Altimmune Receives FDA Breakthrough Therapy Designation for Pemvidutide in MASH
GAITHERSBURG, Md., Jan. 05, 2026 (GLOBE NEWSWIRE) -- Altimmune, Inc. (Nasdaq: ALT), a late-stage biopharmaceutical company focused on therapies for serious liver diseases, announced today that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy Designation (BTD) for its investigational drug, pemvidutide. This treatment is specifically aimed at addressing metabolic dysfunction-associated steatohepatitis (MASH), a progressive liver disease.
Significance of the Breakthrough Therapy Designation
The FDA's Breakthrough Therapy Designation is designed to expedite the development and review process for medications targeting serious or life-threatening conditions. Pemvidutide has shown preliminary clinical evidence indicating potential substantial improvements over existing therapies for MASH.
“The FDA’s Breakthrough Therapy Designation for pemvidutide in MASH reinforces the promise of its clinical profile and potential to address significant unmet needs in this serious, progressive liver disease,” stated Jerry Durso, President and CEO of Altimmune. “This designation represents a validation for pemvidutide, and with alignment from the FDA on parameters for a registrational Phase 3 trial, we are committed to advancing this candidate through late-stage development.”
Clinical Evidence Supporting Pemvidutide
The BTD for pemvidutide was granted based on promising data from the 24-week IMPACT Phase 2b trial, which demonstrated:
- Statistically significant MASH resolution without worsening of fibrosis.
- Early improvements in liver fat and non-invasive tests for fibrosis and hepatic inflammation.
In December 2025, Altimmune reported that at 48 weeks, patients receiving the pemvidutide 1.8 mg dose exhibited continued weight loss, with a favorable tolerability profile, and showed significant improvements in key non-invasive tests, such as Enhanced Liver Fibrosis (ELF) and Liver Stiffness Measurement (LSM).
Plans for Phase 3 Trials
Following a successful end-of-phase 2 meeting with the FDA, Altimmune is set to initiate a Phase 3 trial that will evaluate multiple doses of pemvidutide over a 52-week period. The design is expected to include:
- Biopsy-based endpoints to support accelerated approval.
- The use of AIM-MASH AI Assist, the first AI tool qualified by the FDA for MASH clinical trials.
The company will also seek insights from European regulators to enhance the Phase 3 protocol as development progresses.
Understanding MASH and Pemvidutide
MASH is a serious liver condition characterized by fat accumulation, inflammation, and fibrosis. If untreated, it can lead to severe complications like cirrhosis, liver failure, or liver cancer.
Pemvidutide, a unique investigational peptide, acts as a balanced dual receptor agonist targeting both glucagon and GLP-1 receptors. This dual action may lead to significant reductions in liver fat, inflammation, and fibrosis while simultaneously aiding in weight loss and appetite suppression.
About Altimmune Inc. and Future Outlook
Altimmune is committed to developing innovative therapies for patients suffering from serious liver diseases. The company's lead candidate, pemvidutide, is poised to play a crucial role in the management of conditions such as MASH, alcohol use disorder (AUD), and alcohol-associated liver disease (ALD).
With the FDA granting Fast Track designations to pemvidutide for MASH and AUD, alongside its Breakthrough Therapy Designation for MASH, Altimmune aims to accelerate the pathway to potential approval and commercialization as it continues its clinical trials.