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Fibroblast Growth Factor (FGF)

Fibroblast Growth Factor (FGF) יִשְׂרָאֵל

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Modality

Fibroblast Growth Factors (FGF)

FGF-1 (or acidic FGF, aFGF)

FGF-1 (or acidic FGF, aFGF), as an endothelial cell growth factor present extracted from bovine hypothalamic, was first introduced in 1979. The medicinal or physically applied FGF1’s functional repertoire includes angiogenesis, skeletal muscle regeneration, wound healing, and cardioprotection. Recently, FGF1 has attracted attention as an anti-diabetic agent.

FGF-2 (or basic FGF, bFGF)

Basic FGF, an 18 kDa protein, attracts division and mitogenesis of a wide range of neuroectodermal and mesodermal cells such as fibroblasts, smooth muscle cells, and endothelial cells. Due to its mitogenic effect on fibroblasts and chondrocytes, the first isolated bFGF was found in certain hormone preparations and was subsequently purified from the bovine pituitary.

Acidic and basic FGF are angiogenic in vivo and are thought to play a role in embryonic development. Both are single-chain polypeptides with approximately 17 kDa and share 55% amino acid sequence identity.

FGF-7

FGF-7, also known as palifermin or keratinocyte growth factor (KGF), is part of the FGF family. KGF can induce epithelial cell proliferation, differentiation, and migration by binding to its receptor. With a high level of receptor specificity, it performs important roles in maintaining tissue regeneration and mucosal barrier integrity. Researchers developed human recombinant KGF (palifermin) to promote the growth of damaged epithelial tissues.

FGF-19

FGF19 functions in the brain to decrease food intake and increase energy expenditure in addition to controlling lipid and glucose metabolism in the liver. Recombinant FGF-19 is developed for treating biliary cirrhosis and primary sclerosing cholangitis.

FGF-21

FGF-21 is produced primarily in the liver and secreted into the bloodstream because it lacks the canonical heparan binding domains characteristic of other nonendocrine FGF. The identified biological effects of FGF21 include weight loss through decreased food ingestion and increased energy consumption.

To increase the stability of the molecule, FGF21 is engineered by binding it to larger peptides (immunoglobulin fragments) or polyethylene glycols (PEG).

As of today, several clinical trials have been going on to evaluate the potential of FGF21-based therapies in patients with overweight or obesity, diabetes mellitus, and nonalcoholic steatohepatitis (NASH).

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Fibroblast Growth Factors (FGF) Pipelines

Types

Brand Name

Alternative Name

Expression System

Indication

Manufacturer

Stage

FGF-1

Recombinant human acidic fibroblast growth factor

艾夫吉夫, Acidic FGF

Escherichia coli (E. coli)

Wound healing

Shanghai Tenry Pharmaceutical 

Approval

FGF-1

Fibroblast growth factor 1

CVBT-141, Acidic FGF, Cardio Vascu-Grow

Pending update

Wound healing

Venturis Therapeutics, Inc.

Phase II

FGF-1

TTHX-1114

NM141

Pending update

Corneal dystrophies

Trefoil Therapeutics, Inc.

Phase II

FGF-1

Human Fibroblast growth factor 1

FGF-1

Pending update

Parkinson's disease

Zhittya Genesis Medicine, Inc.

Phase I

FGF-2

Recombinant human basic fibroblast growth factor

Gaifu, 盖扶

E. coli

Trauma and Injury, Surgical Wounds

Langtide Biopharmaceutical 

Approval

FGF-2

Recombinant bovine basic fibroblast growth factor gel

贝复新

E. coli

Trauma and Injury

Zhuhai Essex Bio-Pharmaceutical

Approval

FGF-2

Trafermin

Fiblast Spray, CAB 2001, KCB-1, Regroth, KCB-1D, 曲弗明, リグロス

E. coli

Periodontitis, Pressure Ulcer, Skin Ulcer

Kaken Pharmaceutical Co., Ltd.

Approval

FGF-2

Trafermin biosimilar

Retympa, NPC 18,  リティンパ | リティンパ耳科用250µgセット,  Trafermin

Pending update

Tympanic membrane perforation

Translational Research Informatics Center | Nobelpharma Co., Ltd.

Approval

FGF-2

Recombinant bovine basic fibroblast growth factor

见林

E. coli

Trauma and Injury

Changchun Changsheng Gene Pharmaceutical

Approval

FGF-2

Recombinant basic fibroblast growth facto

扶济复

E. coli

Burn

Beijing SL Pharmaceutical Co., Ltd.

Approval

FGF-2

Recombinant bovine basic fibroblast growth factor for external use

贝复济

E. coli

Burn, Skin Ulcer

Zhuhai Essex Bio-Pharmaceutical

Approval

FGF-2

Recombinant bovine basic fibroblast growth factor

贝复舒

E. coli

Corneal ulcer, Keratitis, Burn

Zhuhai Essex Bio-Pharmaceutical

Approval

FGF-2

Human Fibroblast Growth Factor 2

FGF-2

Pending update

Tympanic membrane perforation

NYU Elaine A. & Kenneth G. Langone Medical Center

Phase II

FGF-2

Recombinant bovine basic fibroblast growth factor

Pending update

Pending update

Stomatitis

Nanchang University

Phase II

FGF-2

Recombinant basic fibroblast growth factor

Pending update

Pending update

Trauma and Injury

China Gene PharmValley

Phase I

FGF-2

Recombinant Human Fibroblast Growth Factor-2

rhFGF-2

Pending update

gum recession

Universidade Federal Fluminense

Phase I

FGF-4

HST-001

Hair stimulating complex, HSC-660, HST 001

Pending update

Hair loss

Histogen, Inc.

Phase II

FGF-7

Palifermin

AMJ 9701, Kepivance

E. coli

Stomatitis

Swedish Orphan Biovitrum AB | Biovitrum AB

Approval

FGF-7

Palifermin biosimilar

Pending update

Pending update

Mucositis

Chengdu Zhitian Biological Engineering

Phase II

FGF-7

Recombinant Human Keratinocyte Growth Factor

Pending update

Pending update

Pending

Jiangsu Aosaikang Pharmaceutical

Phase I

FGF-19

Aldafermin

NGM-282, M-70, M52, recombinant human FGF-19 variant

E. coli

Fibrosis, Nonalcoholic steatohepatitis, Type 2 diabetes

NGM Biopharmaceuticals, Inc.

Phase II

FGF-21

Pegbelfermin

BMS 986036, ARX-618, PEG-FGF21, Pegylated FGF21, FGF-21 mimetic proteins

Pending update

Cirrhosis, Liver disease, Fibrosis, Nonalcoholic steatohepatitis, Type 2 diabetes

Bristol Myers Squibb Co., Ambrx, Inc.

Phase II

FGF-21

Efruxifermin

AKR-001, AMG-876, Fc-FGF21(RGE), EFX

Pending update

Cirrhosis, Nonalcoholic Steatohepatitis, Type 2 Diabetes

Akero Therapeutics, Inc.

Phase II

FGF-21

Fazpilodemab

BFKB 8488A, RG 7992, RO 7040551

Pending update

Non-Alcoholic Steatohepatitis, Disease

Genentech, Inc.

Phase II

FGF-21

BOS-580

BOS 580, BOS-580-201, LLF 580, LLF-580

Pending update

Nonalcoholic Steatohepatitis, Obesity

Boston Pharmaceuticals, Inc.

Phase II

FGF-21

NN-9499

NN9499, NNC 0194 0499

Pending update

Metabolism and Nutrition Disorder, |Obesity

Novo Nordisk A/S

Phase II

FGF-21

Pegozafermin

BIO89 100, TEV 47948

Pending update

Severe Hypertriglyceridemia NASH, Nonalcoholic Steatohepatitis

89bio, Inc.

Phase II

FGF-21

NGM-313

MK 3655

Pending update

Nonalcoholic steatohepatitis, Hepatitis, Obesity

Merck Sharp & Dohme Corp., Merck GmbH, Merck & Co., Inc., NGM Biopharmaceuticals, Inc., Werthenstein BioPharma GmbH

Phase II

FGF-21

Recombinant pegylated human FGF21

B1344, PEG recombinant human FGF21

Pending update

Type 2 diabetes, Nonalcoholic Steatohepatitis

Tasly Biopharmaceuticals Co., Ltd.

Phase I

FGF-21

DR10624

DR 10624

Pending update

Obese, Metabolic Syndrome, Type 2 Diabetes

Zhejiang Doer Biologics Co., Ltd |Huadong Medicine Co.,Ltd

Phase I

FGF-21

HEC-88473

HEC 88473

Pending update

Obese, Type 2 Diabetes, Non-alcoholic Fatty Liver Disease, Fatty Liver, Liver Diseases, Digestive System Diseases

Dongguan HEC Biopharmaceutical R&D Co., Ltd., Dongguan HEC TaiGen Biopharmaceuticals Co., Ltd.

Phase I

FGF-21

AP-026

AP 026

Pending update

Type 2 diabetes, Nonalcoholic Steatohepatitis

Ampsource Biopharma Shanghai Inc., Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Phase I

FGF-21

Recombinant FGF21-Fc fusion Protein

AP-025, long-acting FGF-21 analog

Pending update

Nonalcoholic Steatohepatitis

Ampsource Biopharma Shanghai Inc., Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Phase I

FGF-21

LY-3025876

Pending update

Pending update

Type 2 Diabetes

Eli Lilly & Co.

Phase I

Reference:

[1] Gasser E, Sancar G, Downes M, Evans RM. Metabolic Messengers: fibroblast growth factor 1. Nat Metab. 2022 Jun;4(6):663-671. doi: 10.1038/s42255-022-00580-2.

[2] Geng L, Lam KSL, Xu A. The therapeutic potential of FGF21 in metabolic diseases: from bench to clinic. Nat Rev Endocrinol. 2020 Nov;16(11):654-667. doi: 10.1038/s41574-020-0386-0.

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