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Fatty liver

Part of Metabolic Dysfunction-Associated Steatotic Liver Disease

9 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for fatty liver

25 trials tracked for fatty liver: 3 in phase 3 or 4 and 2 with published results. The most-cited published study has 87 citations.

25Trials tracked
3Phase 3 & 4
0Recruiting
2With published results
Phase distribution
Phase 4 1 Phase 3 2 Phase 2 13 Phase 1 1 Other / NA 8
  1. Phase 3 Liver and Fat Regulation in Overweight Adolescent Girls Completed · 87 cited
  2. Phase 4 Effect on Liver Fat and Metabolic Parameters When Switching a Protease Inhibitor or Efavirenz to Raltegravir Completed · 10 cited
  3. Phase 3 Treatment of Nonalcoholic Fatty Liver Disease in Children (TONIC) Completed
  4. Phase 2 A Preliminary Study to Evaluate Cysteamine Therapy in Human Subjects With Non-Alcoholic Steatohepatitis (NASH) Completed
  5. Phase 2 Growth Hormone Releasing Hormone Analog to Improve Nonalcoholic Fatty Liver Disease and Associated Cardiovascular Risk Completed
  6. Phase 2 Study of INT-747 in Patients With Diabetes and Presumed NAFLD Completed
Show 19 more trials
  1. Phase 2 Study of Gemcabene in Adults With FPLD Completed
  2. Phase 2 Safety, Tolerability, and Pharmacodynamics of IONIS-DGAT2Rx in Adult Patients With Type 2 Diabetes Completed
  3. Phase 2 A Study of Siliphos in Adults With Non-alcoholic Steatohepatitis (NASH) Completed
  4. Phase 2 Polyunsaturated Fatty Acids (PUFA) in Diabetic Fatty Liver Completed
  5. Phase 2 Study to Evaluate the Effect of GWP42003 on Liver Fat Levels in Participants With Fatty Liver Disease Completed
  6. Phase 2 Pioglitazone to Treat Fatty Liver in People With HIV Infection Completed
  7. Phase 2 A Clinical Trial to Evaluate the Efficacy and Safety of Two Aramchol Doses Versus Placebo in Patients With NASH Completed
  8. Phase 2 An Evaluation of the Safety and Efficacy of Nitazoxanide on Collagen Turnover in NASH Patients With Fibrosis Completed
  9. Phase 2 Treatment for Non-Alcoholic Fatty Liver With Different Doses of Vitamin E Completed
  10. Phase 2 Cholic Acid for Hepatic Steatosis in Lipodystrophy Completed
  11. Phase 1 Liver Positron Emission Tomography (PET) Study of Non Alcoholic Fatty Liver Disease Completed
  12. N/A Oral Amino Acid Nutrition to Improve Glucose Excursions in PCOS Completed
  13. N/A Conditionally Increased Output (CIO) Enhanced Ultrasound System Completed
  14. N/A The Effect of Growth Hormone Replacement on Liver Fat Completed
  15. N/A Evaluate Patients With Chronic Hepatitis by Three-dimensional Force-controlled Ultrasound Measurement Completed
  16. N/A Low Fat Vegan or American Heart Association Diets & Cardiovascular Risk in Obese 9-18 y.o. With Elevated Cholesterol Completed
  17. N/A Hepatic Mitochondrial Function in Youth Completed
  18. N/A Liver Fat Quantification by Magnetic Resonance Imaging (MRI) - Prediction of Postoperative Complications Completed
  19. N/A Post-Prandial Liver Glucose Metabolism in PCOS Completed

Showing the 25 most-cited and recently-updated of 25 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Fatty liver: what the trials found

Metformin treatment for 96 weeks resulted in a statistically significant reduction in the Nonalcoholic Fatty Liver Disease (NAFLD) score as determined by histologic feature scores from liver biopsies (p=0.02) 3. However, Metformin did not produce statistically significant changes in serum aspartate aminotransferase (AST) levels (p=0.32) or a sustained reduction in alanine aminotransferase (ALT) to 50% of baseline or <40 IU/L 3.

Other established interventions include Raltegravir 1 and Byetta 5Mcg Pen Injection 2.

Recent results — preliminary, needs further review

  • Tesamorelin showed a reduction in both NAFLD Activity Score and Fibrosis Score to zero 4.
  • A study using MRI imaging reported a -13.93% change in the percentage of liver fat 18.

For the clinician treating this condition

  • Metformin is associated with significant improvements in histologic NAFLD scores over 96 weeks, though it did not significantly impact ALT or AST levels.
  • Recent data suggests Tesamorelin and specific MRI-monitored interventions may impact liver fat and activity scores.

AI synthesis of 5 cited trials, updated Jun 29, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.

Research across Metabolic Dysfunction-Associated Steatotic Liver Disease

Related studies from across the Metabolic Dysfunction-Associated Steatotic Liver Disease family.

Efficacy of GLP-1 Receptor Agonists in Managing MASLD and MASH Clinical Outcomes
Diabetes & Endocrinology Meta-analysis
Efficacy of GLP-1 Receptor Agonists in Managing MASLD and MASH Clinical Outcomes GLP-1 Drugs Linked to Less Liver Fat and Weight Loss
GLP-1 receptor agonists demonstrate significant reductions in liver fat, body weight, and transaminases in patients with MASLD or MASH.
A pooled analysis of 795 adults links GLP-1 drugs to less liver fat, lower liver enzymes, and modest weight loss in fatty liver disease.
mpMRI markers of liver disease are associated with lower health-related quality of life in MASH
Gastroenterology RCT
mpMRI markers of liver disease are associated with lower health-related quality of life in MASH Liver imaging markers linked to lower quality of life
This multinational real-world randomized controlled trial of 802 patients with suspected MASLD/MASH found that patients with MASH reported l…
New research shows that specific liver imaging markers are linked to lower quality of life and higher anxiety in patients with liver disease…
Short-chain fatty acids and intestinal macrophages modulate metabolism in metabolic syndrome and obesity
Nutrition & Obesity Medicine Sys. Review
Short-chain fatty acids and intestinal macrophages modulate metabolism in metabolic syndrome and obesity Short Chain Fatty Acids May Help Manage Metabolic Syndrome
This narrative review explores how short-chain fatty acids (SCFAs) like butyrate, acetate, and propionate influence intestinal macrophage im…
Short-chain fatty acids like butyrate may influence how the body handles inflammation and metabolism in people with obesity and insulin resi…
cGAS-STING pathway serves as a central axis for innate immune activation in MASLD and HCC
Drug Pipeline Sys. Review
cGAS-STING pathway serves as a central axis for innate immune activation in MASLD and HCC New research identifies a key immune pathway in fatty liver disease
This systematic review explores the role of the cGAS-STING pathway in metabolic dysfunction-associated steatotic liver disease and hepatocel…
A specific immune pathway called cGAS-STING may play a major role in how fatty liver disease progresses and leads to serious complications.
Hepatocyte senescence and SASP signaling contribute to inflammatory and fibrogenic remodeling in MASLD
Diabetes & Endocrinology Sys. Review
Hepatocyte senescence and SASP signaling contribute to inflammatory and fibrogenic remodeling in MASLD Liver Cell Aging May Drive Fatty Liver Disease
This narrative review examines the role of hepatocyte senescence and SASP signaling in metabolic dysfunction-associated steatotic liver dise…
A new review suggests aging liver cells may help drive fatty liver disease, but human evidence is still limited.
Gut microbiota and probiotic-derived bioactive metabolites may offer therapeutic potential for metabolic disorders
Nutrition & Obesity Medicine Sys. Review
Gut microbiota and probiotic-derived bioactive metabolites may offer therapeutic potential for metabolic disorders Probiotics may offer new ways to manage metabolic health
This narrative review explores the role of gut microbiota- and probiotic-derived bioactive metabolites in managing obesity, type 2 diabetes,…
New research explores how specific molecules from probiotics could help manage conditions like obesity and type 2 diabetes.
m6A modification and METTL3 regulators influence lipid metabolism and progression of NAFLD and atherosclerosis
Genetics & Precision Medicine Sys. Review
m6A modification and METTL3 regulators influence lipid metabolism and progression of NAFLD and atherosclerosis Scientists Link m6A Gene Changes to Obesity and Fatty Liver
This systematic review examines the role of m6A modification in lipid metabolism and its impact on obesity, NAFLD, and atherosclerosis. The …
A tiny chemical tag on RNA may help explain obesity, fatty liver, and hardening arteries, but the science is still early.
Higher histologic liver fibrosis stages correlate with increased risk of cirrhosis and hepatic decompensation
Gastroenterology Meta-analysis
Higher histologic liver fibrosis stages correlate with increased risk of cirrhosis and hepatic decompensation Liver Fibrosis Stages Linked to Higher Risk of Liver Failure
This meta-analysis of 32 studies evaluates the association between histologic liver fibrosis stages and clinical outcomes in patients with M…
Higher stages of liver fibrosis are linked to a significantly increased risk of liver failure and death in patients with fatty liver disease…
Mediterranean diet reduces BMI and triglycerides in patients with NAFLD and MASLD
Gastroenterology Meta-analysis
Mediterranean diet reduces BMI and triglycerides in patients with NAFLD and MASLD Mediterranean diet shows modest benefits for fatty liver disease
This meta-analysis of 980 patients with NAFLD/MASLD found that a Mediterranean diet significantly reduced BMI (SMD -0.43) and triglycerides …
A Mediterranean diet can lower body mass index and triglycerides in people with fatty liver disease, though other metabolic markers stayed t…
Optimal ELF cutoffs identify significant fibrosis and cirrhosis in patients with MASLD
Gastroenterology Meta-analysis
Optimal ELF cutoffs identify significant fibrosis and cirrhosis in patients with MASLD New test cutoffs help identify liver scarring in fatty liver disease
This meta-analysis of 37 cohorts from 34 studies evaluates the Enhanced Liver Fibrosis (ELF) Test for identifying fibrosis stages in MASLD. …
New data helps doctors use the ELF test to better identify different stages of liver scarring in patients with fatty liver disease.
Hepatic macrophage metabolic reprogramming and bidirectional signaling dictate the balance between liver injury and regeneration
Gastroenterology Sys. Review
Hepatic macrophage metabolic reprogramming and bidirectional signaling dictate the balance between liver injury and regeneration New research identifies how liver cells communicate during chronic disease
This systematic review synthesizes the role of hepatic macrophages in metabolic dysfunction-associated steatotic liver disease, alcohol-asso…
New research reveals how specific immune cells in the liver switch between causing inflammation and repairing tissue damage.
Multidisciplinary interventions and Mediterranean diet adherence may modestly reduce BMI Z-score in pediatric obesity
Psychiatry Sys. Review
Multidisciplinary interventions and Mediterranean diet adherence may modestly reduce BMI Z-score in pediatric obesity Mediterranean diet and behavior changes help manage childhood obesity
This narrative review synthesizes evidence regarding the impact of Mediterranean diet (KIDMED) adherence and multidisciplinary interventions…
A Mediterranean-style diet combined with team-based care shows promise in reducing weight and improving health for children with obesity.

Questions about fatty liver

Are gut metabolites linked to obesity and conditions like fatty liver?

Yes, gut metabolites like short-chain fatty acids and bile acids are linked to obesity and fatty liver, with dysbiosis driving inflammation and metabolic dysfunction.

Full answer →
Do quercetin and apigenin show promise for treating non-alcoholic fatty liver disease?

Yes, quercetin and apigenin show promise for NAFLD by reducing liver fat and inflammation, but most evidence comes from lab and animal studies; human trials are limited.

Full answer →
Can the compound EGCG help treat digestive system diseases and fatty liver?

EGCG shows promise for treating fatty liver and other digestive diseases in animal and lab studies, but human trials are still needed to confirm its effectiveness.

Full answer →