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Pegbelfermin is a polyethylene glycol-conjugated recombinant analog of human fibroblast growth factor 21 (FGF21), designed to have an extended half-life for weekly dosing. It acts as an agonist/mimetic of FGF21, a non-mitogenic hormone that regulates glucose and lipid metabolism and plays a critical role in energy homeostasis. Pegbelfermin is under investigation primarily for the treatment of nonalcoholic steatohepatitis (NASH), where it has shown efficacy in reducing hepatic steatosis, improving fibrosis biomarkers, and modulating metabolic parameters in clinical trials. The drug also reduces secondary bile acid concentrations and impacts the gut microbiome. Developed by Bristol Myers Squibb, pegbelfermin represents a novel approach targeting metabolic dysfunctions associated with NASH[1][2][3][4][5][6][8].
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