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New Insights on PPAR Agonists For Cardiovascular Disease

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Presentation on theme: "New Insights on PPAR Agonists For Cardiovascular Disease"— Presentation transcript:

1 New Insights on PPAR Agonists For Cardiovascular Disease

2 Global Estimates of Type 2 Diabetes in the Adult Population

3 Reasons for Death: UKPDS 33 Intensive Rx

4 Glucose Perturbations in Patients With CAD

5 UKPDS 35: Impact of Increasing A1c on Cardiovascular Disease in T2DM

6 UKPDS 33: Blood Glucose and Vascular Risk in Diabetes

7 ACCORD and ADVANCE: Effects of Intensive Glucose Control on CV Disease and Mortality

8 CARDS: Benefit With Atorvastatin in T2DM

9 UKPDS 38: Blood Pressure Reduction and Vascular Risk

10 STENO-2: Effect of Multifactorial Management on Outcomes in Type 2 Diabetes

11 PPAR-a and PPAR-g Agonists: Target Systems

12 Cardiovascular Outcomes Trials With PPAR-a Acting Agents: Fibrates

13 ACCORD Lipid: Effect of Fenofibrate on Lipid Parameters and CV Outcomes

14 Effects of Fibrates on Cardiovascular Events: A Systematic Review and Meta-Analysis

15 Effects of Fibrates on Coronary Events by Cholesterol and TG Level

16 CV Events With PPAR-g Agonists

17 PROactive: Time to Secondary CV Composite Endpoint

18 Pioglitazone and Risk of CVD in T2DM: Meta-Analysis*

19 CHICAGO: Effect of Pioglitazone on Carotid Artery Intima-media Thickness

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21 PPAR-g Agonists: Lipoprotein Effects

22 Effect of Pioglitazone on Atheroma Volume vs Other CV Agents

23 Genes Uniquely Regulated by the TZDs

24 Expected Targets for Dual PPAR-a/g Agonists

25 Dual PPAR-a/g Agonists

26 Dual a/g PPAR Agonist: Effect of Muraglitazar on Lipid Parameters

27 Effect of Muraglitazar on Cardiovascular Outcomes

28 GLAD: Effect of Tesaglitazar vs Pioglitazone on Lipid Measures

29 Effect of Tesaglitazar on Serum Creatinine and Glomerular Filtration

30 The Concept of a “Balanced” Dual PPAR-a/g Agonist

31 PPAR-a/g Transactivation Profiles of Rosiglitazone and Pioglitazone

32 Aleglitazar’s Dual PPAR-a/g Transactivation Profile

33 Gene Profile of Dual PPAR-a/g Agonists

34 SYNCHRONY: Effect of Aleglitazar on A1c in T2DM

35 SYNCHRONY: Effect of Aleglitazar on Lipid Measures in T2DM

36 SYNCHRONY: Effect of Aleglitazar on LDL Particle Size and Number in T2DM

37 SYNCHRONY: Cardiovascular Safety

38 SYNCHRONY: Effect of Aleglitazar on Serum Creatinine in T2DM

39 SESTA R: Impact of Supratherapeutic Doses of Aleglitazar on Renal Function in T2DM

40 ALENEPHRO: Objective and Study Design

41 ALENEPHRO: Effect of Aleglitazar on eGFR and SCr in Patients With Renal Impairment

42 ALECARDIO: Aleglitazar in Patients With T2DM and ACS

43 Program Summary

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