HIV patients with high liver enzymes who lost enough belly fat from tesamorelin were more than twice as likely to have their ALT levels return to normal compared to those who didn't lose much fat.
Scientific Claim
Among HIV-infected patients with elevated liver enzymes treated with tesamorelin, those achieving ≥8% visceral adipose tissue reduction had a 35% rate of ALT normalization at 26 weeks, compared to 18% in nonresponders, indicating a higher likelihood of resolving elevated ALT levels.
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 claim accurately describes the observed association without causal language. The study design supports correlational claims, and the language matches the evidence strength guidelines.
Evidence from Studies
Supporting (1)
Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV