Erschienen in:
23.10.2017 | Fatty Liver Disease (S Harrison and J George, Section Editors)
Overview of Clinical Treatment Trials for NASH
verfasst von:
Monica A. Konerman, Stephen A. Harrison
Erschienen in:
Current Hepatology Reports
|
Ausgabe 4/2017
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Abstract
Purpose of Review
Non-alcoholic fatty liver disease (NAFLD) is one of the most prominent forms of chronic liver disease. Non-alcoholic steatohepatitis (NASH) represents a subgroup of patients with steatosis and necro-inflammation with or without fibrosis. Currently, there are no FDA-approved therapies. This review provides an overview of treatments in clinical trials for NAFLD and NASH.
Recent Findings
Therapies aimed at reducing hepatic steatosis focus on lipogenesis, insulin resistance, and metabolism of free fatty acids. Therapeutics targeting necro-inflammation have focused on pathways of immune activation and hepatocyte injury, while anti-fibrotic agents have focused on preventing fibrosis development via actions on stellate cells or reducing existing fibrosis.
Summary
There are multiple agents in mid-to-late stage clinical trials to treat NAFLD and NASH. Many have shown promising results. If safety and efficacy are established, these medications will provide a much needed pharmacologic treatment approach for this burgeoning patient population.