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On September 13, Akero Therapeutics announced that Efruxifermin had obtained positive data in the Phase IIb HARMONY study, with both the Efruxifermin 28 and 50 mg dose groups achieving primary endpoints for improving liver fibrosis as well as multiple secondary endpoints
Affected by this news, the company's stock price rose by 135%
Nonalcoholic steatohepatitis (NASH) is a severe form of non-alcoholic fatty liver disease characterized by excessive accumulation of fat in the liver, stress and damage to liver cells, inflammation and fibrosis, which in turn progresses to cirrhosis, liver failure, cancer and even death
Designed by mimicking the bioactivity profile of natural FGF21, Efruxifermin extends the half-life by fusing Fc while replacing certain amino acids
Subcutaneous injection can be achieved once a week or every 2 weeks
HARMONY is a multicenter, randomized, double-blind, placebo-controlled Phase IIb study designed to evaluate the efficacy and safety of Efruxifermin in patients with NASH
Specifically, at week 24, both the Efruxifermin 28 mg and 50 mg dose groups met the primary endpoints of the study, with 39% and 41% of patients achieving at least one stage of improvement in liver fibrosis and NO NASH deteriorating, compared to only 20%
39% and 41% of patients, respectively, achieved at least one stage of improvement in liver fibrosis and NASH did not deteriorate
The study also met a key secondary endpoint, with 47 percent and 76 percent of patients receiving Efruxifermin 28 mg and 50 mg, respectively, achieving NASH relief without worsening liver fibrosis, compared to 15 percent
After receiving treatment with Efruxifermin 28 mg and 50 mg, 47% and 76% of patients achieved NASH relief without worsening liver fibrosis, and 29% and 41% achieved both hepatic fibrosis improvement and NASH response endpoints, respectively
The Efruxifermin group achieved statistically significant improvements
Efruxifermin was well tolerated, no treatment-related deaths occurred, and the most common adverse events were diarrhea, nausea, and increased
"We believe the results of the HARMONY study are an important milestone, not only for Akerero, but for the entire NASH field