Synonyms: GS-0976 | GS-ACC | ND 630 [4] | ND-630 | NDI-010976
Compound class:
Synthetic organic
Comment: Firsocostat (GS-0976) is a liver-directed acetyl-CoA carboxylase (ACC) inhibitor [2]. It was initially identified by Nimbus Therapeutics [3], and is being developed by Gilead as an antilipemic agent for potential to treat non-alcoholic steatohepatitis (NASH) [1]. Firsocostat is an allosteric inhibitor that binds to the ACC biotin carboxylase dimerization site, rather than to the previously targeted carboxyltransferase domain. The firsocostat-ACC interaction mimics the physiological inhibition of ACC by AMPK.
![]() Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
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No information available. |
Summary of Clinical Use ![]() |
GS-0976 has progressed to Phase 2 evaluation in patients with NASH. Its clinical efficacy has been compared to fenofibrate (PPARα agonist, antilipemic drug) and it is also being tested in combination with anti-fibrotic agents and other antilipemic agents. Click here to link to ClinicalTrials.gov's full list of GS-0976 studies. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT00014690 | ZD9331 With or Without Topotecan in Treating Patients With Refractory or Recurrent Epithelial Ovarian Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer | Phase 2 Interventional | National Cancer Institute (NCI) | ||
NCT02891408 | Pharmacokinetics of Firsocostat or Fenofibrate in Adults With Normal and Impaired Hepatic Function | Phase 1 Interventional | Gilead Sciences | ||
NCT02856555 | Study to Evaluate Safety, Tolerability, and Efficacy of GS-0976 in Adults With Nonalcoholic Steatohepatitis | Phase 2 Interventional | Gilead Sciences | 5 |