Galectin-3 Inhibition in MASH Cirrhosis: Synthesizing Evidence from the NAVIGATE Trial and Emerging Therapeutics

Highlights

  • The Phase 2b NAVIGATE trial demonstrated that belapectin (2 mg/kg) reduced the incidence of new esophageal varices by 50% in the per-protocol population of patients with MASH cirrhosis.
  • Galectin-3 inhibition represents a novel therapeutic mechanism targeting the fibrotic and inflammatory cascades driving portal hypertension.
  • Machine learning-derived histological scores (SNOF) have emerged as powerful tools for predicting hepatic venous pressure gradient (HVPG) and variceal development.
  • Safety profiles for belapectin remain favorable across multiple trials, with no significant safety signals identified over 18 months of therapy.

Background

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