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Resmetirom for Nonalcoholic Fatty Liver Disease: a Randomized, Double-Blind, Placebo-Controlled Phase 3 Trial

  • From May 2021 to April 2023, a global, placebo-controlled Phase III study involving 800 participants across 253 sites investigated the efficacy of semaglutide in treating metabolic dysfunction-associated steatohepatitis .
  • The trial followed renaming of non-alcoholic fatty liver disease to MASLD and NASH to MASH in 2023, reflecting updated disease classifications.
  • Eight hundred participants with MASH received semaglutide or placebo, with 62.9% of the semaglutide group showing reduced liver inflammation and fat compared to 34.3% on placebo.
  • Semaglutide recipients lost 10.5% body weight and 36.8% experienced fibrosis improvement, though adverse events like diarrhea and nausea occured more often than in placebo patients.
  • These results highlight semaglutide's potential to treat MASLD, a disease with no licensed medications, and support ongoing research into long-term liver outcomes.
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Medical Xpress broke the news in on Friday, May 16, 2025.
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