Evidence map›Paper›PMID 30249972›Full record

ReviewDiseases (Basel, Switzerland)2018

The Role of Vitamin E in the Treatment of NAFLD.

Brandon J Perumpail, Andrew A Li, Nimy John, Sandy Sallam, Neha D Shah, Waiyee Kwong, George Cholankeril, Donghee Kim, Aijaz Ahmed

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Diseases (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07104786 (Effectiveness of Obeticholic Acid Versus Vitamin E in Patients of Non-alcoholic Fatty Liver Disease), which is not on this map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% of its field
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.

NCT07104786 phase2completednot on this mapstarted 2023, after this paper: background citation

Effectiveness of Obeticholic Acid Versus Vitamin E in Patients of Non-alcoholic Fatty Liver Disease

TypeinterventionalSponsorKing Edward Medical UniversityRan2023 to 2024Enrolled90ConditionsNon Alcoholic Fatty Liver DiseaseArmsObeticholic Acid 10 MG, Vitamin E 400mg
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
  2. Frontiers in nutrition · 2023
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Nutrients · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. PharmVar GeneFocus: CYP4F2.Clinical pharmacology and therapeutics · 2024
    Review
  17. Review
  18. Article
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

Brandon J PerumpailDrexel University College of Medicine, Philadelphia, PA 19129, USA. brandonperumpail@gmail.com.
Andrew A LiDepartment of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA. andrewli@stanford.edu.
Nimy JohnDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. nionnj@gmail.com.
Sandy SallamDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. SSallam@stanfordhealthcare.org.
Neha D ShahDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. NeShah@stanfordhealthcare.org.
Waiyee KwongDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. WKwong@stanfordhealthcare.org.
George CholankerilDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. georgetc@stanford.edu.
Donghee KimDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. dhkimmd@stanford.edu.ORCID 0000-0003-1919-6800
Aijaz AhmedDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94305, USA. aijazahmed@stanford.edu.ORCID 0000-0002-3609-8586
Stanford Medicine · USStanford Health Care · USDrexel University · US

Funding

TRAINING GRANT IN ACADEMIC GASTROENTEROLOGYT32DK007056 · NIDDK · STANFORD UNIVERSITY · PI Natalie J. Torok · 1986 to 2026
$6.5M
6 · The paper itself

Abstract

There has been a growing interest in the role of vitamin E supplementation in the treatment and/or prevention of nonalcoholic fatty liver (NAFLD). We performed a systematic review of the medical literature from inception through 15 June 2018 by utilizing PubMed and searching for key terms such as NAFLD, vitamin E, alpha-tocopherol, and nonalcoholic steatohepatitis (NASH). Data from studies and medical literature focusing on the role of vitamin E therapy in patients with NAFLD and nonalcoholic steatohepatitis (NASH) were reviewed. Most studies assessing the impact of vitamin E in NAFLD were designed to evaluate patients with NASH with documented biochemical and histological abnormalities. These studies demonstrated improvement in biochemical profiles, with a decline in or normalization of liver enzymes. Furthermore, histological assessment showed favorable outcomes in lobular inflammation and hepatic steatosis following treatment with vitamin E. Current guidelines regarding the use of vitamin E in the setting of NAFLD recommend that vitamin E-based treatment be restricted to biopsy-proven nondiabetic patients with NASH only. However, some concerns have been raised regarding the use of vitamin E in patients with NASH due to its adverse effects profile and lack of significant improvement in hepatic fibrosis. In conclusion, the antioxidant, anti-inflammatory, and anti-apoptotic properties of vitamin E accompanied by ease-of-use and exceptional tolerability have made vitamin E a pragmatic therapeutic choice in non-diabetic patients with histologic evidence of NASH. Future clinical trials with study design to assess vitamin E in combination with other anti-fibrotic agents may yield an additive or synergistic therapeutic effect.

Indexed as

NAFLDNASHnonalcoholic fatty liver diseasevitamin E alpha-tocopherol

Identifiers

PMID30249972
PMCPMC6313719
OpenAlexW2890780033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.