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Clesacostat is a small molecule, liver-directed acetyl-CoA carboxylase (ACC) inhibitor developed by Pfizer for the treatment of non-alcoholic steatohepatitis (NASH) and non-alcoholic fatty liver disease (NAFLD). It acts by inhibiting ACC, a key enzyme in lipid metabolism, thereby reducing hepatic steatosis. Clesacostat has been studied both as monotherapy and in combination with ervogastat (a diacylglycerol O-acyltransferase 2 inhibitor), with the combination showing reduced liver fat and favorable safety profiles in clinical trials. The drug is currently in Phase II clinical development for NASH with fibrosis[1][2][3][4][5][7].
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