Semaglutide for the treatment of MASH: reaching into the ESSENCE of cardio-metabolic health?

📖 Top 20% JournalOct 10, 2025Expert review of clinical pharmacology

Semaglutide for treating fatty liver disease with metabolic problems: potential benefits for heart and metabolism health

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Abstract

Interim analysis at 72 weeks demonstrated that semaglutide substantially improved liver histology in patients with biopsy-proven MASH and moderate-to-advanced fibrosis.

  • Semaglutide effectively resolved steatohepatitis and improved liver fibrosis compared to placebo.
  • Accelerated approval for semaglutide (Wegovy) was granted by the U.S. Food and Drug Administration for adults with noncirrhotic MASH and stage 2 or 3 fibrosis.
  • Notable improvements in body weight, insulin sensitivity, and inflammatory markers were observed alongside hepatic benefits.
  • The clinical relevance of these findings remains uncertain until long-term outcomes for liver complications and overall cardio-renal risk are established.

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