All improvements in metabolic risk factors were statistically significant vs. the control group. In fact, the number of patients diagnosed as having metabolic syndrome at baseline, 52.9%, was reduced by half to 25.8% after treatment with rimonabant 20 mg (p<0.001) compared to placebo.
C-reactive protein (CRP), an important inflammation marker, predictive of cardiovascular risk, was reduced by 27% in the rimonabant 20 mg group, compared with an 11% reduction in the placebo group (p<0.01). In a sub-sample of patients the investigators also measured a specific product of adipose tissue, adiponectin, since abdominally obese patients have markedly reduced plasma adiponectin levels. They found a 41% increase in plasma adiponectin concentration in the rimonabant 20 mg group, compared to an increase of 13.6% in the placebo group (p<0.001). Such an increase in adiponectin levels could partly explain the beneficial effects of the drug on some metabolic risk factors, such as HDL-cholesterol.
Reduced insulin sensitivity (decreased ability of the body's cell to use insulin resulting in impaired glucose control) increases the risk of diabetes and cardiovascular disease. The RIO-Lipids study investigated rimonabant's effect on improving insulin sensitivity using a standard test to measure glucose control, the Oral Glucose Tolerance Test (OGTT). The OGTT showed that even in this non-diabetic population, patients in the rimonabant 20mg group had improved glucose control (p<0.001 over two hours vs. placebo), and their bodies had to produce less insulin (-2
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Contact: Glenn Lehrman
glenn.lehrman@ketchum.com
917-533-5998
Ketchum
9-Mar-2004