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At follow-up around 72 weeks, what degree of noninvasive-test nonresponse would prompt you to stop a GLP-1 receptor agonist prescribed specifically for MASH (even if weight and aminotransferases improve), and what objective criteria do you use in the absence of validated futility rules?

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Mednet Member
Mednet Member
Hepatology · Mayo Clinic, Rochester, Minn.

When using GLP-1 as liver-directed pharmacotherapy for the treatment of MASH, liver-related endpoints to assess therapeutic efficacy include >/= 30% relative reduction in MRI-PDFF, decrease in ALT >/= 20%, decrease in VCTE >/= 30%, or MRE-LSM >/=20%. Refer to AASLD Guidance for use of semaglutide fo...

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