Table 2.
Primary Outcome: Sustained Reduction in ALT Level by Treatment Group
Vitamin E (n = 58) | Metformin (n = 57) | Placebo (n = 58) | P Valuea | ||
---|---|---|---|---|---|
Vitamin E vs Placebo | Metformin vs Placebo | ||||
Sustained reduction in ALT level, No. (%) [95% CI]b | 15 (26) [15 to 39] | 9 (16) [7 to 28] | 10 (17) [9 to 29] | .26 | .83 |
Relative efficacy vs placebo, % (95% CI)c | 50 (−36 to 206) | −9 (−149 to 109) | |||
Change in ALT level from baseline, mean (95% CI), U/Ld | |||||
Week 24 | −49.2 (−64.4 to −33.9) | −3.0 (−21.1 to 15.0) | −24.5 (−43.0 to −5.9) | .005 | .09 |
Week 48 | −44.5 (−60.3 to −28.7) | −11.7 (−45.3 to 22.0) | −25.0 (−43.7 to −6.4) | .04 | .52 |
Week 72 | −44.2 (−65.9 to −22.5) | −20.5 (−59.8 to 18.8) | −36.4 (−57.1 to −15.8) | .29 | .51 |
Week 96 | −48.3 (−66.8 to −29.8) | −41.7 (−62.9 to −20.5) | −35.2 (−56.9 to −13.5) | .07 | .40 |
Abbreviations: ALT, alanine aminotransferase; CI, confidence interval.
Based on χ2 test for binary outcomes or analysis-of-covariance model regressing change from baseline on treatment group and baseline value of the outcome for continuous outcomes.
Sustained reduction defined as ALT ≤40 U/L or ≤0.5×baseline ALT level at 48-, 60-, 72-, 84-, and 96-week visits. Primary outcome was imputed as no sustained reduction if data were missing either at week 96 or at all 4 visits from week 48 to week 84; numbers imputed were 8, 6, and 9 for the vitamin E, metformin, and placebo groups, respectively.
Relative efficacy vs placebo=(1 − relative risk)× 100.
Number of patients with complete data was similar across treatment groups at each follow-up visit and ranged from 45 to 52.