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FDA approves NASH liver disease drug from Madrigal Pharmaceuticals

INBV News by INBV News
March 15, 2024
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FDA approves NASH liver disease drug from Madrigal Pharmaceuticals
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On this photo illustration, the Madrigal Pharmaceuticals logo is displayed on a smartphone screen. 

Rafael Henrique | SOPA Images | Lightrocket | Getty Images

The Food and Drug Administration on Thursday approved the first-ever treatment for a typical and potentially deadly type of liver disease that affects tens of millions worldwide.

The FDA’s decision means Madrigal Pharmaceuticals has succeeded in a disease area that several larger firms have failed — or are still attempting to break into. Madrigal shares jumped greater than 20% in prolonged trading Thursday following the approval.

Novo Nordisk and Eli Lilly are testing their respective blockbuster weight reduction injections as treatments for a similar type of liver disease, called nonalcoholic steatohepatitis, or NASH.

Madrigal’s drug, which can be marketed as Rezdiffra, is specifically approved to treat patients with NASH who even have moderate-to-advanced liver scarring. The treatment have to be used with weight-reduction plan and exercise, in keeping with the FDA.

NASH is a serious type of liver disease characterised by excess fat buildup and inflammation within the liver and may result in liver scarring, also referred to as fibrosis, together with liver failure and liver cancer. The condition is commonly related to other health problems, corresponding to hypertension, Type 2 diabetes and obesity.

Roughly 6 million to eight million people within the U.S. have NASH with moderate-to-advanced liver scarring, in keeping with an estimate cited by the FDA.

Madrigal said in a press release that the drug can be available in April. The corporate also said it has arrange an assistance program to assist individuals who do not have insurance access Rezdiffra. Madrigal has not disclosed how much the treatment will cost.

“Previously, patients with NASH who even have notable liver scarring didn’t have a drugs that would directly address their liver damage,” said Dr. Nikolay Nikolov, acting director of the FDA’s Office of Immunology and Inflammation.

Madrigal’s drug specifically received an “accelerated approval” from the FDA. That designation clears drugs faster in the event that they fill an unmet medical need for serious conditions, and requires the drugmaker to further study the treatment and confirm its clinical advantages.

Madrigal’s medication works by activating a thyroid hormone receptor within the liver to assist reduce fat accumulation. Patients take it by mouth every day.

In a late-stage study published last month, Rezdiffra helped resolve symptoms of NASH and improve liver scarring without making the condition worse. Notably, the speed of significant antagonistic events was comparable between the patient group that took the drug and one other group that received a placebo.

Probably the most common unwanted effects related to treatment were diarrhea, nausea and vomiting. 

Some specialists have began calling NASH metabolic dysfunction-associated steatohepatitis, or MASH, to avoid potentially stigmatizing language.

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