Expert Interview
Digging into Pliant Therapeutics' bexotegrast and the updated data from the INTEGRIS-PSC Phase 2a trial in primary sclerosing cholangitis (PSC) and biliary fibrosis
Ticker(s): PLRXInstitution: Yale University
- Ensign Professor of Medicine and Emeritus Director of the Liver Center at Yale School of Medicine
- Treats 25 patients with PSC and 30 with PBC
- Clinical interest in autoimmune and cholestatic liver diseases
Reflecting on the INTEGRIS-PSC Phase 2a trial, can you elaborate on the safety profile of PLN-74809 observed over the 12-week period, especially concerning its tolerability in patients with suspected moderate to severe liver fibrosis?
Added By: catalin_adminHow does the observed reduction in liver fibrosis markers ELF and PRO-C3 with PLN-74809 administration contribute to our understanding of its antifibrotic efficacy in PSC patients?
Added By: catalin_adminBased on MRI imaging results from the trial, can you discuss the implications of improved hepatocyte function and bile flow in patients treated with PLN-74809?
Added By: catalin_adminIn comparison with existing treatment options for PSC, where does PLN-74809 stand in terms of effectiveness and patient outcomes, particularly in light of the trial results?
Added By: catalin_adminThe trial noted a significant reduction in itch severity with PLN-74809. How important is this finding for the overall quality of life and symptom management in PSC patients?
Added By: catalin_adminConsidering the varied dosages tested in the trial, how might PLN-74809 enable more personalized treatment strategies for PSC patients?
Added By: catalin_adminWith the ongoing trial set to continue for a 24-week period, what are your expectations regarding the long-term efficacy and safety of PLN-74809 in PSC treatment?
Added By: catalin_adminFollowing these promising trial results, what are the anticipated next steps in the clinical development and regulatory process for PLN-74809, and how might this influence its accessibility to patients?
Added By: catalin_adminHow does the use of single nuclei RNA sequencing (snRNA-seq) combined with the precision-cut liver slice (PCLivS) platform enhance our understanding of bexotegrast’s cell-specific effects in treating biliary fibrosis?
The study indicates that bexotegrast had an attenuated effect on immune cell gene expression compared to ALK5i. What are the potential clinical implications of this finding for patients with PSC?
Added By: catalin_adminCan you discuss the specific response profiles of key pathologic cell types, such as myofibroblasts and cholangiocytes, to bexotegrast treatment? How does this compare to their response to ALK5i?
Added By: catalin_adminWhat were the most significant differentially expressed genes (DEGs) and pathways identified in the study for bexotegrast-treated cells, and how do these contribute to its antifibrotic effects?
Added By: catalin_adminAre You Interested In These Questions?
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