Barely Significant
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IMPROVE-DiCE, a 2-Part, Open-Label, Phase 2a Trial Evaluating the Safety and Effectiveness of Ninerafaxstat in Patients With Cardiometabolic Syndromes.

Circulation · 2026 · PMC12928817 · PMID 41410037

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showed a trendno p-value reported
Proteomic analyses of the same sampled revealed a significant upregulation of CTSL1 (cathepsin L1; false discovery rate–adjusted P <0.05), whereas a set of proteins relating to cardiac remodeling (lectin-like oxidized low-density lipoprotein receptor 1), inflammation (matrix metalloproteinase 9), and diastolic dysfunction (fatty acid binding protein 4) showed a trend toward downregulation after ninerafaxstat treatment ( Figure S2B ).

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