For people with HIV and fatty liver on INSTI drugs, taking tesamorelin for a year likely reduces liver fat by 31% compared to their starting point, which is much better than the tiny change seen in those on a placebo.
Scientific Claim
In individuals with HIV and non-alcoholic fatty liver disease (NAFLD) taking integrase inhibitor (INSTI)-containing antiretroviral therapy, tesamorelin treatment for 12 months likely results in a 31% relative reduction in hepatic fat fraction compared to baseline, which is significantly greater than the placebo group's minimal change (absolute change: -4.9% vs -0.1%, p=0.015).
Original Statement
“the tesamorelin treated group saw a 31% relative reduction in HFF compared to baseline (p=0.006) which was significantly higher than in the placebo treated group (T:-4.9%, P:-0.1% absolute change p=0.015).”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
probability
Can suggest probability/likelihood
Assessment Explanation
The RCT design supports causal inference with probability verbs, and 'likely results in' appropriately reflects the reduced confidence due to unknown blinding status.
Evidence from Studies
Supporting (1)
1499. Tesamorelin Reduces Visceral Adipose Tissue and Liver Fat in INSTI-Treated Persons with HIV