Rosiglitazone chemical structure
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Avandia

Rosiglitazone is an anti-diabetic drug from the thiazolidinedione class. It is being marketed as Avandia® by the pharmaceutical company GlaxoSmithKline, both as a standalone preparation and in combination with metformin (Avandamet®). Another combination drug approved by the FDA is Avandaryl® (with glimepiride). more...

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Like other thiazolidinediones, its mechanism of action is by activation of the intracellular receptor class of the peroxisome proliferator-activated receptors (PPARs), specifically PPARγ. Rosiglitazone is a pure ligand of PPARγ, and has no PPARα-binding action. Apart from its effect on insulin resistance, it appears to have an anti-inflammatory effect: nuclear factor kappa-B (NFκB) levels fall and inhibitor (IκB) levels increase in patients on rosiglitazone (Mohanty et al).

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Avandia approved for treatment of type 2 diabetes - Brief Article
From Drug Store News, 6/28/99

SmithKline Beecham's Avandia (rosiglitazone maleate) received Food and Drug Administration approval for the treatment of type 2 diabetes as monotherapy and in combination with metformin. Avandia is a new thiazolidinedione (TZD), the class of oral antidiabetic agents that treat the symptoms of type 2 diabetes and directly target insulin resistance.

The FDA approval was based on a review of data from clinical studies involving more than 5,500 patients. In these studies, Avandia effectively lowered blood sugar levels of patients by up to an average of 76 mg per deciliter and maintained blood sugar control for up to 12 months. Because of its high potency, only a small dose of Avandia is needed to achieve therapeutic control (4 mg/day and 8 mg/day), SmithKline reported, noting that Avandia, which received priority review from the FDA, was well-tolerated in clinical trials.

COPYRIGHT 1999 Lebhar-Friedman, Inc.
COPYRIGHT 2000 Gale Group

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