To: Biotech Jim who wrote (11123 ) 6/6/2017 3:44:17 PM From: tuck Read Replies (2) | Respond to of 12215 OK, starting to kick tires. I know little about NASH space. I gather that fibrosis leads to bad CV related mortality, and thus it is desirable to improve that metric, as well as achieving "NASH resolution." Endpoints seem fluid, particularly in early stage trials. For what FDA might be looking at, I found this: Endpoints and Populations and Trial Designs for Clinical Trials in NASH Indications But against that is the news from Intercept this February . . . CEO Mark Pruzanski: “First, we are amending our co-primary endpoint from fibrosis improvement and NASH resolution to fibrosis improvement or NASH resolution." Actual fibrosis improvement should be a significant marketing advantage if not a requirement for approval. Looking at CNAT's pan-caspase inhibitor for openers. Emricasan appears very safe, but reduction in liver transaminases looks inferior to 3196. CNAT doesn't seem to have actual human fibrosis data yet, but current P2s are testing for it as part of composite endpoint. ALT is part of a secondary endpoint. Genfit's PARP agonist doesn't worsen fibrosis, and in it's P3 trial now recruiting, improvement is only a secondary endpoint. Data from Phase 2b trial of GENFIT’s Elafibranor published in Gastroenterology Intercept's OCA (FXR agonist) has an inferior AE and efficacy profile. But it will be first to market (is approved in Canada now). NASH space very crowded. This is a good place to look at it (don't know if there are any biases from the guy running this website): NASH biotechs He didn't think much of OCA (or ICPT handling of histology), but that was over a year ago. Allergan and GILD also with advanced programs I haven't looked at. BJ, how much of a look have you taken at competitors, endpoints, and marketability? Who's the serious competition in your eyes? Cheers, Tuck