2022
DOI: 10.1371/journal.pone.0277706
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Improvement of non-invasive tests of liver steatosis and fibrosis as indicators for non-alcoholic fatty liver disease in type 2 diabetes mellitus patients with elevated cardiovascular risk profile using the PPAR-α/γ agonist aleglitazar

Abstract: Background Peroxisome proliferator-activated receptor (PPAR) agonists may have favorable outcomes on non-alcoholic fatty liver disease. This study serves as proof of concept to evaluate whether dual PPAR-α/γ agonists improve non-invasive tests of liver steatosis and fibrosis. Methods This is a post-hoc analysis of a randomized, double-blind, placebo-controlled, multi-center trial comprising 7226 patients with type 2 diabetes mellitus and recent coronary artery disease randomized to receive aleglitazar, a PPA… Show more

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Cited by 4 publications
(2 citation statements)
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“…Several drugs have been developed to target multiple receptor subtypes rather than one, including the PPARα/PPARγ agonists saroglitazar and aleglitazar, the PPARα/PPARδ agonist elafibranor, and the pan‐PPAR agonist lanifibranor. All of them are being investigated in patients with NAFLD in clinical trials 279–282 …”
Section: The Role Of Macrophages In Diseases and Targeted Therapiesmentioning
confidence: 99%
“…Several drugs have been developed to target multiple receptor subtypes rather than one, including the PPARα/PPARγ agonists saroglitazar and aleglitazar, the PPARα/PPARδ agonist elafibranor, and the pan‐PPAR agonist lanifibranor. All of them are being investigated in patients with NAFLD in clinical trials 279–282 …”
Section: The Role Of Macrophages In Diseases and Targeted Therapiesmentioning
confidence: 99%
“…In preclinical studies of Apoe −/− mice on a high-fat/high-cholesterol diet, the dual PPARα/γ agonist aleglitazar improved glucose tolerance and lowered hepatic fat content without an increase in body weight [ 136 ]. In the AleCardio trial, aleglitazar reduced hepatic steatosis and fibrosis in subjects with acute coronary syndrome and type 2 diabetes mellitus [ 137 ]. Saroglitazar, another dual PPARα/γ agonist, showed similar benefits in mouse models of NAFLD/NASH [ 138 ] and in a recent phase 2 clinical trial [ 139 ].…”
Section: Treatment Modalitiesmentioning
confidence: 99%