Drug class

Farnesoid X Receptor (FXR) Agonists, Bile Acid Analogs

Farnesoid X receptor agonists that are bile acid analogs represent a specialized class of semi-synthetic nuclear receptor ligands, exemplified clinically by obeticholic acid. Read more about Farnesoid X Receptor (FXR) Agonists, Bile Acid Analogs

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About Farnesoid X Receptor (FXR) Agonists, Bile Acid Analogs.

Farnesoid X receptor agonists that are bile acid analogs represent a specialized class of semi-synthetic nuclear receptor ligands, exemplified clinically by obeticholic acid.

These agents selectively bind to and activate the farnesoid X receptor, which downregulates endogenous hepatic bile acid synthesis, promotes bile acid transport and excretion, and mitigates cholestasis-driven hepatocellular toxicity.

Therapeutically, this pharmacologic class is utilized primarily in chronic cholestatic liver disease, specifically for managing primary biliary cholangitis in patients with inadequate response or intolerance to first-line ursodeoxycholic acid therapy.