الخميس, 24 أيار 2012   3. رجب 1433

 

 

 

 

 

 

 

 

صورة واجمل تعليق

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  متى سيتم صرف الادوية بهذه الطريقة ؟؟؟ وهل تعتقدون ان هذه الطريقة ستنجح لدينا في الدول العربية ؟؟؟ ثم ما هو مصير الصيدلاني ؟؟؟…

 

 

 

مقالات طبية وصحية

القائمة البريدية

 
Research findings presented at the American College of Cardiology annual meeting
 
showed that Novartis' hypertension drug Diovan (valsartan) and diabetes treatment Starlix (nateglinide) failed to reduce the risk of heart attacks and related disease in patients with impaired glucose tolerance (IGT) and cardiovascular disease or risk factors.
 
The 9306-patient NAVIGATOR study assessed whether Diovan or Starlix could delay progression to diabetes or reduce the incidence of cardiovascular events in people with IGT and cardiovascular disease or risk factors.
 
The two-by-two factorial design trial had three co-primary endpoints: confirmed progression to overt diabetes; the "core" cardiovascular endpoint of time to first occurrence of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke or hospitalisation for heart failure; and the "core" cardiovascular endpoint plus revascularisation and hospitalisation for unstable angina.
 
Results from the randomised, placebo-controlled trial, which were simultaneously published in NEJM, showed that use of Diovan for 5 years, along with lifestyle modification, did not reduce the rate of cardiovascular events. However, the data suggest the drug did lead to a significant 14-percent reduction in the risk of developing new-onset diabetes.
 
The NAVIGATOR findings also demonstrated that use of Starlix after five years, in addition to lifestyle modification, did not reduce the incidence of new-onset diabetes or of cardiovascular events among patients in the trial.
 
In an accompanying editorial in NEJM, David Nathan, director of the Diabetes Center at Massachusetts General Hospital, wrote that "the results from the NAVIGATOR study do not support the contention that reducing postprandial hyperglycaemia has a specific role in preventing diabetes or reducing cardiovascular disease."
 
He added that although the study's authors "suggest that the prevention of diabetes with valsartan might make it a preferred drug as compared with antihypertensive drugs that potentially worsen glycaemia, valsartan was relatively weak in preventing diabetes, and it did not lower the rates of cardiovascular disease."
 
Novartis stated that the company plans to discuss the results of the study with the FDA with a view to applying for a label change for Diovan.