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New drug improves glucose and lipids in diabetes

NEW YORK (Reuters Health) - An investigational drug called ragaglitazar delivers a double benefit for people with type 2 diabetes: it controls blood glucose while it improves the lipid profile, researchers report.

As they explain in the medical journal Diabetes Care, ragaglitazar acts on two types of PPAR receptors. Activation of PPAR-alpha leads to decreases in triglycerides and increases in HDL ("good") cholesterol levels, while activation of PPAR-gamma enhances glucose uptake by muscles and fat tissues.

Dr. Mohammed F. Saad from UCLA Diabetes Center in Alhambra, California, and associates assessed the efficacy and safety of ragaglitazar, in comparison with an established diabetes drug Actos and placebo, in 125 subjects with type 2 diabetes.

Participants treated with ragaglitazar showed improvements in glucose control similar to those shown by patients treated with Actos, and better than those in placebo-treated patients, the report indicates.

On the other hand, ragaglitazar treatment produced significant decreases in total and LDL ("bad") cholesterol and triglycerides, and significant increases in HDL cholesterol, whereas Actos treatment decreased triglycerides but slight increased LDL cholesterol.

"The results of this study have demonstrated the potent effect of ragaglitazar in the improvement of glycemia and dyslipidemia in patients with type 2 diabetes," the authors conclude. "A compound with such a profile of effects could have tremendous potential to reduce the morbidity and mortality associated with long-term cardiovascular complications."

SOURCE: Diabetes Care, June 2004.

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