2024年肝脏会议

IF 30.9 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Lancet Gastroenterology & Hepatology Pub Date : 2024-12-11 DOI:10.1016/s2468-1253(24)00392-3
Rob Brierley
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引用次数: 0

摘要

根据3期ESSENCE试验的数据,在伴有F2-F3纤维化的代谢功能障碍相关脂肪性肝炎(MASH)患者中,semaglutide 2·4 mg每周1次,在组织学和纤维化方面比安慰剂有更大的改善。尽管该试验仍在进行中,但Phil Newsome(伦敦,英国)在第72周对前800名参与者进行了预先指定的中期分析,其中534人被随机分配接受西马鲁肽,266人被分配使用优化类固醇治疗严重酒精相关性肝炎。根据STASH试验的结果,皮质类固醇的剂量更安全,与传统固定剂量皮质类固醇治疗严重酒精相关性肝炎一样有效。由Anand Kulkarni(海得拉巴,印度)提出。严重酒精相关性肝炎患者被随机分配接受固定剂量或逐渐减少的治疗方案。​固定剂量组患者使用LilleCM-101治疗原发性硬化性胆管炎。scm -101是一种抗ccl24单克隆抗体,在原发性硬化性胆管炎患者中显示出有希望的活性,并且具有与安慰剂相似的安全性,根据2期SPRING研究数据。在这项由Christopher Bowlus (Davis, CA, USA)提出的安慰剂对照试验中,原发性硬化性胆管炎患者被随机分配到每3周接受CM-101 10mg /kg (n=25)、CM-101 20mg /kg (n=31)或安慰剂(n=21)治疗,持续15周。VK2809是一种小分子甲状腺激素受体激动剂前药,通过细胞色素P450 3A4在肝组织中选择性切割,以释放一种药理活性代谢物,用于活检证实的非酒精性脂肪性肝病和纤维化患者。参与者被随机分配接受安慰剂或VK2809,剂量分别为1mg /天、2.5 mg/天、5mg /天或10mg /天。3个月时MRI-PDFF变化百分比为- 56.7%
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The Liver Meeting 2024

Section snippets

Semaglutide for MASH

Semaglutide 2·4 mg once a week demonstrated significantly greater improvements in histology and fibrosis than did placebo in participants with metabolic dysfunction-associated steatohepatitis (MASH) with F2–F3 fibrosis, according to data from the phase 3 ESSENCE trial. Although the trial is ongoing, Phil Newsome (London, UK) presented data from the prespecified interim analysis at week 72 of the first 800 participants, of whom 534 had been randomly assigned to receive semaglutide and 266 had

Optimising steroid use in severe alcohol-associated hepatitis

Tapering the dose of corticosteroids is safer and just as efficacious as conventional fixed-dose corticosteroids for severe alcohol-associated hepatitis, according to results from the STASH trial, presented by Anand Kulkarni (Hyderabad, India). Patients with severe alcohol-associated hepatitis were randomly assigned to receive either a fixed-dose or tapering regimen. Patients in each group initially received 40 mg prednisolone a day for 7 days. Patients in the fixed dose group with a Lille

CM-101 in primary sclerosing cholangitis

CM-101, an anti-CCL24 monoclonal antibody, exhibited promising activity in patients with primary sclerosing cholangitis and had a safety profile similar to placebo, according to data from the phase 2 SPRING study. In this placebo-controlled trial, presented by Christopher Bowlus (Davis, CA, USA), patients with primary sclerosing cholangitis were randomly assigned to receive either CM-101 at 10 mg/kg (n=25), CM-101 at 20 mg/kg (n=31), or placebo (n=21) every 3 weeks for 15 weeks.

VK2809 for steatotic liver disease

The phase 2b VOYAGE trial examined the use of VK2809, a small molecule thyroid hormone receptor beta agonist prodrug that is selectively cleaved in hepatic tissue by cytochrome P450 3A4 to release a pharmacologically active metabolite, in individuals with biopsy-confirmed non-alcoholic fatty liver disease and fibrosis. Participants were randomly assigned to receive placebo or VK2809 at 1 mg/day, 2·5 mg/day, 5 mg/day, or 10 mg/day. Percentage change in MRI-PDFF at 3 months was –56·7% in the
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来源期刊
CiteScore
50.30
自引率
1.10%
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0
期刊介绍: The Lancet Gastroenterology & Hepatology is an authoritative forum for key opinion leaders across medicine, government, and health systems to influence clinical practice, explore global policy, and inform constructive, positive change worldwide. The Lancet Gastroenterology & Hepatology publishes papers that reflect the rich variety of ongoing clinical research in these fields, especially in the areas of inflammatory bowel diseases, NAFLD and NASH, functional gastrointestinal disorders, digestive cancers, and viral hepatitis.
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