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An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Novel targeted therapies for the management of liver fibrosis
Juan P Trivella1, Paul Martin2, Andres F Carrion2
1Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
Abstract:
Introduction: Prolonged liver injury results in tissue damage and replacement by extracellular matrix and fibrosis. Cirrhosis represents a leading cause of mortality worldwide and imposes a major financial burden on health-care systems. Fortunately, fibrogenesis has proven to be reversible if halted early, encouraging the development of novel anti-fibrotic agents that may accelerate histological restoration. Preclinical data have elucidated numerous potential therapeutic targets and many anti-fibrotic agents are currently at various stages of clinical research.Areas covered: The present review summarizes recent clinical data regarding anti-fibrotic drugs including monoclonal antibodies, targeted conjugates, and small molecule agents.Expert opinion: Although undeniable progress has been made in the development of anti-fibrotic agents in recent years, most data currently available are derived from preclinical and early clinical studies. The efficacy and safety of these agents will need to be corroborated by larger clinical trials, some of which are ongoing with results expected in the upcoming years. Combination therapy with agents targeting different pathways of fibrogenesis will also be of great interest for the future and will need to be explored in clinical trials.
Insights
Novel anti-fibrotic drugs show promise for reversing liver fibrosis, a major cause of cirrhosis mortality. Further clinical trials are needed to confirm the efficacy and safety of these agents.
Area of Science:
- Hepatology
- Fibrosis Research
- Pharmacology
Background:
- Prolonged liver injury leads to fibrosis and cirrhosis, a significant cause of global mortality.
- Fibrogenesis is reversible if addressed early, driving the search for new anti-fibrotic therapies.
- Current research focuses on identifying therapeutic targets and developing novel anti-fibrotic agents.
Purpose of the Study:
- To review recent clinical data on anti-fibrotic drugs.
- To summarize the progress in the development of agents targeting liver fibrosis.
- To discuss the future directions in anti-fibrotic therapy.
Main Methods:
- Review of clinical data on anti-fibrotic drugs.
- Summary of preclinical findings and early clinical studies.
- Analysis of ongoing clinical trials and combination therapy approaches.
Main Results:
- Several anti-fibrotic agents, including monoclonal antibodies, targeted conjugates, and small molecules, are in clinical development.
- Progress has been made in identifying potential therapeutic targets for fibrogenesis.
- Most data are from preclinical and early-phase clinical studies.
Conclusions:
- Anti-fibrotic agents represent a promising therapeutic strategy for liver fibrosis.
- Larger clinical trials are essential to validate the efficacy and safety of these agents.
- Combination therapies targeting diverse fibrogenesis pathways warrant future investigation.
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