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GLG News by Physicians who Treat Hypercholesterolemia in the U.S.

Analysis of: New Data Showed Actos (pioglitazone HCl) Prevented Progression of Atherosclerotic Plaque Volume in Patients With Type 2 Diabetes (pharmalive.com)
The recent findings regarding pioglitazone in a large, randomized, intravascular cardiac ultrasound study finally begin to show some indication of the expected efficacy for which many physicians chose to use the drug, i.e., to decrease cardiovascular disease or its progression.  From...
April 9, 2008
Slim Chance?!
Analysis of: Taranabant looks promising (www.taranabant-health.com)
Merck's endocannabinoid inverse agonist (CB1R )recently completed a 52 wk trial in which 2000 subjects were randomized to placebo, 2, 4, or 6 mg of taranabant.  Before the trial ended, the 6 mg dosed subjects had to be rerandomized to placebo or 4 mg due to toxicity.  The...
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Evanston Northwestern Healthcare
Analysis of: Elixir Announces Completion of Enrollment in Pivotal Phase III Clinical Trial for New Diabetes Drug (www.pipelinereview.com)
Elixir has turned to a strategy devoid of innovation by selecting a combination glinide (metiglinide) plus glucophage for treatment of type 2 diabetes.  With the new availability of DPP4 inhibitors (sitagliptin/alogliptin) and incretin agonists (eg byetta), what is the prospect of another K channel...
Analysis of: FDA Approves Abbott’s Simcor Cholesterol Med (www.pharmalot.com)
Simcor does not remove the major complication that occurs with niacin which is flushing. I do not see this as a successful drug.
Carlos Dujovne, MD, Professor of Medicine and Director
Carlos Dujovne, MD, Professor of Medicine and Director
OREGON HEALTH & SCIENCE UNIVERSITY - CC
Analysis of: China Plant Played Role (online.wsj.com)
1:Most of our legislators are forcefully endorsing generic drug usage and importing cheaper drugs.2:As a physician specialist in Clinical Pharmacologist I am fully aware or the safety and efficacy pitfalls of poorly manufactured  drugs and have done clinical research documenting the risks of patients...
Analysis of: Diabetes Study Partially Halted After Deaths (www.nytimes.com)
That more people died in the "tight" control group is true, but was it tight control that was responsible or could it have been the means by which it was controlled?  It was not rosigitazone (Avandia) or hypoglycemia responsible for the deaths, according to the articles (the scientific article...
Analysis of: Diabetes Study Partially Halted After Deaths (www.nytimes.com)
I beleive that this  announcement is premature and more about being too preacutious in the present litigenous environment. Sevral variable factors may responsible for the outcomes and not just the strict glycemic control.
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Evanston Northwestern Healthcare
Analysis of: Hault of ACCORD Study Intensive Treatment Arm (www.nhlbi.nih.gov)
Increased death from intensive A1C lowering in diabetic subjects raises new concerns about diabetes therapy, insulin use in combination with oral agents, and clinical biomarkers of disease complications.
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Joseph Bass, MD, PhD, Division Head of Endocrinology and Metabolism
Evanston Northwestern Healthcare
Analysis of: Galvus(R), A New Treatment For Patients With Type 2 Diabetes, Receives European Approval For Label Update Paving The Way For EU Launches (www.pipelinereview.com)
Oral therapies improve complianceEU approval of Galvus does not erase US doubts
Analysis of: Denosumab Osteoporosis Study Met Primary and All Secondary Bone Mineral Density Endpoints in a Head-to-Head Comparison with Weekly Alendronate (FOSAMAX(R)) (www.pipelinereview.com)
After the many false hopes raised using surrogate markers, we certainly want to wait for definitive end-point trial results involving fracture rate and possible long-term side effects.  However the 40% greater increase in BMD compared to the standard of bisphosphonate therapy is quite exciting. ...

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