Evidence map›Paper›PMID 41758054›Full record

Trial reportHepatology communications2026

Improvement in health-related quality of life after treatment with resmetirom in patients with the spectrum of MASLD: From early MASH to MASH cirrhosis.

Zobair M Younossi, Fatema Nader, Dominic Labriola, Rebecca Taub, Andrei Racila, Linda Henry, Maria Stepanova

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hepatology communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04197479 (A 52-Week, Phase 3 Study to Evaluate Safety and Biomarkers of Resmetirom), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04197479 phase3completednot on this map

A 52-Week, Phase 3 Study to Evaluate Safety and Biomarkers of Resmetirom (MGL-3196) in Patients With Non-alcoholic Fatty Liver Disease (NAFLD) (MAESTRO-NAFLD-1)

TypeinterventionalSponsorMadrigal Pharmaceuticals, Inc.Ran2019 to 2023Enrolled1,343ConditionsNon-Alcoholic Fatty Liver DiseaseArmsPlacebo, Resmetirom
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

7 authors.

Zobair M YounossiThe Global NASH/MASH Council, Washington, District of Columbia, USA.ORCID 0000-0001-9313-577
Fatema NaderThe Global NASH/MASH Council, Washington, District of Columbia, USA.
Dominic LabriolaMadrigal Pharmaceuticals, West Conshohocken, Pennsylvania, USA.
Rebecca TaubMadrigal Pharmaceuticals, West Conshohocken, Pennsylvania, USA.
Andrei RacilaThe Global NASH/MASH Council, Washington, District of Columbia, USA.
Linda HenryThe Global NASH/MASH Council, Washington, District of Columbia, USA.
Maria StepanovaThe Global NASH/MASH Council, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResmetirom is approved for MASH F2-F3 fibrosis. Health-related quality of life (HRQL) was assessed in patients with MASH treated with resmetirom.

methodsPatients with MASH enrolled in MAESTRO-NAFLD-1 (NCT04197479) and the 52-week open-label extension study (year 2). HRQL was assessed using LDQoL and CLDQ-NAFLD. Magnetic resonance imaging-proton density fat fraction (MRI-PDFF) response definition for early MASH: a decrease ≥30% from baseline; MASH cirrhosis ≥20% decrease (if baseline MRI-PDFF >5%).

resultsMAESTRO-NAFLD-1 included 180 patients with MASH cirrhosis and 1143 with early MASH [baseline MRI-PDFF ≥8%, vibration-controlled transient elastography (VCTE) ≥5.5 kPa <8.5 kPa] treated with 80 mg or 100 mg resmetirom or placebo or 100 mg open-label resmetirom. Baseline HRQL for MASH cirrhosis was significantly lower (up to -15% of score range) for all 6 domains of CLDQ-NAFLD and 13/17 domains of LDQoL (p<0.05). MASH cirrhosis, by week 24 of resmetirom treatment year 1, had improvements in Worry (CLDQ-NAFLD) and Health Distress (LDQoL) up to +4% of score range, sustained through week 52 and throughout year 2 (day 1, week 12, week 28) (p<0.05). Cirrhotic patients with MRI-PDFF response by year 1 week 52, improved in Stigma score (LDQoL): mean change (+3.9 vs. -4.2, p=0.042). Early MASH receiving resmetirom experienced improvement in: Abdominal and Worry (CLDQ-NAFLD) and Health Distress (LDQoL) (up to +5% of score range size); no similar improvements observed in placebo (all p>0.05). Early MASH patients with MRI-PDFF response experienced Abdominal and Worry score (up to +6%) improvements-greater than placebo or nonresponders.

conclusionsEarly MASH and MASH cirrhosis treated with resmetirom experience improvement in some disease-specific HRQL scores.

Indexed as

Liver CirrhosisNon-alcoholic Fatty Liver DiseaseQuality of LifeAdultElasticity Imaging TechniquesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedTreatment Outcomeabdominal symptomshealth distresshepatic steatosispatient-reported outcomesWorry

Identifiers

PMID41758054
PMCPMC12947990

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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.