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. Author manuscript; available in PMC: 2011 Oct 27.
Published in final edited form as: JAMA. 2011 Apr 27;305(16):1659–1668. doi: 10.1001/jama.2011.520

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.

a

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.

b

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.

c

Relative efficacy vs placebo=(1 − relative risk)× 100.

d

Number of patients with complete data was similar across treatment groups at each follow-up visit and ranged from 45 to 52.