Table 1

Evidence-based goals when treating MASLD and MASH

Goal Description
Resolution of MASHAchieving the absence or significant reduction of liver inflammation and elimination of hepatocyte ballooning without worsening fibrosis, assessed through liver biopsy or non-invasive tests.
Regression of MASLDTargeting measurable decreases in liver fat accumulation, inflammation, or fibrosis to improve liver health and function.
Prevention of fibrosis progressionCrucial for reducing liver-related morbidity and mortality, as advanced fibrosis significantly increases the risk of severe liver complications and death.
Reduction of cardiometabolic mortalityImproving overall metabolic health and reducing cardiovascular risk are vital aspects of MASLD management. This involves treating associated conditions like obesity, dyslipidaemia, hypertension and T2D.
  • MASH, metabolic dysfunction-associated steatohepatitis; MASLD, metabolic dysfunction-associated steatotic liver disease; T2D, type 2 diabetes mellitus.