systemic, oral DGAT2 inhibitor
Ph. II for NASH with fibrosis
opt. of liver-targeting candidate PF-06427878
J. Med. Chem., 02 November 2022
Pfizer, Cambridge, MA and Groton, CT
Toward a first-in-class DGAT2 inhibitor for the treatment of NASH. Hepatic triglyceride (TG) accumulation is a symptom of non-alcoholic fatty liver disease (NAFLD), which can progress to non-alcoholic steatohepatitis (NASH), which is characterized by hepatocyte damage, inflammation and collagen deposits (fibrosis). NASH has been estimated to impact 3-5% of the global population, with up to 29% of these individuals developing cirrhosis within 10 years and 4−27% of these patients developing hepatocellular carcinoma. Despite significant research, there are currently no FDA-approved medications for this burgeoning global health crisis. Several targets and mechanisms to treat NASH are being evaluated, including diacylglycerol acyltransferase (DGAT) inhibition. DGAT2 as a target. DGAT enzymes catalyze the esterification of diacylglycerol (DAG) in the final step of triglycerol…