Skip to content
(RS)-rosiglitazone

Structure via PubChem · Public domain (PubChem)

EntityQ424771· pop 25· linked from 338 articles

(RS)-rosiglitazone

Sign in to save

Also known as rosiglizole, BRL-49653, 5-((4-(2-(methyl-2-pyridinylamino)ethoxy)phenyl)methyl)-2,4-thiazolidinedione, (±)-5-[p-[2-(methyl-2-pyridylamino)ethoxy]benzyl]-2,4-thiazolidinedione, (RS)-5-{4-[2-(methyl-2-pyridylamino)ethoxy]benzyl}-2,4-thiazolidinedion, rosiglitazone

Rosiglitazone (trade name Avandia) is an antidiabetic drug in the thiazolidinedione class. It works as an insulin sensitizer, by binding to the PPAR in fat cells and making the cells more responsive to insulin. It is marketed by the pharmaceutical company GlaxoSmithKline (GSK) as a stand-alone drug or for use in combination with metformin or with glimepiride. First released in 1999, annual sales peaked at approximately $2.5 billion in 2006; however, following a meta-analysis in 2007 that linked the drug's use to an increased risk of heart attack, sales plummeted to just $9.5 million in 2012. T

Chemical data

Formula
C18H19N3O3S
Molecular weight
357.4 g/mol
IUPAC name
5-[[4-[2-[methyl(pyridin-2-yl)amino]ethoxy]phenyl]methyl]-1,3-thiazolidine-2,4-dione
SMILES
CN(CCOC1=CC=C(C=C1)CC2C(=O)NC(=O)S2)C3=CC=CC=N3
InChIKey
YASAKCUCGLMORW-UHFFFAOYSA-N
XLogP
3.1
Polar surface area
96.8 Ų
H-bond donors
1
H-bond acceptors
6
Formal charge
0

via PubChem

Drug data · ChEMBL

Withdrawn
Max clinical phase
Approved
Molecule type
Small molecule
First approval
1999
Admin. routes
oral
Indications
diabetes mellitus, erectile dysfunction, focal segmental glomerulosclerosis, Cognitive impairment

via ChEMBL · EBI

Wikidata facts

Subclass of
glitazone
Has part
carbon
Mass
357.114712
Has use
medication
Show 7 more facts
chemical formula
C₁₈H₁₉N₃O₃S
Commons category
Rosiglitazone
canonical SMILES
CN(CCOC1=CC=C(C=C1)CC2C(=O)NC(=O)S2)C3=CC=CC=N3
World Health Organisation international non-proprietary name
rosiglitazone
defined daily dose
6
subject has role
anti-diabetic medication
found in taxon
Exophiala
Sources (6)

via Wikidata · CC0

~24 min read

Encyclopedic overview

26 sections
Contents
  • Medical uses
  • Adverse effects
  • Heart failure
  • Heart attacks
  • Death
  • Stroke
  • Bone fractures
  • Hypoglycaemia
  • Weight gain
  • Eye damage
  • Hepatotoxicity
  • Contraindications
  • Pharmacology
  • History
  • Society and culture
  • Sales
  • Lawsuits
  • United States investigations
  • European investigations
  • New Zealand
  • South Africa
  • Controversy and response
  • Research
  • Synthesis
  • References
  • External links

Rosiglitazone (trade name Avandia) is an antidiabetic drug in the thiazolidinedione class. It works as an insulin sensitizer, by binding to the PPAR in fat cells and making the cells more responsive to insulin. It is marketed by the pharmaceutical company GlaxoSmithKline (GSK) as a stand-alone drug or for use in combination with metformin or with glimepiride. First released in 1999, annual sales peaked at approximately $2.5 billion in 2006; however, following a meta-analysis in 2007 that linked the drug's use to an increased risk of heart attack, sales plummeted to just $9.5 million in 2012. The drug's patent expired in 2012.

It was patented in 1987 and approved for medical use in 1999. Despite rosiglitazone's effectiveness at decreasing blood sugar in type 2 diabetes mellitus, its use decreased dramatically as studies showed apparent associations with increased risks of heart attacks and death. Adverse effects alleged to be caused by rosiglitazone were the subject of over 13,000 lawsuits against GSK; as of July 2010, GSK had agreed to settlements on more than 11,500 of these suits.

Excerpted from Wikipedia’s “(RS)-rosiglitazone” article, available under the CC BY-SA 4.0 licence.

Gallery (5)