Evidence map›Paper›PMID 38989228›Full record

ReviewAnnals of medicine and surgery (2012)2024

Safety and efficacy of resmetirom in the treatment of patients with non-alcoholic steatohepatitis and liver fibrosis: a systematic review and meta-analysis.

Adarsh Raja, Raja Subhash Sagar, Sadia Saeed, Amna Zia Ul Haq, Owais Khan, Parshant Dileep Bhimani, Sandesh Raja, Fnu Deepak, Muhammad Ahmed, Muhammad Ashir Shafique and 3 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Article
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  8. Review
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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.

Adarsh RajaDepartment of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari.
Raja Subhash SagarDepartment of Internal Medicine, Liaquat University of Medical & Health Science, Jamshoro.
Sadia SaeedDepartment of Internal Medicine, Women Medical College Abbotabad, Abbottabad, Pakistan.
Amna Zia Ul HaqDepartment of Internal Medicine, Dow University of Health Sciences.
Owais KhanDepartment of Internal Medicine, Dow University of Health Sciences.
Parshant Dileep BhimaniDepartment of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari.
Sandesh RajaDepartment of Internal Medicine, Dow University of Health Sciences.
Fnu DeepakDepartment of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari.
Muhammad AhmedDepartment of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari.
Muhammad Ashir ShafiqueDepartment of Internal Medicine, Jinnah Sindh Medical University, Karachi.
Muhammad Saqlain MustafaDepartment of Internal Medicine, Jinnah Sindh Medical University, Karachi.
Muhammad Sohaib AsgharDepartment of Internal Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Varsha SharmaDepartment of Internal Medicine, Nepal Medical College, Gokarneshwar, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Non-alcoholic fatty liver disease (NAFLD), spanning from non-alcoholic steatohepatitis (NASH) to liver fibrosis, poses a global health challenge amid rising obesity and metabolic syndrome rates. Effective pharmacological treatments for NASH and liver fibrosis are limited. Objective: This study systematically reviews and meta-analyzes the safety and efficacy of resmetirom, a selective thyroid hormone receptor-β agonist, in NASH and liver fibrosis treatment. By analyzing data from clinical trials, we aim to offer evidence-based recommendations for resmetirom's use in managing these conditions and identify avenues for future research. Methods: Electronic databases (PubMed, Scopus, Science Direct, Google Scholar, ClinicalTrials.gov, and Cochrane CENTRAL) were systematically searched, supplemented by manual screening of relevant sources. Only English-language randomized controlled trials were included. Data extraction, risk of bias assessment, pooled analyses, and meta-regression were performed. Results: Three randomized controlled trials involving 2231 participants were analyzed. Resmetirom demonstrated significant reductions in hepatic fat fraction [standardized mean difference (SMD) -4.61, 95% CI -6.77 to -2.44, Conclusion: Resmetirom exhibits promising efficacy in reducing hepatic fat, improving NASH resolution, and ameliorating liver fibrosis with a favorable safety profile. Further research is warranted to validate findings and optimize therapeutic strategies for NASH and liver fibrosis management.

Indexed as

liver fibrosisnon-alcoholic steatohepatitis (NASH)placeboresmetiromthyroid hormone receptor-beta agonist

Identifiers

PMID38989228
PMCPMC11230798

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Registered trials

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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.