Clinics in liver disease

Current and Future Treatments for Fatty Liver Disease Linked to Metabolism Problems

Updated

Abstract

Resmetirom and semaglutide are now FDA-approved for patients with metabolic dysfunction-associated steatohepatitis and significant liver fibrosis.

  • Metabolic dysfunction-associated steatohepatitis (MASH) is a progressive form of metabolic dysfunction-associated steatotic liver disease (MASLD).
  • Lifestyle modifications such as dietary changes, exercise, and weight loss have been the traditional approach to treating MASLD/MASH.
  • Resmetirom acts as a thyroid hormone β-receptor agonist, while semaglutide functions as a glucagon-like-peptide-1 receptor agonist.
  • Both medications are associated with treating patients who have clinically significant hepatic fibrosis (F2-F3 fibrosis).
  • Future therapies may enable more personalized treatment strategies for MASH and related conditions.

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Full Text

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Funding

Competing interests

Disclosures E.S.Abreu No conflicts of interest. M. Noureddin: Advisory/Consulting: Akero, Altimmune, Alligos, AstraZeneca, BI, Boston Pharma, Curve bioscience, Cytodyn, GSK, Histoindex, Kryia, Lilly, Madrigal, Merck, Novo Nordisk, OPKO, Rivus, Sagimet, Terns and Takeda. Research/Grant: Allergan, Altimmune, Akero, BI, BMS, Boston Pharma, Conatus, Corcept, Gilead, Galectin, Genfit, GSK, Kowa, Enanta, Madrigal, Lilly, Merck, Novartis, Novo Nordisk, Rivus, Shire, Takeda, Terns, Viking and Zydus. Stockholder: Rivus Pharma, OPKO, Kryia and Akero. Speaker Bureau: Madrigal and Novo Nordisk. H. Takahashi Speaker honorarium from AbbVie, Boehringer Ingelheim, Eli Lilly and Novo Nordisk. J.M. Shattenberg Advisory/Consultancy: Akero, Alentis, Alexion, Altimmune, Astra Zeneca, 89Bio, Boehringer Ingelheim, Gilead Sciences, GSK, Ipsen, Inventiva Pharma, Madrigal Pharmaceuticals, Kríya Therapeutics, Eli Lilly, eTherapeutics, Merck, MSD Sharp & Dohme GmbH, Novo Nordisk, Roche; speaker honorarium from AbbVie, Boehringer Ingelheim, Gilead Sciences, Ipsen, Lilly, Madrigal Pharmaceuticals, MSD, Novo Nordisk. Stockholder: Hepta Bio; M.F. Abdelmalek Advisory/Consultancy: 89Bio, Akero, Boehringer-Ingelheim, Hanmi, Inventiva Pharma, NovoNordisk, Madrigal Pharmaceutials, Kriya Therapuetics, Merck, MetaSight. Research/Grant: 89Bio, Akero, Hanmi, Inventiva, Madrigal. Speaker Bureau: Chronic Liver Disease Foundation, MedScape, Fishawack, Inc, PRIME Education. Stockholder: Hepta Bio, Pfizer.
PubMed

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