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A Phase 2 Double Blinded, Randomized Controlled Trial of Saroglitazar in Patients With Nonalcoholic Steatohepatitis
Abstract
Nonalcoholic steatohepatitis (NASH), the clinically aggressive variant of nonalcoholic fatty liver disease, is characterized by hepatocellular injury and inflammation. 1 Patients with NASH are at higher risk of progression to cirrhosis and it is therefore targeted for drug development efforts. 2 Lifestyle modifications and weight loss are the only recommended modalities and no drug is yet approved for the treatment of patients with NASH. Saroglitazar is a dual PPAR α/γ agonist, which has shown promise for treatment of nonalcoholic fatty liver disease. 3 Because of its combined PPAR-α/γ agonism, it has a clinically favorable impact of glucose and lipid metabolism. Saroglitazar has shown to improve liver-related histology in patients with NASH and was recently approved for treatment of NASH in India. 4 The current study builds on the published literature in this proof of concept study to determine if there is a signal for histologic improvement of NASH with saroglitazar in a Western population.
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“Two Phase II trials have investigated the effects of saroglitazar, a PPARα/γ agonist, and found improvement of ALT and hepatic fat (measured via MRI‐PDFF) [57] but no improvement of NAS (primary endpoint: delta change of NAS from baseline to Week 24 biopsy) [58].”
From Current treatment of non‐alcoholic fatty liver disease (2022) · cites this paper as [58]
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Research works printed but not linked: 5
- Kleiner, 2005, Design and validation of a histological scoring system for nonalcoholic fatty liver disease, Hepatology, 41, 1313, 10.1002/hep.20701 · DOI · Paper page
- Shadab Siddiqui, 2018, Case definitions for inclusion and analysis of endpoints in clinical trials for NASH through the lens of regulatory science, Hepatology, 67, 2001, 10.1002/hep.29607 · DOI
- Joshi, 2015, Saroglitazar for the treatment of dyslipidemia in diabetic patients, Expert Opin Pharmacother, 16, 597, 10.1517/14656566.2015.1009894 · DOI
- Kaul, 2019, New dual peroxisome proliferator activated receptor agonist - Saroglitazar in diabetic dyslipidemia and non-alcoholic fatty liver disease: integrated analysis of the real world evidence, Cardiovasc Diabetol, 18, 10.1186/s12933-019-0884-3 · DOI
- Siddiqui, 2015, Severity of nonalcoholic fatty liver disease and progression to cirrhosis associate with atherogenic lipoprotein profile, Clin Gastroenterol Hepatol, 13, 1000, 10.1016/j.cgh.2014.10.008 · DOI
Cited by
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Current treatment of non‐alcoholic fatty liver disease
Paternostro, R., & Trauner, M. (2022) · Journal of Internal Medicine · doi:10.1111/joim.13531 · Cited by 305
Novel therapeutic targets for cholestatic and fatty liver disease
Trauner, M., & Fuchs, C. D. (2022) · Gut · doi:10.1136/gutjnl-2021-324305 · Cited by 204
Breakthroughs in therapies for NASH and remaining challenges
Ratziu, V., Francque, S., & Sanyal, A. (2022) · Journal of Hepatology · doi:10.1016/j.jhep.2022.04.002 · Cited by 132
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Metadata
- Authors
- Siddiqui, M. S., Idowu, M. O., Parmar, D., Borg, B. B., Denham, D., Loo, N. M., Lazas, D., Younes, Z., & Sanyal, A. J.
- Affiliations
- Virginia Commonwealth University (US)
- Clinical Trials of Texas (US)
- Texas Liver Institute (US)
- Gastro One (United States) (US)
- Corresponding author
- Siddiqui, Mohammad Shadab
- ORCID
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 19
- Issue
- 12
- Pages
- 2670-2672
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W3096860088
- Cited by
- 96
- References
- 0
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 18 · 2023: 22 · 2022: 14 · 2021: 9
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bristol-Myers Squibb
- Novo Nordisk
- Merck
- Shire
- Novartis
- Gilead Sciences
- Novartis Pharmaceuticals Corporation
- AbbVie
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- saroglitazar, nonalcoholic steatohepatitis, non-alcoholic fatty liver disease, PPAR alpha/gamma agonist, histologic improvement, liver histopathology, Western populations
- MeSH terms
- Humans, Liver, Phenylpropionates, Pyrroles, PPAR alpha, Non-alcoholic Fatty Liver Disease
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