Pioglitazone versus Rosiglitazone: Effects on Lipids, Lipoproteins, and Apolipoproteins in Head-to-Head Randomized Clinical Studies
2008

Comparing Pioglitazone and Rosiglitazone Effects on Lipids

Sample size: 802 publication Evidence: moderate

Author Information

Author(s): Mark A. Deeg, Tan Meng H.

Primary Institution: Lilly Research Laboratories, Eli Lilly & Co.

Hypothesis

How do pioglitazone and rosiglitazone compare in their effects on lipid metabolism in patients with type 2 diabetes?

Conclusion

Pioglitazone has a more favorable impact on serum lipids compared to rosiglitazone.

Supporting Evidence

  • Pioglitazone reduced fasting triglycerides by 12%, while rosiglitazone increased them by 15%.
  • Both medications raised LDL cholesterol, but the increase was significantly greater with rosiglitazone.
  • Pioglitazone increased HDL cholesterol by 14.9%, compared to 7.8% with rosiglitazone.

Takeaway

This study looks at two medications for diabetes and finds that one, pioglitazone, is better at improving fat levels in the blood than the other, rosiglitazone.

Methodology

The study reviewed randomized clinical trials comparing the lipid effects of pioglitazone and rosiglitazone.

Limitations

The review does not include studies on troglitazone, which has been removed from the market.

Participant Demographics

Patients with type 2 diabetes and dyslipidemia.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2008/520465

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