Evidence map›Paper›PMID 30761572›Full record

ReviewAlimentary pharmacology & therapeutics2019

Consensus: guidelines: best practices for detection, assessment and management of suspected acute drug-induced liver injury during clinical trials in patients with nonalcoholic steatohepatitis.

Arie Regev, Melissa Palmer, Mark I Avigan, Lara Dimick-Santos, William R Treem, John F Marcinak, Daniel Seekins, Gopal Krishna, Frank A Anania, James W Freston and 3 more

Open access · hybridAbstract readReview
In one paragraph

Review in Alimentary pharmacology & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.4field-weighted citation impact, top 8% 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.

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

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Xenobiotic-Induced Aggravation of Metabolic-Associated Fatty Liver Disease.International journal of molecular sciences · 2022
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Liver Enzyme Elevations inThe American journal of tropical medicine and hygiene · 2020
    Article
  13. Review
  14. Review
  15. Review
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

13 authors at 4 institutions in 1 country.

Arie RegevIndianapolis, Indiana.ORCID 0000-0001-6570-7769
Melissa PalmerLexington, Massachusetts.ORCID 0000-0002-8745-6865
Mark I AviganSilver Spring, Maryland.
Lara Dimick-SantosSilver Spring, Maryland.
William R TreemCambridge, Massachusetts.
John F MarcinakDeerfield, Illinois.
Daniel SeekinsHopewell, New Jersey.
Gopal KrishnaSummit, New Jersey.
Frank A AnaniaSilver Spring, Maryland.
James W FrestonFarmington, Connecticut.
James H LewisWashington, District of Columbia.
Arun J SanyalRichmond, Virginia.ORCID 0000-0001-8682-5748
Naga ChalasaniIndianapolis, Indiana.
Indianapolis Zoo · USDeerfield (United States) · USUniversity of Richmond · USWashington Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe last decade has seen a rapid growth in the number of clinical trials enrolling patients with nonalcoholic fatty liver disease and nonalcoholic steatohepatitis (NASH). Due to the underlying chronic liver disease, patients with NASH often require different approaches to the assessment and management of suspected drug-induced liver injury (DILI) compared to patients with healthy livers. However, currently no regulatory guidelines or position papers systematically address best practices pertaining to DILI in NASH clinical trials.

aimsThis publication focuses on best practices concerning the detection, monitoring, diagnosis and management of suspected acute DILI during clinical trials in patients with NASH.

methodsThis is one of several papers developed by the IQ DILI Initiative, comprised of members from 15 pharmaceutical companies, in collaboration with DILI experts from academia and regulatory agencies. This paper is based on extensive literature review, and discussions between industry members with expertise in drug safety and DILI experts from outside industry to achieve consensus on common questions related to this topic.

resultsRecommended best practices are outlined pertaining to hepatic inclusion and exclusion criteria, monitoring of liver tests, DILI detection, approach to a suspected DILI signal, causality assessment and hepatic discontinuation rules.

conclusionsThis paper provides a framework for the approach to assessment and management of suspected acute DILI during clinical trials in patients with NASH.

Indexed as

Disease ManagementChemical and Drug Induced Liver InjuryClinical Trials as TopicHumansLiver Function TestsNon-alcoholic Fatty Liver DiseasePractice Guidelines as Topic

Identifiers

PMID30761572
PMCPMC6593464
OpenAlexW2913929062

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.