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Liver DiseaseJanuary 2023Summary reviewed August 2026

A Cholesterol Pill Prevented Fat Buildup in Fatty Liver Patients

Patients with fatty liver disease often develop high triglycerides (a type of fat in the blood) when taking certain liver treatments. Doctors tested whether adding fenofibrate — a pill used to lower cholesterol — could prevent this. It worked: patients who took fenofibrate alongside their liver treatment kept their triglyceride levels stable, while those who didn't saw levels jump by 41 mg/dL.

What the trial was testing

The trial enrolled 220 patients with liver disease. The study was sponsored by Gilead Sciences and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Fenofibrate kept triglycerides stable while other patients saw levels rise by 41 mg/dL.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023 · NCT02781584

These findings — that fenofibrate prevented fat buildup while liver treatment continued — were published in the Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association and represent the headline result of the study.

Researchers tracked outcomes across 220 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with liver disease, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

If you're being treated for fatty liver disease and your doctor is concerned about your triglyceride levels rising, this study suggests fenofibrate can help keep them in check. Fenofibrate is already FDA-approved for high cholesterol and triglycerides. Talk to your doctor about whether adding it makes sense for your treatment plan.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.