Effect of SGLT2i in NAFLD
Author, year | Agent | n | Duration (weeks) | Comparator | Main study results | ||
---|---|---|---|---|---|---|---|
Body weight* | ALT | Liver fat* | |||||
Prospective open-label studies | |||||||
Ito et al., 2017 (42) | Ipragliflozin | 66 | 24 | Pioglitazone | ↓ 3.7% | ↓ | ↓¶ |
Ohta et al., 2017 (43) | Ipragliflozin | 20 | 24 | Standard care | ↓ 2.5% | ↓ | ↓ 39% |
Shibuya et al., 2018 (44) | Luseogliflozin | 32 | 24 | Standard care | ↓ 3.2% | Unchanged | ↓¶ |
Kuchay et al., 2018 (45) | Empagliflozin | 50 | 20 | Standard care | ↓ 1.1% | ↓ | ↓ 26% |
Shimizu et al., 2019 (46) | Dapagliflozin | 57 | 24 | Standard care | ↓ 3.1% | ↓ | ↓† |
Inoue et al., 2019 (47) | Canagliflozin | 20 | 52 | Standard care | ↓ 3.4% | ↓ | ↓ 31% |
Randomized controlled trials | |||||||
Bolinder et al., 2012 (48) | Dapagliflozin | 67 | 24 | Placebo | ↓ 2.2% | — | Unchanged |
Eriksson et al., 2018 (49) | Dapagliflozin | 84 | 12 | Placebo | ↓ 2.2% | ↓ | ↓ 10%§ |
Cusi et al., 2019 (50) | Canagliflozin | 56 | 24 | Placebo | ↓ 3.4% | Unchanged | ↓ 18%§ |
Latva-Rasku et al., 2019 (51) | Dapagliflozin | 32 | 8 | Placebo | ↓ 2.1% | Unchanged | ↓ 13% |
Kahl et al., 2019 (52) | Empagliflozin | 84 | 24 | Placebo | ↓ 2.4% | Unchanged | ↓ 22% |
Arrows indicate statistically significant changes vs. comparator.
↵* Comparison-corrected (open-label) or placebo-corrected relative treatment difference in weight and liver fat measured with MRI-based imaging techniques.
↵¶ Liver fat measured as liver-to-spleen attenuation ratio on computed tomography. In Ito et al. (42) the decrease in liver fat was similar to pioglitazone (comparator).
↵† Significant improvement in liver fat by controlled attenuation parameter (CAP; Fibroscan).
↵§ Not significant compared with placebo.