Madrigal Pharmaceuticals

Rezdiffra, MASH treatment, liver disease

USpublicest. 2011madrigalpharma.com (opens madrigalpharma.com)Checked 11 Oct

The brief

Analyst view
  • Rezdiffra is the first FDA-approved MASH therapy (accelerated approval March 2024).
  • Q2 2026 sales: $364.3M (+71% YoY); trailing-12-month revenue ~$1.3B.
  • EMA conditional approval 2026; German launch Q4 2025; Europe rollout ongoing.

Technical approach

As reported
Mechanism

Liver-directed THR-β agonist

Rezdiffra activates thyroid hormone receptor beta in liver, improving lipid metabolism.

Target disease

Advanced fatty liver disease

MASH affects 18–25% of adults with high fibrosis progression risk.

Development

Accelerated approval pathway

FDA approval based on 52-week MAESTRO-NASH Phase 3 showing MASH resolution improvement.

Clinical benefit

First approved MASH therapy

No prior pharmacological treatments existed for MASH before Rezdiffra.

Primer