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Deaths Halt Part of Large Diabetes Trial


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While these death rates were lower than those seen in similar groups in other studies, the NHLBI decided to follow the recommendation of the study's data safety monitoring board and stop the aggressive therapy part of the trial. Patients in that part of the trial will now receive standard care until the study ends in 2009, Nabel said.

Officials stressed that it's not clear why people in the intensive therapy group were at higher risk of death. But the researchers did not find that the combination of medications used for the trial -- and approved by the U.S. Food and Drug Administration to lower blood sugar -- was responsible for the increased risk.

The halting of the trial segment follows recent reports that one of those medications, Avandia (rosiglitazone), has been linked to an increased risk of heart attack. But Friedewalt said the drug was not responsible for the deaths.

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"Because of the recent concerns raised with regard to rosiglitazone, we specifically analyzed the data to try and determine whether there was any link between this particular medication and the increased deaths we were seeing in the ACCORD intensive treatment group," Friedewald said. "At this time, we have found no link, and thus the use of rosiglitazone does not seem to explain the increased mortality."

Most of the people in the intensive treatment group were taking high doses of several medications to lower their blood sugar. Other drugs used in the trial included metformin, thiazolidinediones, insulins, sulfonylureas, exenatide, and acarbose.

Reaction to the news was generally cautious.

One federal health expert said the findings should not affect the current treatment of type 2 diabetes.

"The ACCORD findings are important, but will not change therapy for most patients with type 2 diabetes. Few patients with high cardiovascular risk like those studied in ACCORD are treated to blood sugar levels as low as those tested in this study, " Dr. Judith Fradkin, director of the National Institute of Diabetes and Digestive and Kidney Diseases' division of diabetes, endocrinology, and metabolic diseases, said in a prepared statement. "People with diabetes should never adjust their treatment plan or goals without consulting their health care providers."

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 2/6/2008

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From Healthscout's partner site on diabetes, MyDiabetesCentral.com
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DIET: Eating right can save your life!





SOURCES: Feb. 6, 2008, teleconference with Elizabeth G. Nabel, M.D., director, U.S. National Heart, Lung, and Blood Institute; William Friedewald, M.D., clinical professor of public health and medicine, Columbia University, and chairman, ACCORD Steering Committee; Mary Ann Banerji, M.D., SUNY Downstate Medical Center, New York City; American Diabetes Association, news release, Feb. 6, 2008


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