Thr NEW ENGLAND JOURNAL Of MEDICINE and other clinical-trial data not within the pub. the potential risks of rosiglitazone in the treat ic domain further analyse s of data auiable to of type 2 diabe the eDa and the manufacturer would enable a t to rerfor more robust assessment of the risks of this drug ugh the Cl nd Our data suggest a cardiovascular risk associate with the us f rosiglitazone.Un re precis them to c estmates of th car dial her income nor a tax dedu kaootherpe 。 .Medica 11.We n P.Goldstein BI,Ros smtwithamprlandostgeaz ct a one oh ired gl Mo NB, N.h al dat May i8. a gowlcder foi M.ende cular fur nd e Is with rare events.stat med with of sparse data Srat Med 2004: ert P.Jo d R 02107 of the effe Bes2002.2.36 2107 in pat with htheadioa8 2001861659.20022 Endocrino and 17.1 ent from the American Heart As r 7.2003.Circulation 2003 AMd20030387-9 ter M.Van Gaal LE th Cole MA. of gl ling bu rdha Nisse SE.Wolski K.Top ion th apy in p g sul ular 1AMA2000284 etes 7 Ther 2003 3-d pr 2470 N ENGLJ MED 356:24 WWW.NEJM.ORG JUNE 14.2007 5.2016. ther uses without permissior ciety.All rights reserveT h e n e w e ng l a nd j o u r na l o f m e dic i n e 2470 n engl j med 356;24 www.nejm.org june 14, 2007 and other clinical-trial data not within the public domain. Further analyses of data available to the FDA and the manufacturer would enable a more robust assessment of the risks of this drug. Our data suggest a cardiovascular risk associated with the use of rosiglitazone. Until more precise estimates of the cardiovascular risk of this treatment can be delineated in patients with diabetes, patients and providers should carefully consider the potential risks of rosiglitazone in the treatment of type 2 diabetes. Dr. Nissen reports receiving research support to perform clinical trials through the Cleveland Clinic Cardiovascular Coordinating Center from Pfizer, AstraZeneca, Daiichi Sankyo, Roche, Takeda, Sanofi-Aventis, and Eli Lilly. Dr. Nissen consults for many pharmaceutical companies but requires them to donate all honoraria or consulting fees directly to charity so that he receives neither income nor a tax deduction. No other potential conflict of interest relevant to this article was reported. 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Peroxisome proliferatoractivated receptor (PPAR) agonists: pre- 21. 22. 23. 24. 25. 26. 27. 28. 29. The New England Journal of Medicine Downloaded from nejm.org on February 5, 2016. For personal use only. No other uses without permission. Copyright © 2007 Massachusetts Medical Society. All rights reserved