Nevertheless, current evidence supports GLP-1 RAs and multi-agonist formulations as highly promising pharmacotherapies that address the complex, multifactorial pathophysiology of MASLD while simultaneously improving cardiometabolic comorbidities, positioning them as cornerstone treatments in the evolving therapeutic landscape for this prevalent and burdensome disease

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defense briefs commonly argue intentional misuse and reliance on warnings
A recent analysis utilizing five US national healthcare claims cohorts from 2018 to 2024 simulated the STEP-HFpEF DM (semaglutide) and SUMMIT (tirzepatide) trials to benchmark outcomes and expanded the eligibility criteria to reflect real-world clinical practice
To rule out inferiority, the FDA required CVOTs to show an upper boundary risk ratio of 1.3 (post approval), utilizing a two-sided 95% confidence interval (CI), for major adverse cardiovascular events (MACE) [55]