Liver scarring becomes treatable
Advanced scarring from fatty-liver disease has no approved treatment today. Three drugs are in late-stage trials to change that.
The differentiated bet is an F4-specific approval on a histologic surrogate from three named programs, despite shared fibrosis-endpoint risk.
Right now this ends in a transplant or death. A first approval creates a standard of care where none exists.
Does Novo Nordisk publish its SYNCHRONY Real-World Phase 3 headline result by 31 Dec 2026 with no new safety problem in the cirrhosis group?
By 31 Dec 2031, at least one drug from this set fixed on 28 Jul 2026 wins an FDA approval specific to compensated F4 MASH cirrhosis: - Efruxifermin (FGF21, Novo Nordisk via Akero) — SYNCHRONY Outcomes NCT06528314, primary completion Feb-2030. - Resmetirom (THR-β, Madrigal) — MAESTRO-NASH-OUTCOMES NCT05500222, primary completion Dec-2026 est. - Pegozafermin (FGF21, 89bio/Roche) — F4 program. Resolves YES if at least one named drug has that FDA indication at the cutoff; NO otherwise, including if FDA requires hard outcomes rather than histology. No drug may be added after the call.