HIV patients with high ALT who lost visceral fat had a 35% chance of normalizing their ALT levels after 6 months, compared to 18% who didn't lose fat, showing a clear benefit.
Scientific Claim
Among tesamorelin-treated HIV-infected patients with elevated baseline ALT or AST, those with ≥8% visceral adipose tissue reduction had a 35% rate of alanine aminotransferase normalization (≤30 U/L) at 26 weeks compared to 18% in nonresponders (P=0.007).
Original Statement
“Among tesamorelin-treated subjects with elevated baseline transaminases, 35% of VAT responders compared to 18% of VAT nonresponders had normalization of ALT at week 26 (responders vs. nonresponders, P = 0.007).”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
association
Can only show association/correlation
Assessment Explanation
The study design supports association claims. The language appropriately reflects the observed rates without implying causation.
Evidence from Studies
Supporting (1)
Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV