Resiliva

Fibrocon tablet is indicated in conjunction with diet and exercise for the treatment of adults with noncirrhotic nonalcoholic steatohepatitis (NASH) with moderate to advanced liver fibrosis (consistent with stages F2 to F3 fibrosis).

The recommended dose of Resmetirom is based on actual body weight. For patients weighing:
<100 kg, the recommended dose is 80 mg orally once daily.
>100 kg, the recommended dose is 100 mg orally once daily.
Resmetirom can be administered with or without food.

The common side effects of Fibrocon are: Diarrhea, Nausea, Vomiting, Abdominal pain, Dizziness, Pruritus, Constipation.

Hepatotoxicity
: Hepatotoxicity has been observed with use of Fibrocon. Monitoring of patient is required during treatment with Fibrocon for elevations in liver tests, for the development of liver-related adverse reactions and for sign & symptoms of hepatotoxicity. If hepatotoxicity is suspected, Fibrocon should be discontinued and monitoring of the patient should be continued. If laboratory values return to baseline, the potential risks against the benefits of restarting Fibrocon should be considered. If laboratory values do not return to baseline, DI-ALH or autoimmune liver disease should be considered in the evaluation of elevations in liver tests.
Gallbladder-Related Adverse Reactions
: In clinical trials, cholelithiasis, acute cholecystitis, and obstructive pancreatitis (gallstone) were observed in Fibrocon-treated patients. If cholelithiasis is suspected, gallbladder diagnostic studies and appropriate clinical follow-up are indicated , If an acute gallbladder event is suspected, Fibrocon treatment
should be interrupted until the event is resolved.
Drug Interaction with Certain Statins
: An increase in exposure of Atorvastatin, Pravastatin, Rosuvastatin and Simvastatin was observed when concomitantly administered with Fibrocon, which may increase the risk of adverse reactions related to these drugs. Dosage adjustment for certain statins is recommended.

Resmetirom is a partial agonist of the thyroid hormone receptor-beta (THR-β). Resmetirom produced 83.8% of the maximum response compared to triiodothyronine (T3), with an EC
50
of 0.21 μM in an in vitro functional assay for THR-β activation. The same functional assay for thyroid hormone receptor alpha (THR-α) agonism showed 48.6% efficacy for Resmetirom relative to T3, with an EC
50
of 3.74 pM. THR-p is the major form of THR in the liver, and stimulation of THR-β in the liver reduces intrahepatic triglycerides.