Table 3: Treatment of NAFLD by insulin sensitising agents.

Author, year Number of cases Study type Duration of treatment Outcome
METFORMIN
Marchesini, 2001 20 Controlled against treatment refusals 4 months Decrease in ALT
Reduced liver volume
Uygun, 2004 17 RCT vs diet alone 6 months Decrease in ALT
No histological improvement
Nair, 2004 15 Observational 12 months No benefit
Tiikkainen, 2004 11 RCT 4 months No reduction in liver fat
Improved hepatic IR
Bugianesi, 2005 55 RCT vs diet or vitamin E 12 months Decrease in ALT
Limited histological improvement (Metformin arm)
THIAZOLIDINEDIONES
Caldwell, 2001 10 Observational 6 months Decrease in ALT
No histological improvement
Neuschwander-Tetri, 2003 25 Observational 12 months Decrease in ALT
Histological improvement
Promrat, 2004 18 Observational 12 months Decrease in ALT
Histological improvement
Tiikkainen, 2004 9 RCT 4 months Decrease in liver fat
Improved hepatic IR