ENT-03: A Novel Drug for Obesity and Type 2 Diabetes
ENT-03 is a centrally-acting endogenous steroidal molecule (spermine-bile acid) that regulates whole-body responsiveness to insulin, energy homeostasis and body weight.

Obesity
- Lead program targeting obesity, a $131B projected U.S. market by 2028, impacting nearly 60% of American adults
Diabetes
- Over 36 million Americans now live with diabetes and the numbers continue to increase
- Despite new highly efficacious drugs ~50% of diabetic individuals do not reach target goals and are at risk for debilitating and expensive long-term complications – new approaches still needed
- Current recommendations support the use of multiple drugs in combination to achieve target levels of glucose; +60% are on combination therapy
- No currently approved therapies directly improve insulin sensitivity. ENT-03 and ENT-21 aim to change that
MASH
- MASH (fatty liver disease) affects 9–15 million U.S. adults; ENT-03 and ENT-21 have demonstrated reversal of MASH pathology in preclinical studies
Offers Differentiation And Its Own Market vs. Incretin Class
- Superior Tolerability – No nausea; better tolerated than GLP-1s.
- Sustained Weight Loss – No rebound effect post-treatment, unlike GLP-1a.
- Preserves Lean Mass – Suitable for older adults with sarcopenia, unlike GLP-1s.
- Greater Versatility – Effective as monotherapy, adjunct, or maintenance therapy.
- Enhanced Weight Loss Potential – Additive effect when combined with semaglutide.
- Fast-Acting & Dose-Proportional – No need for a gradual dose escalation, unlike GLP-1s.
- Robust Metabolic Benefits – Improves insulin sensitivity and reverses hepatic steatosis.
- New MOA – Acts centrally on PTP1b in hypothalamic nuclei to regulate energy metabolism.


