Type 2 & other diabetes

Dapagliflozin‐Associated Reduction in Liver Fat Is Independent of Weight Loss in Patients With Type 2 Diabetes

Obesity (Silver Spring)Published Secondary analysis of a randomised placebo-controlled trial

Authors' conclusion

Twelve months of dapagliflozin was associated with a significant reduction in liver fat as measured by MRI-PDFF compared to placebo; this effect was independent of weight loss and other known beneficial metabolic effects of SGLT2 inhibition.

Study context

Population
Patients with T2D; 76% had hepatic steatosisrandomized
Participants
56 patients
Comparison
Dapagliflozin 10 mg vs placebo
Primary endpoint
Change in liver fat (MRI-PDFF)
Follow-up
12 months
Methodological detailsmediation analysis
  • Mediation analysis

Primary result

As reported in the abstract

Change in liver MRI-PDFF

Dapagliflozin

−3.7%

Placebo

0.5%

P = 0.001

Further findings

OutcomeDapagliflozinPlaceboP value
Change in body weight · 12 months−3.84 kg−1.42 kgP = 0.015
Change in HbA1c · 12 months−0.520.11P = 0.012

Original publication

Dapagliflozin‐Associated Reduction in Liver Fat Is Independent of Weight Loss in Patients With Type 2 Diabetes. Obesity (Silver Spring). Published 2 February 2026. doi:10.1002/oby.70134

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