Designing clinical trials for the treatment of NASH is challenging. The pathogenesis of this disease is poorly understood and is probably multifactorial. A trial of a phosphodiesterase-4 inhibitor produced negative results, despite promising preclinical data. Examining why this trial failed might help us design better trials of treatments for NASH in the future.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Treatment of Nonalcoholic Fatty Liver Disease (NAFLD) in patients with Type 2 Diabetes Mellitus
Clinical Diabetes and Endocrinology Open Access 12 April 2016
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Welsh, J. A., Karpen, S. & Vos, M. B. Increasing prevalence of nonalcoholic fatty liver disease among United States adolescents, 1988–1994 to 2007–2010. J. Pediatr. 162, 496–500.e491 (2013).
Loomba, R. & Sanyal, A. J. The global NAFLD epidemic. Nat. Rev. Gastroenterol. Hepatol. 10, 686–690 (2013).
Sanyal, A. J. et al. Endpoints and clinical trial design for nonalcoholic steatohepatitis. Hepatology 54, 344–353 (2011).
Ratziu, V. et al. Lack of efficacy of an inhibitor of PDE4 in phase 1 and 2 trials of patients with nonalcoholic steatohepatitis. Clin. Gastroenterol. Hepatol. http://dx.doi.org/10.1016/j.cgh.2014.01.040.
Spina, D. PDE4 inhibitors: current status. Br. J. Pharmacol. 155, 308–315 (2008).
Hayes, A. & Hunter, J. Why is publication of negative clinical trial data important? Br. J. Pharmacol. 167, 1395–1397, (2012).
Hebbard, L. & George, J. Animal models of nonalcoholic fatty liver disease. Nat. Rev. Gastroenterol. Hepatol. 8, 35–44 (2011).
Maher, J. J. New insights from rodent models of fatty liver disease. Antioxid. Redox. Signal. 15, 535–550 (2011).
Stärkel, P. & Leclercq, I. A. Animal models for the study of hepatic fibrosis. Baillieres Best Pract. Res. Clin. Gastroenterol. 25, 319–333 (2011).
Michelotti, G. A., Machado, M. V. & Diehl, A. M. NAFLD, NASH and liver cancer. Nat. Rev. Gastroenterol. Hepatol. 10, 656–665 (2013).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
B.A.N.-T. acts as an advisor for Boehringer-Ingelheim, Genentech/Roche and Nimbus, and was an advisor for Astellas when trials of ASP9831 were being considered in 2010–2011.
PowerPoint slides
Rights and permissions
About this article
Cite this article
Neuschwander-Tetri, B. The tribulations of conducting NASH trials. Nat Rev Gastroenterol Hepatol 11, 274–276 (2014). https://doi.org/10.1038/nrgastro.2014.51
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrgastro.2014.51
This article is cited by
-
Treatment of Nonalcoholic Fatty Liver Disease (NAFLD) in patients with Type 2 Diabetes Mellitus
Clinical Diabetes and Endocrinology (2016)