | References | ||||
|---|---|---|---|---|---|---|---|---|---|
| Steatosis | Fibrosis markers | Hepatic enzymes | HbA1c | Insulin resistance | |||||
| Obeticholic acid (INT-747) | FXR agonist | PO | Phase III | ↓, mild | ↓ | ↓ | = | NA | [34–36] |
| Cilofexor (GS-9674) | FXR agonist | PO | Phase II | ↓ | = | ↓ | NA | NA | [165, 166] |
| Nidufexor (LMB763) | Non-bile acid FXR agonist | PO | Phase II | ↓ | ↓ | ↓ | = | = | [44, 167] |
| Tropifexor (LNJ452) | Non-bile acid FXR agonist | PO | Phase IIb | ↓ | ↓ | ↓ | NA | NA | [41, 42] |
| EDP-305 | Non-bile acid FXR agonist | PO | Phase II | ↓a | ↓a | ↓a | NA | NA | [43, 168] a |
| Aldafermin (NGM282) | FGF-19 analogue | SC | Phase II | ↓ | ↓ | ↓ | = | = | [38–40, 169–171] |
aPreclinical data
PO, oral; SC, subcutaneous injection