S5-E11.5 – MASH Prescribing Models & The Increasing Challenge of Keeping Patients In Long-Term Clinical Trials

S5-E11.5 - MASH Prescribing Models & The Increasing Challenge of Keeping Patients In Long-Term Clinical Trials
This final conversation touches on prescribing models and the increasing challenge keeping patients in long-term clinical trials, after which Roger Green asks a final question.

This final conversation starts by considering prescribing models for other diseases and how they might work here, shifts to discussing the challenges keeping a patient enrolled in a long-term clinical trial (or even participating in a trial in the first place), and moves on to the final question for the episode.

The conversation picks up on the FG-21 conversation, particularly how FGF-21 might be prescribed vis-a-vis Rezdiffra. Roger starts by asking whether and how this prescribing pattern might fit in an “oncology” model, where FGF-21 might be an induction drug and Rezdiffra a maintenance drug. Michael Charlton suggests that benefits from FGF-21s are likely to fade once therapy is discontinued, which would make this model suboptimal.

Jörn Schattenberg raises the issue of keeping patients in the long-term clinical trials necessary to achieve hard outcomes. Jörn advocates keeping his patients in trials but notes that long-term compliance will become increasingly challenging as more therapeutic options become available and the patient may not be improving. Michael suggests we will find similar challenges in recruitment for new trials if patients have to accept the possibility of receiving a placebo. Roger notes that biopsy requirements increase this challenge.

As the episode winds down, Roger asks participants what they believe are exciting studies likely to come to light over the next three months. Their answers vary. You’ll have to listen to learn.

Sponsoring partnerships with SurfingMASH present a multifaceted avenue for companies seeking to amplify their brand presence and engage with targeted audiences.

Sponsoring Partnerships!

Sponsoring partnerships with SurfingMASH present a multifaceted avenue for companies seeking to amplify their brand presence and engage with targeted audiences.