Evidence map›Paper›PMID 41431629›Full record

ArticleAddiction & health2025

Efficacy of N-Acetylcysteine on Liver Function and Metabolic Profiles in Patients with Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A Double-Blind, Randomized Controlled Trial.

Mehrdad Sinaeinejad, Mehdi Karimi, Mohsen Razavizadeh, Abbas Arj, Seyyed Hamed Tabatabaei, Masoud Mortezazadeh, Niyousha Shirsalimi, Samira Pirzad, Abbas Mofidi, Mehdi Kashani

Abstract read
In one paragraph

Article in Addiction & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. [Role of glutathione in regulating ferroptosis and cuproptosis in metabolic dysfunction-associated steatotic liver disease].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  5. Article
  6. Review
  7. 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

10 authors.

Mehrdad SinaeinejadDepartment of Internal Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Mehdi KarimiFaculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine.ORCID https://orcid.org/0009-0006-4388-0214
Mohsen RazavizadehDepartment of Internal Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Abbas ArjDepartment of Internal Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Seyyed Hamed TabatabaeiDepartment of Internal Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Masoud MortezazadehDepartment of Hematology-Oncology, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences (TUMS), Tehran, Iran.ORCID https://orcid.org/0000-0003-3585-9379
Niyousha ShirsalimiFaculty of Medicine, Hamadan University of Medical Sciences (UMSHA), Hamadan, Iran.ORCID https://orcid.org/0000-0002-3337-942X
Samira PirzadFaculty of Medicine, Islamic Azad University, Tehran Medical Sciences Branch (IAUTMU), Tehran, Iran.ORCID https://orcid.org/0009-0003-9220-3891
Abbas MofidiSchool of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Mehdi KashaniSina Hospital, Department of Internal Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD), previously referred to as non-alcoholic fatty liver disease (NAFLD), is a common liver disorder associated with metabolic abnormalities. This study aimed to evaluate the effectiveness of N-acetylcysteine (NAC) in improving liver function and metabolic profile in patients with MASLD. Methods: In this randomized controlled trial (RCT), 69 patients with MASLD were randomly assigned to either the NAC group (600 mg, administered three times daily, n=34) or the placebo group (n=35) for eight weeks. The severity of hepatic steatosis, liver enzymes, and metabolic profile were measured at baseline and the final trial. Data were analyzed using SPSS. Findings: Following eight weeks of NAC administration in patients with MASLD, no significant changes were observed compared to the placebo in hepatic steatosis grade ( Conclusion: NAC administration in patients with MASLD does not significantly impact hepatic steatosis, liver enzymes, or lipid profiles; however, it improves oxidative, glycemic, and inflammatory markers. Therefore, NAC may be a beneficial adjunct therapy for managing metabolic parameters and reducing inflammation and oxidative stress in MASLD patients. Trial Registration: The trial was registered with the Iranian Registry of Clinical Trials (IRCT20201220049772N1) on February 20, 2021.

Indexed as

Clinical trialFatty liver diseaseHepatic steatosisMetabolic dysfunctionMetabolic profileN-acetylcysteine

Identifiers

PMID41431629
PMCPMC12718416

What OpenQuestion holds

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LicenceCC BY-NC
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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.