Pfizer Dumps Lotiglipron on Liver Injury Concerns

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Pfizer says it is terminating the development program for glucagon-like peptide-1 receptor agonist (GLP-1-RA) anti-diabetes candidate lotiglipron due to liver injury concerns and will instead “continue to progress one oral late-stage” GLP-1-RA candidate, danuglipron, toward further clinical development for treating adults with obesity and Type 2 diabetes mellitus. Pfizer expects to finalize plans for the danuglipron late-stage program by the end of the year, and says it is also developing a once-daily modified-release version. “If successful in clinical trials and approved, danuglipron could be in a prime position to differentiate based on profile, including full receptor agonism, which we believe has the potential to translate to robust efficacy,” it adds.

Pfizer’s decision to abandon the lotiglipron clinical development program was based on pharmacokinetic data from Phase 1 drug-drug-interaction studies (C3991040 – NCT05671653 and C3991047 – NCT05788328) and elevated transaminases recorded in laboratory measurements during these studies as well as the ongoing Phase 2 study C3991004 (NCT05579977). “None of these participants reported liver-related symptoms or side effects, there was no evidence of liver failure, and none needed treatment,” it says.

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