Evidence map›Paper›PMID 29059456›Full record

ArticleHepatology (Baltimore, Md.)2018

Case definitions for inclusion and analysis of endpoints in clinical trials for nonalcoholic steatohepatitis through the lens of regulatory science.

Mohammad Shadab Siddiqui, Stephen A Harrison, Manal F Abdelmalek, Quentin M Anstee, Pierre Bedossa, Laurent Castera, Lara Dimick-Santos, Scott L Friedman, Katherine Greene, David E Kleiner and 7 more

Abstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. [Current research progress status in identifying hepatocellular ballooning degeneration in nonalcoholic steatohepatitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Towards precision medicine in non-alcoholic fatty liver disease.Reviews in endocrine & metabolic disorders · 2023
    Review

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Mohammad Shadab SiddiquiVirginia Commonwealth University, Richmond, VA.
Stephen A HarrisonPinnacle Clinical Research, San Antonio, TX.
Manal F AbdelmalekDivision of Gastroenterology & Hepatology, Duke University School of Medicine, Durham, NC.
Quentin M AnsteeInstitute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom.
Pierre BedossaDepartment of Pathology, Physiology and Imaging, University of Paris Diderot, Clichy, France.
Laurent CasteraDepartment of Hepatology, Hôpital Beaujon, Clichy, France.
Lara Dimick-SantosCenter for Drug Evaluation and Research, US Food and Drug Administration, Silver Springs, MD.
Scott L FriedmanDivision of Liver Disease, Icahn School of Medicine at Mount Sinai, New York, NY.
Katherine GreeneForum for Collaborative Research, University of California Berkeley, Washington, DC.
David E KleinerNational Cancer Institute, Center for Cancer Research, Bethesda, MD.
Sophie MegnienGenfit Corp, Cambridge, MA.
Brent A Neuschwander-TetriDivision of Gastroenterology and Hepatology, Saint Louis University School of Medicine, St. Louis, MO.
Vlad RatziuDepartment of Hepatology and Gastroenterology, Hôpital Pitié Salpêtrière et Université Pierre et Marie Curie, Paris, France.
Elmer SchabelGastroenterology & Hepatology Unit, Bundesinstitut für Arzneimittel und Medizinprodukte, Bonn, Germany.
Veronica MillerForum for Collaborative Research, University of California Berkeley, Washington, DC.
Arun J SanyalVirginia Commonwealth University, Richmond, VA.
Liver Forum Case Definitions Working Group

Funding

Postmortem PathologyZICBC010685 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KLEINER, DAVID ERWIN · 2009 to 2025
$14.3M
LIPIDOMICS BASED DIAGNOSTICS FOR NONALCOHOLIC STEATOHEPATITISR01DK105961 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI DENNIS, EDWARD A, SANYAL, ARUN J · 2015 to 2018
$2.8M
NIDDK NIH HHS R01 DK105961
6 · The paper itself

Abstract

Nonalcoholic steatohepatitis (NASH) is an important cause of liver-related morbidity and mortality. There are no approved therapies, and the results of clinical trials have been difficult to compare due to inconsistent definitions of relevant disease parameters in patients with NASH. The natural course of the disease has not been rigorously characterized, particularly with respect to the contributions of underlying obesity, type 2 diabetes, and other comorbidities and the treatments provided for these comorbidities. Efforts to perform analyses of pooled data are limited by heterogeneous case definitions used across studies to define disease states. There remains a major unmet need in the field to develop standardized definitions for populations for interventional trials. Such definitions are expected to impact how endpoints for clinical trials are constructed. The Liver Forum is a multistakeholder effort including US and European regulatory agencies, academic investigators, professional and patient representative organizations, and industry to catalyze therapeutic development for NASH by developing potential solutions to barriers to development. The Case Definitions Working Group was established by The Liver Forum to evaluate the validity of case definitions for populations to be included in clinical trials for NASH from a regulatory science perspective. Based on such analyses, specific recommendations are provided noting the strengths and weaknesses of the case definitions along with knowledge gaps that require additional study. (Hepatology 2018;67:2001-2012).

Indexed as

Clinical Trials as TopicHumansLiverNon-alcoholic Fatty Liver DiseasePatient SelectionPhenotypeResearch Design

Identifiers

PMID29059456
PMCPMC5906171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.