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Drug information

Drug's link(s)
Generic name

Efruxifermin (EFX)

Brand names

investigational

Compound type

Biotherapeutic

Drug class/category

Not provided

Summary

EFX has been engineered to mimic the biological activity of fibroblast growth factor 21 (FGF21), which regulates multiple metabolic pathways and cellular processes. By delivering sustained and balanced signalling through FGF21’s receptors in liver and adipose tissue, EFX has the potential to treat MASH by addressing all core drivers of disease progression. EFX leverages the whole body to improve metabolic balance. The first Phase 2b study evaluated the efficacy and safety of EFX in patients with pre-cirrhotic MASH, fibrosis stage 2 or 3 (F2-F3). The study met its primary endpoint of ≥1 stage improvement in fibrosis with no worsening of MASH after 24 weeks of treatment for both the 50 mg EFX (41%) and 28 mg EFX (39%) dose groups, compared to 20% for the placebo arm.

Approval status

Unknown

Regulatory authorities

Unknown

Therapeutic area(s)

  • Other(s) : "MASH"
Use case(s)
  • Treatment

Administration route

Subcutaneous

Associated long-acting platforms

Monoclonal antibodies and antibody drug conjugates

Use of drug

Ease of administration
  • Administered by a nurse
  • Administered by a specialty health worker
  • Self-administered
Frequency of administration

Not provided

User acceptance
Not provided

Dosage

Available dose and strength

Not provided

Maximum dose

Not provided

Recommended dosing regimen

Not provided

Additional comments

Not provided

Dosage link(s)

Not provided

Associated compounds, formulations and regimens

Not provided

Associated technologies

Not provided

Additional information

Not provided

Developer(s)

Akero Therapeutics
Originator
United States

Akero Therapeutics

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Not provided

Manufacturing

Not provided

Specific analytical instrument required for characterization of formulation

Not provided

Excipients & delivery device(s)

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided

Delivery device(s)

Not provided

Safety, Efficacy and Evidence Summary

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

Description

Efruxifermin composition

Brief description

Efruxifermin composition, comprising sugar, 20 to about 200 mM arginine/arginine-HCI or arginine/glutamic acid, and a surfactant

Representative patent

WO2023064808

Category

Formulation

Patent holder

AKERO THERAPEUTICS, INC.

Exclusivity

Not provided

Expiration date

October 12, 2042

Status

Pending: AE, AP, AU, BR, CA, CL, CN, CO, CR, EA, EG, EP, HK, ID, IL, IN, JO, JP, KR, MA, MX, MY, NZ, PA, PE, PH, SA, SG, TH, UA, US, VN, ZA

Description

Efruxifermin Method of Treatment of metabolic diseases

Brief description

Method of treating metabolic disorder (incl. type 1 diabetes, obesity etc.) using Efruxifermin (SEQ ID NO 41)

Representative patent

WO2013033452

Category

Method of Treatment

Patent holder

AMGEN INC

Exclusivity

Not provided

Expiration date

August 30, 2032

Status

Granted: AU Pending: JP, MX, US Not in force: EP

Description

Efruxifermin polypetide

Brief description

Efruxifermin polypetide specifically claimed as SEQ ID NO 47

Representative patent

WO2010129503

Category

Not provided

Patent holder

AMGEN INC.

Exclusivity

Not provided

Expiration date

May 4, 2030

Status

Granted: AR, BR, AU, CA, CN, CO, CR, EA (KZ, RU), EP (CH, DE, FR, IT, GB, LI), HK, IN, ID, IL, JP, KR, LB, MY, MX, MA, NZ, PA, GC, PE, PH, SG, ZA, TH, TW, TN, UA, US Pending: BW, EG, JO, LY, VN Not in force: AM, AZ, BY, KG, TJ, TM, MD, AT, BE, BG, CY, CZ, DE, DK, EE, ES, FI, GR, HR, HU, IE, IS, LT, LU, LV, MC, MK, MT, NL, NO, PL, PT, RO, SE, SI, SK, TR, BA, AL, RS

Description

Broad FGF21 mutant polypeptides, covering mutants of Efruxifermin IgG constant domain

Brief description

The invention provides nucleic acid molecules encoding FGF21 mutant polypeptides, FGF21 mutant polypeptides, pharmaceutical compositions comprising FGF21 mutant polypeptides, and methods for treating metabolic disorders using such nucleic acids, polypeptides, or pharmaceutical compositions.

Representative patent

WO2009149171

Category

Compound

Patent holder

AMGEN INC.

Exclusivity

Not provided

Expiration date

June 3, 2029

Status

Granted: DZ, AU, BR, CA, CN, CO, EA (KZ, RU), EP (CH, DE, FR, GB, LI), HK, IN, ID, IL, JP, KR, MY, MX, MA, NZ, PE, SG, ZA, TW, TN, UA, US, VN Pending: AR, BW, CL, CR, EG, JO, LY, GC, UY Not in force: AM, AZ, BY, KG, TJ, TM, MD, AT, BE, BG, CY, CZ, DE, DK, EE, ES, FI, GR, HR, HU, IE, IS, IT, LT, LU, LV, MC, MK, MT, NL, NO, PL, PT, RO, SE, SI, SK, TR, BA, AL, RS