On
August 20, we blogged
about our July 28 communications with clinical trial investigators in TIDE, a
prospective, cardiovascular outcome study comparing Avandia
(rosiglitazone) to Actos (pioglitazone) as mandated by the U.S. Food and
Drug Administration (FDA). That July 28 communication summarized the
two-day FDA Advisory Committee meeting (July 13-14) on the cardiovascular
safety of Avandia. There is an update from FDA regarding the TIDE trial which
we felt should be shared for the sake of transparency.
Since
the post was published, GSK has received a request from the FDA that the
company inform the TIDE Steering Committee to "re-issue a letter" for trial
participants that was sent prior to GSK's July 28, 2010 summary for
investigators, Institutional Review Boards and Ethics Commitees involved
in the TIDE trial.
The FDA wrote GSK that the July 16 letter to trial participants did "not accurately capture the results on all the voting questions posed to the advisory committee panel at this meeting. There is an overemphasis on the mortality findings that appears to dismiss the risk of ischemic cardiovascular events, particularly between rosiglitazone and pioglitazone. Consequently, this information does not fully inform participants of the potential risks of the different treatments in the TIDE trial."
GSK is
complying with this recent FDA request.

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