Loomba R et al., SYNERGY-NASH, NEJM 2024 (NEJMoa2401943, PMID 38856224) : tirzepatide and MASH, resolution in 62% at the 15 mg level
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Subsequent preclinical experiment in the same study demonstrated that under high-glucose conditions, exendin-4 reduced phosphorylation of P65 and IB, downregulated PSMA2 expression, inhibited the NF-B pathway, suppressed cell proliferation, and reduced tumor volume in vivo
Phase 2 trial data (Jastreboff et al., NEJM, 2023) showed mean body weight reductions of approximately 24% at 48 weeks with the highest dose, with no clear plateau observed