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Author Spotlight: Establishing MASLD Cell Models for Investigating Disease Mechanisms and the Lipid-Lowering Effects of Koumiss
Published on: July 19, 2024
Emerging Therapies for Nonalcoholic Fatty Liver Disease
Bilal Hameed1, Norah Terrault1
1Division of Gastroenterology, University of California San Francisco S357, 513 Parnassus Avenue, San Francisco, CA 94143-0538, USA.
Abstract:
Nonalcoholic fatty liver disease is the most common cause of liver disease in the United States. There are no drug therapies approved for the treatment of nonalcoholic steatohepatitis (NASH). Multiple different pathways are involved in the pathogenesis and each can be the target of the therapy. It is possible that more than 1 target is involved in disease development and progression. Multiple clinical trials with promising agents are underway. Because NASH is a slowly progressive disease and treatment likely to be of prolonged duration, acceptance and approval of any agent will require information on long-term clinical benefits and safety.
Insights
Nonalcoholic steatohepatitis (NASH) lacks approved drug therapies. Promising agents are in clinical trials, but long-term safety and efficacy data are crucial for NASH treatment approval.
Area of Science:
- Hepatology
- Gastroenterology
- Pharmacology
Background:
- Nonalcoholic fatty liver disease is the leading cause of chronic liver disease in the U.S.
- Nonalcoholic steatohepatitis (NASH) currently has no FDA-approved pharmacologic treatments.
- The complex pathogenesis of NASH involves multiple molecular pathways.
Purpose of the Study:
- To review the current landscape of therapeutic targets and agents in development for NASH.
- To highlight the need for long-term clinical data for drug approval.
Main Methods:
- Review of current scientific literature and ongoing clinical trials.
- Analysis of the multifactorial nature of NASH pathogenesis.
- Discussion of regulatory requirements for NASH therapeutics.
Main Results:
- Multiple therapeutic targets are being investigated for NASH.
- Several promising agents are in various phases of clinical trials.
- No single pathway may be sufficient for effective treatment.
Conclusions:
- Targeting multiple pathways may be necessary for effective NASH treatment.
- Long-term clinical benefit and safety data are essential for the approval of new NASH therapies.
- The development of effective NASH treatments is an active area of research.
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