Type 2 & other diabetes

Empagliflozin Reduces Liver Fat in Individuals With and Without Diabetes

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

Empagliflozin is effective in reducing liver fat content in individuals with and without T2D. The decrease in liver fat content is independent of the decrease in plasma glucose concentration and is strongly related to the decrease in body weight and improvement in insulin sensitivity.

Study context

Population
Individuals with T2D and without T2D30 with T2D, 27 without · Individuals with T2D 30 · without T2D 27
Comparison
Empagliflozin vs placebo for 12 weeks
Primary endpoint
Change in liver fat content measured with MRS
Follow-up
12 weeks
Methodological detailsdouble-blind, placebo-controlled, randomized 2:1
  • Double-blind
  • Placebo-controlled
  • Randomized 2:1

Primary result

As reported in the abstract

Change in liver fat content

Empagliflozin

2.39%

± 0.79%

Placebo

0.91%

± 0.64%

P < 0.007 with ANOVA

Further findings

OutcomeWith diabetesWithout diabetesP value
Decrease in liver fat with empagliflozin, by diabetes statusComparable2.75% ± 0.81%1.93% ± 0.78%P = NS

Correlates of liver fat decrease with empagliflozin

Correlation with baseline liver fat content (P < 0.001)
r = −0.62
Correlation with decrease in body weight (P < 0.001)
r = 0.53
Correlation with improvement in insulin sensitivity (P < 0.001)
r = −0.51
Not related to decrease in FPG or HbA1c or increase in hepatic glucose production

Original publication

Empagliflozin Reduces Liver Fat in Individuals With and Without Diabetes. Diabetes Care. Published 31 January 2024. doi:10.2337/dc23-1646

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