February 23rd, 2010
Tuesday, February 23 News Roundup: Avandia Remains in the News; Dutch Study Questions Platelet Function Tests; IOM Report on Hypertension
Larry Husten, PHD
Avandia Stays in the News: Responding to all the news last weekend about rosiglitazone (Avandia), the FDA announced an ongoing review of the cardiovascular safety of Avandia based on the RECORD trial and published a safety announcement along with additional information for patients and healthcare professionals. Adding even more drama to events, a New York Times story by Gardiner Harris tells how Cleveland Clinic cardiologist Steve Nissen secretly recorded a meeting with GlaxoSmithKline executives in 2007, immediately prior to the publication of the NEJM meta-analysis that started the Avandia controversy.
Dutch Study Questions Platelet Function Tests: A study in JAMA from the Netherlands compared six platelet function tests in low-risk patients undergoing elective PCI. Three of the tests — light transmittance aggregometry, VerifyNow, and Plateletworks — were found to have “a modest ability” to predict outcomes. The authors say the study “does not support the use of platelet function testing to guide clinical practice in a low-risk population of patients undergoing elective PCI.”
IOM Report on Hypertension: The Institute of Medicine released a report on hypertension. Noting that nearly one-third of American adults have high blood pressure, the report calls for population-based strategies to reduce the incidence of this “neglected disease,” and says medical professionals need to do a better job in diagnosing and treating patients with hypertension.