NGM hunts for light at end of tunnel as mid-phase NASH trial hits primary goal

BIOMARKER

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1. NGM Biopharma has achieved positive results from a phase 2b study of aldafermin, a drug candidate for nonalcoholic steatohepatitis (NASH).

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2. The trial, called ALPINE 4, involved 160 patients with liver disease who had compensated cirrhosis.

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3. Aldafermin reduced enhanced liver fibrosis over the 48-week study when compared to a placebo, meeting the primary goal of the trial.

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4. The drug did not achieve statistically significant results on a secondary endpoint monitoring improvement in liver fibrosis stage.

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5. Previously, aldafermin failed in a phase 2b study called ALPINE 2/3, which focused on fibrosis stage improvement.

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6. The drug was generally well tolerated with no treatment-related serious adverse events, consistent with previous studies.

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7. Despite the main endpoint success, NGM announced that aldafermin will not advance without partnership support.

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8. NGM reported a decline in cash and equivalents to $231 million as of March 31, down from $271.5 million at the end of 2022.

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9. Revenue from a partnership with Merck & Co. decreased to $2.2 million for the first quarter of 2023, compared to $20.9 million for the same period a year earlier.

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10. NGM is undergoing restructuring, reducing its headcount by 33% and reallocating resources towards its solid tumor oncology portfolio and drug discovery efforts.

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