Rosiglitazone and Fenofibrate Additive Effects on Lipids

Abstract

To evaluate the effect of rosiglitazone, fenofibrate, or their combined use on plasma lipids in normoglycemic healthy adults.Methods and Results. Subjects were randomized in a double-blind fashion to rosiglitazone + placebo, fenofibrate + placebo, rosiglitazone + fenofibrate, or matching double placebo. The between-group difference in the change in fasting TG, high-density lipoprotein cholesterol (HDL-C), LDL-C, and plasma apolipoproteins A-I, A-II, and C-III level were compared after 12 weeks of treatment. A total of 548 subjects were screened and 41 met the inclusion criteria. After 12 weeks of therapy, the median change in the triglyceride levels showed a significant reduction ranging from 47 to 55 mg per deciliter in the fenofibrate only and rosiglitazone/ fenofibrate groups compared with placebo (P = 0.0496). However, the rosiglitazone only group did not show significant change in triglyceride level. The change in the Apo AII showed increase in all the treatment groups compared with placebo (P = 0.009). There was also significant change in the Apo CIII that showed reduction of its level in the fenofibrate only and rosiglitazone/ fenofibrate groups (P = 0.0003). Conclusion. Rosiglitazone does not appear to modulate hypertriglyceridemia in patients with elevated triglycerides independent of glucose metabolism.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2011
Accession Number
ADA553566

Entities

People

  • Admad Slim
  • Dorette P. Moore
  • Eddie Hulten
  • Jennifer N. Slim
  • Laudino Castillo-rojas
  • Todd C. Villines

Tags

DTIC Thesaurus Topics

  • Additives (Chemicals)
  • Analysis Of Variance
  • Apoproteins
  • Cellular Structures
  • Cholesterol
  • Clinical Trials
  • Gene Expression
  • Glycerides
  • Insulin
  • Lipid Metabolism
  • Lipids
  • Lipoproteins
  • Metabolic Diseases
  • Metabolism
  • Myocardial Ischemia
  • Serum Triglycerides
  • Statistical Analysis

Fields of Study

  • Medicine

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