Table 3.
First author/date of publication | n | Drug | Thiazolidinedione dose/study duration | Transaminase reduction | Histology |
Caldwell et al. (2001) | 10 | Troglitazone | 400 mg for 3-6 months | Yes | Steatosis, inflammation reduced |
Neuschwander-Tetri et al. (2003) | 30 | Rosiglitazone | 4 mg bid for 48 weeks | Yes | Steatosis, inflammation reduced; zone 3 perisinusoidal fibrosis reduced |
Promrat et al. (2004) | 18 | Pioglitazone | 30 mg daily for 48 weeks | Yes | Steatosis, inflammation and fibrosis reduced |
Sanyal et al. (2004) | 10 | Pioglitazone + vitamin E vs vitamin E alone∗∗ | 30 mg daily for 6 months | Yes | Steatosis, inflammation, ballooning and pericellular fibrosis significantly reduced in pioglitazone-vitamin E combination arm |
Tiikkainen et al. (2004) | 9∗ | Rosiglitazone vs metformin | 8mg daily for 16 weeks | Yes | Not done; hepatic fat reduced (assessed by magnetic resonance imaging) |
Belfort et al. (2006) | 26∗ | Pioglitazone + hypocaloric diet vs placebo + hypocaloric diet ∗∗ | 45 mg daily for 6 months | Yes | Steatosis, inflammation reduced in pioglitazone group; changes in fibrosis not different from placebo |
Aithal et al. (2007) | 30∗ | Pioglitazone + diet/exercise vs placebo + diet/exercise∗∗ | 30 mg daily for 12 months | Yes | Steatosis and fibrosis reduced in both groups; reduction in hepatocellu-lar injury only in pioglitazone group. End of treatment biopsies showed significant differences (reduction) between the groups in steatosis, inflammation and fibrosis. |
Ratziu et al. (2008) | 32∗ | Rosiglitazone vs placebo∗∗ | 8mg daily for 48 weeks | Yes | Steatosis reduced |
Number of subjects enrolled in the thiazolidinedione group.
Randomized controlled trial.