Evidence map›Paper›PMID 42663669›Full record

ArticleJournal of gastroenterology2026

Semaglutide in Japanese participants with metabolic dysfunction-associated steatohepatitis: a subgroup analysis of the ESSENCE trial.

Atsushi Nakajima, Takeshi Okanoue, Yoichi Hiasa, Hirokazu Takahashi, Kwabena Opuni, Nobuyoshi Kosaka, Tomoyuki Nishida, Arun J Sanyal

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04822181 (The Effect of Semaglutide in Subjects With Non-cirrhotic Non-alcoholic Steatohepatitis), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT04822181 phase3active not recruitingnot on this map

The Effect of Semaglutide in Subjects With Non-cirrhotic Non-alcoholic Steatohepatitis

TypeinterventionalSponsorNovo Nordisk A/SRan2021 to 2029Enrolled1,205ConditionsNon-alcoholic SteatohepatitisArmsSemaglutide, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Atsushi NakajimaDepartment of Gastroenterology and Hepatology, International University of Health and Welfare, Narita, Japan. nakajima-tky@umin.ac.jp.ORCID http://orcid.org/0000-0002-6263-1436
Takeshi OkanoueDepartment of Gastroenterology and Hepatology, Saiseikai Suita Hospital, Osaka, Japan.
Yoichi HiasaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Hirokazu TakahashiDivision of Metabolism and Endocrinology, Saga University Faculty of Medicine Graduate School of Medical Sciences, Saga, Japan.
Kwabena OpuniNovo Nordisk A/S, Søborg, Denmark.
Nobuyoshi KosakaNovo Nordisk Pharma Ltd, Tokyo, Japan.
Tomoyuki NishidaNovo Nordisk Pharma Ltd, Tokyo, Japan.
Arun J SanyalStravitz-Sanyal Institute for Liver Disease and Metabolic Health, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis subgroup analysis assessed the efficacy and safety of semaglutide in the Japanese subgroup versus the overall trial population of ESSENCE (part 1) and evaluated the impact of baseline characteristics.

methodsESSENCE is an ongoing, phase 3, multicenter, randomized, double-blind, placebo-controlled trial that includes 1197 participants with biopsy-defined metabolic dysfunction-associated steatohepatitis and liver fibrosis stage 2 or 3 randomized 2:1 to receive once-weekly subcutaneous semaglutide 2.4 mg or placebo for 240 weeks (NCT04822181). The results of an interim analysis for efficacy conducted at week 72 involving the first 800 randomized participants are reported here (part 1).

resultsOne hundred and sixteen of the first 800 randomized participants included in the interim analysis for efficacy were Japanese and received semaglutide (n = 78) or placebo (n = 38). Compared with the overall population, Japanese participants were older and had a lower body mass index. Resolution of steatohepatitis and no worsening of liver fibrosis was achieved by 63.1 and 36.8% of Japanese participants receiving semaglutide and placebo, respectively (estimated difference in responder proportions [EDP]: 26.65 [95% confidence interval (CI): 7.43-45.86]). Improvement in liver fibrosis and no worsening of steatohepatitis was achieved by 36.5 and 28.9% of Japanese participants receiving semaglutide and placebo, respectively (EDP: 7.07 [95% CI: -11.48-25.62]). Based on the adverse event profiles of all participants receiving treatment, semaglutide was well tolerated in the Japanese population. Age and body mass index distribution did not meaningfully affect efficacy and safety.

conclusionsThe efficacy and safety of semaglutide were directionally consistent in the Japanese population compared with those of the overall ESSENCE population.

trial registrationClinicalTrials.gov; https://clinicaltrials.gov/study/NCT04822181.

Indexed as

FibrosisJapaneseMASHMetabolic dysfunction-associated steatohepatitisSemaglutide

Identifiers

PMID42663669

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