Metabolic dysfunction-associated steatohepatitis, MASH (formerly known as non-alcoholic steatohepatitis, NASH)
Based on the current cellular, animal and clinical studies, a multi-target MASH treatment may be achieved through the following mechanisms:
- Inhibit fat synthesis and accumulation via impeding the synthesis and accumulation of triglycerides, and hindering the absorption of fatty acids by liver cells.
- Reduce ROS production.
- Inhibit the expression of pro-fibrotic factors and pro-inflammatory factors by regulating immune cells and hepatic stellate cells.
- Reduce subsequent inflammatory reactions in the liver by regulating the integrity of the intestinal cell barrier.
Phase IIa clinical study was approved by US FDA & TFDA.
- An innovative combination of active ingredients for a new indication.
- First-in-class new drug on the market.
- Treatment for both alcoholic steatohepatitis and MASH.
- No safety issue.
The global market size of MASH is projected to have a compound annual growth rate (CAGR) of 33.3% between 2025 and 2033, reaching $51.4 billion by 2033, as forecasted by 2023 Future Market Insights report.
Clinical trials
- Clinical phase II POC study was completed in 2021, with a total of 36 subjects from both the high and low dose groups. Post-treatment of SNP-610 for 12 weeks, the primary efficacy endpoint ALT (approved to use by the US FDA) and other secondary clinical efficacy endpoints were met, and a significant therapeutic effect was observed for MASH treatment when compared with the baseline.
- A double-blind controlled clinical phase II (2a) trial has obtained approval to proceed from the US FDA & TFDA. The main objective of the trial is to verify the efficacy and safety, and compare the differences in various efficacy and safety endpoints between the SNP-610 group and the placebo group. The enrollment is expected to be around 80 subjects.
SINEW is adopting a comparable strategy as other pharmaceutical companies of concurrently developing several new drugs for MASH. This includes the development of SNP-610, a drug featuring an innovative combination of active ingredients for a new indication, as well as SNP-630, a new chemical entity (NCE). The rationale is to increase the probability of success for MASH drug development, as it is not yet confirmed whether the development of a single-target drug can completely cure MASH, a disease with complex etiology. Up until now, no drug has been approved globally for this condition.