James Rossiter
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Avandia, GlaxoSmithKline's (GSK) controversial diabetes drug, has again come under fire after more research was released claiming that the treatment increases the risk of heart attacks.
According to The Wall Street Journal, a research paper published by the Journal of the American Medical Association (JAMA) found that patients taking Avandia had a 42 per cent greater chance of a heart attack than those in the control group.
The results, compiled from four separate clinical trials of Avandia lasting at least one year each, confirm earlier studies suggesting increased cardiological risks from taking Avandia.
In contrast, a separate paper also published by JAMA concluded Actos, a rival diabetes treatment from Takeda Pharmaceuticals, appeared to reduce patients' risk of heart attacks. The studies did not compare Avandia with Actos.
Avandia was GSK’s second-biggest selling drug last year, reaping £1.65 billion of global sales.
However, Avandia’s share of the US diabetes market fell to 33 per cent of the US market while Actos's share soared to 67 per cent.
In July, an advisory committee to the US Food and Drug Administration (FDA) found that Avandia was tied to a risk of heart attacks but did not recommend the drug be withdrawn.
However, the FDA approved new “black box” warning labels for the drug to emphasise that it may trigger congestive heart failure and that patients should be monitored closely by their doctor.
A GSK spokesman told The Wall Street Journal that its prescriptions for the drug had rebounded over the past two weeks, and that the new research does “not confirm a difference in the safety profile” between Avandia and Actos.
Shares in GSK edged down from to £13.26 to £13.26 in early trading.
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That's all well and good, Tom, but that isn't what this meta study found. In fact, longer term studies have found contradictory results. Regardless, this analysis was focused on short term use and dangers which arose in that context. It must still be replicated, but the data is what the data is.
Jeremy, San Jose, California
Excess weight is the nongenetic condition for developing type 2 diabetes, which accounts for more than 95 percent of all cases of diabetes. Likewise, heart disease, heart attack and stroke are almost entirely the result of excess weight. Since weight gain is the key side effect for more than 60 percent of all diabetes drugs, singling out Avandia or giving a passing grade for Actos (the same drug class), does not paint an accurate picture. The fact is that most diabetes drugs give rise to heart disease, heart attack or stroke over time due to progressive weight gain. Insulin, which is used by more than 40 percent of people with type 2 diabetes (CDC data) and has weight gain as a side effect, produces the same deadly outcome. One can readily appreciate why heart disease and stroke death rates for adults with diabetes are two to four times (CDC data) higher than for adults without diabetes.
tom Obot, Westmont, Illinois, US