Guest guest Posted May 26, 2007 Report Share Posted May 26, 2007 At 08:18 AM 5/26/07, you wrote: >After Vioxx, Avendia. Drugstory repeats itself. Jagannath Chatterjee >View All Topics | Create New Topic Message >1. After Vioxx, Avendia. Drugstory repeats itself. >Posted by: " Jagannath Chatterjee " jagchat01 jagchat01 >Fri May 25, 2007 7:29 am (PST) > > >May 25, 2007 >Editorial >http://www.nytimes.com/2007/05/25/opinion/25fri1.html?th & emc=th >Ignoring the Warnings, Again? The latest findings on Avandia, a >top-selling diabetes drug, raise concerns both about its safety and about >the way the manufacturer and the Food and Drug Administration have >responded to signs of danger. It would be rash to make definitive >judgments until the F.D.A. completes a detailed analysis. But the handling >of this case bears disturbing resemblances to the Vioxx debacle, in which >early warning signs were ignored by its manufacturer until the evidence of >serious harm became inescapable and the drug was pulled from the market. >Avandia was approved for sale in 1999 based on studies showing that it >could lower blood glucose levels in patients suffering from Type 2 >diabetes, also known as adult-onset diabetes. The assumption was that the >drug could alleviate some of the most damaging effects of the disease, >such as heart attacks and other cardiovascular ailments. But a paper just >published in The New England Journal of Medicine suggests that Avandia may >instead increase the risk of a heart attack by 43 percent and perhaps the >risk of cardiovascular deaths as well. > >The study — an analysis of the combined results of 42 previous studies >that compared people who took the drug with people who did not — is not >definitive, and the absolute risk to any given patient is small. But the >study points to a risk that could potentially harm thousands of patients a >year. Its lead author was Steven Nissen, a cardiologist at the Cleveland >Clinic, who blew the whistle on the cardiovascular risks of Vioxx, which >adds to the sense of déjà vu. > >What’s most troubling is the possibility that early warning signs were not >adequately heeded. > >Seven years ago a leading diabetes doctor warned the F.D.A. of “a >worrisome trend in cardiovascular deaths,” two years later a safety >monitoring group within the agency expressed concern over cases of heart >failure in patients taking the drug. In late 2005 and again in August 2006 >the drug’s manufacturer — GlaxoSmithKline — informed the F.D.A. that its >own combined analysis of various studies showed a 31 percent increase in >adverse cardiovascular events. But the company also cited studies that it >said showed no evidence of harm, and the F.D.A. concluded the findings >were too mixed to take immediate regulatory action. > >Now, prodded by Dr. Nissen’s article, the agency has issued a safety >alert, is completing its own safety analysis and will convene a panel of >experts to review the data. The best hope for a definitive answer may lie >in a clinical trial that won’t finish monitoring all enrolled patients >until late next year. > >If the verdict goes against Avandia, the F.D.A. and Glaxo will have a lot >to explain. Congress will need to probe hard to determine what risks the >agency and the manufacturer were aware of and what they did — or didn’t do >— to mitigate them. > >Copyright 2007 The New York Times Company >var regstatus= " non-registered " ; var dcsvid= " 0 " ; var >gDomain= " wt.o.nytimes.com " ; var gDcsId= " dcs94nlu900000kr6jvydpa7y_2q9p " ; >var gTrackEvents=0; var gFpc= " WT_FPC " ; /* " );} /*]]>*/ > >US: 1 in 150 children has Autism >US: 1 in 6 children suffers a developmental disorder >New Jersey: 1 in 94 has Autism >UK: 1 in 86 has Autism > >China : Over 20 lakh autistic children, >India : No authentic figures, expected one crore+ (1 in 250) >AUTISM IS NOTHING BUT MERCURY POISONING. >THERE IS MERCURY IN VACCINES!! ****** Kraig and Shirley Carroll ... in the woods of SE Kentucky http://www.thehavens.com/ thehavens 606-376-3363 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.859 / Virus Database: 585 - Release 2/14/05 Quote Link to comment Share on other sites More sharing options...
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