For people with HIV and fatty liver who are taking INSTI drugs, taking tesamorelin made their belly fat decrease by 8.3% after a year, while those on a dummy pill saw their belly fat increase by 10.8%. This finding is from the abstract summary - full study details were not available
Scientific Claim
In individuals with HIV and non-alcoholic fatty liver disease (NAFLD) taking integrase inhibitors (INSTIs), tesamorelin treatment reduced visceral adipose tissue by 8.3% after 12 months, compared to a 10.8% increase in the placebo group.
Original Statement
“After 12 months, there was a significant difference in VAT change between the placebo and tesamorelin treated groups (p=0.0034). The placebo group had an increase in VAT of 10.8% whereas the Tesamorelin treated group had an overall reduction in VAT of 8.3%.”
Evidence Quality Assessment
Claim Status
overstated
Study Design Support
Design supports claim
Appropriate Language Strength
probability
Can suggest probability/likelihood
Assessment Explanation
The study is a post-hoc analysis of an RCT subgroup, so causal language should use probability verbs like 'may reduce' instead of definitive 'reduced'.
More Accurate Statement
“In individuals with HIV and non-alcoholic fatty liver disease (NAFLD) taking integrase inhibitors (INSTIs), tesamorelin treatment may reduce visceral adipose tissue by 8.3% after 12 months, compared to a 10.8% increase in the placebo group.”
Evidence from Studies
Supporting (1)
1499. Tesamorelin Reduces Visceral Adipose Tissue and Liver Fat in INSTI-Treated Persons with HIV