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Updated: Jan 6, 2026

Optimized Analysis of In Vivo and In Vitro Hepatic Steatosis
Published on: March 11, 2017
Resmetirom: The First FDA-Approved Drug for Metabolic Dysfunction-Associated Steatohepatitis (MASH) with a
Fengshuo Zhang1, Yicong Meng1, Bohan Zhao1
1Department of Pathogen Biology, School of Basic Medical Sciences, Henan University, Kaifeng, China.
Abstract:
Metabolic dysfunction-associated steatohepatitis (MASH) is a progressive form of metabolic dysfunction-associated steatotic liver disease (MASLD) involving hepatocyte destruction, inflammation, and typically pericellular fibrosis, potentially progressing to cirrhosis. Resmetirom, a T3 analogue and an oral agonist of thyroid hormone receptor-β(THR-β), represents a significant advancement in targeted drug therapy for MASH as the first US Food and Drug Administration (FDA)-approved treatment. Clinical trials have shown that resmetirom effectively improves MASH markers, reduces liver fat content, and exhibits high selectivity for THR-β, which is predominantly expressed in the liver. Despite promising research data, challenges remain in the treatment of MASH with resmetirom, including adverse reactions and limited efficacy in some patients. This article reviews the discovery, mechanisms, and clinical evaluation of resmetirom in detail, and discusses the challenges encountered in MASH precision therapy.
Insights
Resmetirom, a new THR-β agonist, is the first FDA-approved drug for metabolic dysfunction-associated steatohepatitis (MASH). It effectively reduces liver fat and improves MASH markers, though challenges like side effects persist.
Area of Science:
- Hepatology
- Pharmacology
- Endocrinology
Background:
- Metabolic dysfunction-associated steatohepatitis (MASH) is a severe liver condition potentially leading to cirrhosis.
- Current treatment options for MASH are limited, necessitating novel therapeutic approaches.
Purpose of the Study:
- To review the discovery, mechanisms, clinical evaluation, and challenges of resmetirom for MASH treatment.
- To discuss the role of resmetirom as a targeted therapy for MASH.
Main Methods:
- Review of clinical trial data and scientific literature on resmetirom.
- Analysis of resmetirom's mechanism of action as a thyroid hormone receptor-β (THR-β) agonist.
Main Results:
- Resmetirom demonstrates significant improvements in MASH markers and liver fat content.
- High selectivity for THR-β, predominantly expressed in the liver, is a key feature.
- The drug is the first FDA-approved targeted therapy for MASH.
Conclusions:
- Resmetirom represents a breakthrough in MASH treatment, offering a targeted therapeutic option.
- Challenges including adverse reactions and variable efficacy require further investigation for optimal MASH precision therapy.
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