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ForumsMASH / Liver DiseaseMASH biomarker panel — need advice Page 2

MASH biomarker panel — need advice

carl_compliance Mon, Nov 3, 2025 at 2:44 PM 14 replies 1,207 viewsPage 2 of 3
FDA_TrackerJim
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Nov 3, 2025 at 4:54 PM#6

The figures, for anyone assembling their own picture. With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most threads assume.

Last edited: Nov 3, 2025 at 7:54 PM
37 7Dr.Martinez, mike_mod, SarahChen_PharmD and 34 others
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Dr.EndoIndy
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Nov 3, 2025 at 5:44 PM#7

Following on from Dr.LeslieOBGYN — and this may be the naive question:

How often to repeat it, because quarterly seems to be the convention and I cannot find the reasoning?

36 6LeilaHI, marcus_mpls, DeniseRN_TPA and 33 others
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Dr.KarenChen
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Nov 3, 2025 at 6:34 PM#8
FDA_TrackerJim said:
With resmetirom now available for MASH, combination approaches are being explored, so the standard of care in this area is moving faster than most…

There is a second half to this that has not been said yet. The liver data is among the strongest non-weight findings in the class. The semaglutide MASH programme reported a large advantage over placebo on MASH resolution, with a substantial minority also achieving fibrosis improvement — and fibrosis is the endpoint that predicts outcomes. Mechanistically it is reduced hepatic lipogenesis, increased fatty-acid oxidation, less hepatic inflammation, and possibly a direct effect on stellate-cell activation.

Ask again with the specifics and you will get a better answer than this one.

35 5TomFromTexas, mike.trainer_LA, sarah_nash92 and 32 others
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carl_compliance
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Nov 3, 2025 at 7:24 PM#9

Closing the loop on my own question.

Took the whole panel in rather than the one flagged line, and the conversation lasted two minutes instead of generating three more tests.

Last edited: Nov 3, 2025 at 10:24 PM
34 4FDA_TrackerJim, ricardo_MIA, BrianDallas92 and 31 others
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Dr.CardioMD
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Nov 3, 2025 at 11:23 PM#10
Dr.KarenChen said:
The liver data is among the strongest non-weight findings in the class.

Dr.KarenChen has the substance of this right. The condition it depends on is worth stating. One addition: if the lab changes analytical platform between your draws, the comparison breaks and nobody tells you. It is worth asking when a value moves inexplicably.

Last edited: Nov 4, 2025 at 5:23 AM
2 0josh_phd_bmore, roxy_nash
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