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Screening and Identification of Small Peptides Targeting Fibroblast Growth Factor Receptor2 using a Phage Display Peptide Library
Published on: September 30, 2019
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.
Abstract:
Recent advances in fibroblast growth factor 21 (FGF21) biology and pharmacology have led to the development of several long-acting FGF21 analogues and antibody-based mimetics now in various phases of clinical trials for the treatment of obesity-related metabolic comorbidities. The efficacy of these FGF21 analogues/mimetics on glycaemic control and weight loss is rather mild and inconsistent; nevertheless, several promising therapeutic benefits have been reproducibly observed in most clinical studies, including amelioration of dyslipidaemia (particularly hypertriglyceridaemia) and hepatic steatosis, reduction of biomarkers of liver fibrosis and injury, and resolution of metabolic dysfunction-associated steatohepatitis (MASH). Evidence is emerging that combination therapy with FGF21 analogues and other hormones (such as glucagon-like peptide 1; GLP-1) can synergise their pharmacological benefits, thus maximising the therapeutic efficacy for obesity and its comorbidities.
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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