TERN-501
Experimental drug for nonalcoholic steatohepatitis
{{Drugbox
| verifiedfields = changed
| verifiedrevid = 123456789
| IUPAC_name = (2S)-2-[[4-[2-[[(1R,2R)-2-(4-chlorophenyl)cyclopropyl]amino]-2-oxoethyl]phenyl]amino]-3-phenylpropanoic acid
| image = TERN-501.svg
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| width = 200
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| caption = Chemical structure of TERN-501
| tradename =
| synonyms =
| CAS_number = 123456-78-9
| ATC_prefix =
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| PubChem = 12345678
| DrugBank =
| ChemSpiderID = 12345678
| UNII =
| KEGG =
| ChEMBL = 1234567
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TERN-501 is an investigational drug being developed for the treatment of nonalcoholic steatohepatitis (NASH), a progressive form of nonalcoholic fatty liver disease (NAFLD). TERN-501 is a selective thyroid hormone receptor beta (THR-β) agonist, designed to target liver tissue specifically, thereby reducing the risk of side effects associated with systemic thyroid hormone activation.
Mechanism of Action
TERN-501 functions by selectively activating the thyroid hormone receptor beta (THR-β) in the liver. This receptor plays a crucial role in regulating lipid metabolism, which is often disrupted in patients with NASH. By activating THR-β, TERN-501 aims to reduce liver fat content, inflammation, and fibrosis, which are key pathological features of NASH.
Development and Clinical Trials
TERN-501 is currently undergoing clinical trials to evaluate its safety and efficacy in patients with NASH. Early-phase trials have focused on determining the optimal dosing regimen and assessing the pharmacokinetics and pharmacodynamics of the drug. Subsequent trials aim to evaluate the impact of TERN-501 on liver histology and clinical outcomes in patients with NASH.
Potential Benefits
The selective action of TERN-501 on THR-β is intended to minimize the side effects commonly associated with thyroid hormone therapies, such as cardiovascular and bone-related adverse effects. This selectivity is expected to provide a safer therapeutic option for patients with NASH, a condition for which there are currently limited treatment options.
Challenges and Considerations
While TERN-501 shows promise, the development of therapies for NASH is challenging due to the complex pathophysiology of the disease and the need for long-term treatment. The efficacy of TERN-501 will need to be demonstrated in large-scale clinical trials, and its long-term safety profile will need to be thoroughly evaluated.
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Contributors: Prab R. Tumpati, MD