Current status and future perspectives of FGF21 analogues in clinical trials

Zara Siu Wa Chui1, Qing Shen2, Aimin Xu3

  • 1State Key Laboratory of Pharmaceutical Biotechnology, The University of Hong Kong, Hong Kong, SAR, China; Department of Medicine, The University of Hong Kong, Hong Kong, SAR, China; School of Biomedical Sciences, The University of Hong Kong, Hong Kong, SAR, China.

Insights

Fibroblast growth factor 21 (FGF21) analogues show promise for metabolic diseases, improving liver health and lipids. Combination therapies may enhance weight loss and glycemic control in obesity treatment.

Area of Science:

  • Pharmacology
  • Metabolic Diseases
  • Hepatology

Background:

  • Fibroblast growth factor 21 (FGF21) analogues are being developed for obesity-related metabolic comorbidities.
  • Current FGF21 therapies demonstrate mild and inconsistent effects on glycemic control and weight loss.

Purpose of the Study:

  • To review the therapeutic benefits of FGF21 analogues and antibody-based mimetics.
  • To explore the potential of combination therapies for enhanced efficacy.

Main Methods:

  • Review of recent clinical trial data for FGF21 analogues and mimetics.
  • Analysis of combination therapy studies involving FGF21 and other hormones like GLP-1.

Main Results:

  • FGF21 analogues show consistent improvements in dyslipidemia, hepatic steatosis, and metabolic dysfunction-associated steatohepatitis (MASH).
  • Reduction in liver fibrosis and injury biomarkers observed.
  • Emerging evidence suggests synergistic benefits when combined with hormones like GLP-1.

Conclusions:

  • FGF21 analogues offer therapeutic benefits for metabolic comorbidities, particularly liver health and lipid profiles.
  • Combination therapies hold potential for maximizing treatment efficacy in obesity and related conditions.

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