Drug Type Growth factors |
Synonyms (phe5>met,ser6>arg,ala8>ser,gly9>ser,his11>leu) fibroblast growth factor 19 (human fgf19) (5-194)-peptide, produced in escherichia coli, Aldafermin (USAN/INN), Engineered variant of recombinant human fibroblast growth factor 19 + [3] |
Target |
Action stimulants, agonists |
Mechanism FGFR1 stimulants(Fibroblast growth factor receptor 1 stimulants), FGFR4 agonists(Fibroblast growth factor receptor 4 agonists), KLB agonists(Klotho beta agonists) |
Therapeutic Areas |
Active Indication- |
Inactive Indication |
Originator Organization |
Active Organization- |
Inactive Organization |
License Organization- |
Drug Highest PhaseDiscontinuedPhase 2/3 |
First Approval Date- |
RegulationOrphan Drug (United States) |

| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Cholangitis, Sclerosing | Phase 3 | - | 21 Oct 2024 | |
| Bile acid malabsorption | Phase 2 | United States | 01 Dec 2021 | |
| Bile Acid Synthesis Defect, Congenital, 2 | Phase 2 | United States | 01 Dec 2021 | |
| Chronic diarrhea | Phase 2 | United States | 01 Dec 2021 | |
| Irritable bowel syndrome with diarrhea | Phase 2 | United States | 01 Dec 2021 | |
| Compensated cirrhosis | Phase 2 | United States | 23 Mar 2020 | |
| Compensated cirrhosis | Phase 2 | Australia | 23 Mar 2020 | |
| Compensated cirrhosis | Phase 2 | Belgium | 23 Mar 2020 | |
| Compensated cirrhosis | Phase 2 | France | 23 Mar 2020 | |
| Compensated cirrhosis | Phase 2 | Germany | 23 Mar 2020 |
Phase 2 | 171 | Placebo | abscqczexq(habfbpoybb) = kffoqohcdt dkdcqgrpxo (vaiwlxagjl, 0.06) View more | - | 03 Jul 2025 | ||
Phase 2 | 254 | (Part 1: Aldafermin 3.0 mg) | zawglrxgqd(hfypzbpxth) = crhzeojqzj mitvrgzevr (ppbkadpqxr, 0.98) View more | - | 26 Jun 2025 | ||
(Part 1: Aldafermin 6.0 mg) | zawglrxgqd(hfypzbpxth) = suimsnwptb mitvrgzevr (ppbkadpqxr, 1.00) View more | ||||||
Phase 2 | 62 | Placebo | irgnocqbzs(wqmmvzxqdc) = kxmseknqyc edyinxbgxq (myjovsvcea, 79.5) View more | - | 17 Jun 2025 | ||
Phase 2 | 160 | (Daily 0.3 mg Dose) | mwbyxxvmtg(yfpjobyvgh) = iurcsrolpa xqtpgthlfd (ttauakbsea, 0.7214) View more | - | 26 Mar 2025 | ||
(Daily 1 mg Dose) | mwbyxxvmtg(yfpjobyvgh) = yxmxyoiseq xqtpgthlfd (ttauakbsea, 0.6938) View more | ||||||
Phase 2 | 160 | Placebo | hzmsklplsl(romvazkpbe) = qxcxptrvdl fljkyinrcx (irobfahnqr ) View more | Positive | 01 Mar 2024 | ||
- | |||||||
Phase 2 | - | yrhoyophmm(jsmhrsmvmb) = patients treated with aldafermin 3 mg showed a statistically significant reduction in ELF score compared to the placebo arm after 48 weeks of treatment. zgrdgxfixf (kvfwtctqyl ) View more | Positive | 13 Nov 2023 | |||
placebo | |||||||
Phase 2 | 30 | (Aldafermin (NGM282)) | zxhbbuqyrw(ellpgkpmsw) = onvjlyxbwr rqkgommxtj (wwjqviqkrj, yoserhoddt - uopoogdrzx) View more | - | 12 Oct 2023 | ||
Placebo (Placebo) | zxhbbuqyrw(ellpgkpmsw) = dipxeysitz rqkgommxtj (wwjqviqkrj, nkwwpaavsl - ivapciizhj) View more | ||||||
Phase 2 | 171 | Placebo | rlbppyxzxd(iaoyvxwknw) = Diarrhoea occurred in six (14%) of 43 patients in the placebo group, three (7%) of 43 patients in the 0·3 mg aldafermin group, five (12%) of 41 patients in the 1·0 mg group, and ten (23%) of 43 patients in the 3·0 mg group. apppacsloi (rrzvadsznz ) | Negative | 21 Mar 2022 | ||
Phase 2 | 78 | mmahuhrqge(iojfsjflev) = oaxcflqpgq tgaxjkymir (dafphsimvy ) View more | - | 01 Jan 2021 | |||
Placebo | mmahuhrqge(iojfsjflev) = tluchfobhj tgaxjkymir (dafphsimvy ) View more | ||||||
Phase 2 | 78 | auveklyaca(ifumcgvbbi) = A greater proportion of subjects on aldafermin achieved fibrosis reduction of ⥠1-stage without NASH worsening (38% [aldafermin] vs 18% [PBO]), and NASH resolution with no worsening of fibrosis (24% [aldafermin] vs 9% [PBO]). 22% (aldafermin) vs. 0% (PBO) of subjects achieved both histological endpoints (P = 0.015). ALT, AST and fibrogenesis biomar- kers (Pro-C3 and ELF) declined rapidly and significantly from BL with aldafermin therapy. AEs were mostly mild and moderate in severity. No difference in gastrointestinal AE was observed between arms. Incidences of SAEs were 12% (PBO) vs 4% (aldafermin), and discontinuations due to AE 4% (PBO) vs 0% (aldafermin). All SAEs were unrelated to drug. lyaedunthg (ihbtdfdqjv ) | Positive | 27 Aug 2020 | |||
Placebo |






