Evidence mapPaperPMID 40868953Full record

ReviewLife (Basel, Switzerland)2025

Resmetirom in the Management of Metabolic Dysfunction-Associated Steatotic Liver Disease and Steatohepatitis.

Fares Jamal, Amani Elshaer, Nour B Odeh, Mayar H Alatout, Tala Shahin, Astin R Worden, Hashem N Albunni, Blanca C Lizaola-Mayo, Channa R Jayasekera, David M H Chascsa and 2 more

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Fares JamalDepartment of Hematology and Oncology, Mayo Clinic, Phoenix, AZ 85259, USA.ORCID 0009-0007-6286-3855
Amani ElshaerDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.
Nour B OdehDepartment of Cardiovascular Medicine and Surgery, Mayo Clinic, Phoenix, AZ 85054, USA.
Mayar H AlatoutDepartment of Colorectal Surgery, Mayo Clinic, Phoenix, AZ 85054, USA.
Tala ShahinDepartment of Medicine, Mayo Clinic, Phoenix, AZ 85054, USA.
Astin R WordenDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.
Hashem N AlbunniDepartment of Medicine, Indiana University, Indianapolis, IN 46202, USA.ORCID 0009-0002-2512-116X
Blanca C Lizaola-MayoDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.
Channa R JayasekeraDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.ORCID 0000-0003-4579-840X
David M H ChascsaDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.
Hugo E VargasDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.
Bashar A AqelDepartment of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, AZ 85259, USA.ORCID 0000-0002-9671-9575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) and its progressive form, metabolic dysfunction-associated steatohepatitis (MASH), are among the most prevalent causes of chronic liver disease worldwide, closely linked to the global rise in overweight and obesity, type 2 diabetes, and metabolic syndrome. Until recently, treatment options were limited to lifestyle interventions, with no approved pharmacologic therapies. Resmetirom, a liver-directed, selective thyroid hormone receptor beta (THR-β) agonist, is a promising disease-modifying agent that targets hepatic lipid metabolism, inflammation, and fibrosis. Clinical trials, including the pivotal phase 3 MAESTRO-NASH and MAESTRO-NAFLD-1 trials, have demonstrated significant improvements in liver fat reduction, lipid profiles, histological endpoints, and health-related quality of life, with a favorable safety profile. In March 2024, the FDA granted accelerated approval of resmetirom for adults with MASH and moderate-to-advanced fibrosis, marking a significant milestone in MASLD treatment. This review discusses the mechanistic rationale, preclinical data, and pivotal clinical trial outcomes supporting resmetirom's role in MASLD/MASH management, while outlining ongoing research needs, including long-term safety, pediatric evaluation, and biomarker development for optimized patient selection.

Indexed as

liver fibrosisMASHMASLDobesityresmetiromsteatosis

Identifiers

PMID40868953
PMCPMC12387789

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.