Rosiglitazone is an anti-diabetic drug in the thiazolidinedione class of drugs. It is marketed by the pharmaceutical company GlaxoSmithKline as a stand-alone drug (Avandia) and in combination with metformin (Avandamet) or with glimepiride (Avandaryl). Like other thiazolidinediones, the mechanism of action of rosiglitazone is by activation of the intracellular receptor class of the peroxisome proliferator-activated receptors (PPARs), specifically PPARγ. Rosiglitazone is a selective ligand of PPARγ, and has no PPARα-binding action. Apart from its effect on insulin resistance, it appears to have an anti-inflammatory effect: nuclear factor kappa-B (NFκB) levels fall and inhibitor (IκB) levels increase in patients on rosiglitazone. Recent research has suggested that rosiglitazone may also be of benefit to a subset of patients with Alzheimer's disease not expressing the ApoE4 allele. This is the subject of a clinical trial currently underway.
Rosiglitazone is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
GSK Investigational Site, West End, Southampton, United Kingdom
Southern Arizona VA Health Care System, Tucson, Tucson, Arizona, United States
VA Medical Center, Lexington, Lexington, Kentucky, United States
VA Medical Center, Omaha, Omaha, Nebraska, United States
VA Puget Sound Health Care System, Seattle, Seattle, Washington, United States
UCLA Alzheimer's Disease Center, Los Angeles, California, United States
University of Washington/VA Puget Sound Health Care System, Seattle/Tacoma, Washington, United States
Banner Alzheimer Institute, Phoenix, Arizona, United States
Stanford University School of Medicine, Stanford, California, United States
Hadassah Medical Organization, Jerusalem, Israel
GSK Clinical Trials Call Center, London, United Kingdom
Stanford University School of Medicine, Stanford, California, United States
Cardiology Department, Glasgow Royal Infirmary, Glasgow, United Kingdom
Cardiology Department, Glasgow Royal Infirmary, Glasgow, United Kingdom
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