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Diabetes

07 July 2020

Animal tests point to possible path to ultrafast insulin

A new form of insulin could translate to a fourfold decrease in the time insulin takes to reach peak activity in people.

  • Pharmaceutical companies have been trying to develop a faster-acting insulin for decades
  • A new formulation could translate to a fourfold decrease in the time insulin takes to reach peak activity in humans
  • Researchers have confirmed the ultrafast action of their formulation in pigs with diabetes


An experimental ultrafast-acting insulin could work four times more quickly than current fast-acting formulas, researchers say.

For the study, the researchers focused on a form of insulin called monomeric insulin. Though its structure should, in theory, allow it to act faster, monomeric insulin is too unstable for practical use, so the Stanford University team had to find a way around that problem.

"The insulin molecules themselves are fine, so we wanted to develop a 'magic fairy dust' that you add into a vial that would help to fix the stability problem," said senior author Eric Appel, assistant professor of materials science and engineering.

"People often focus on the therapeutic agents in a drug formulation but, by focusing only on the performance additives – parts that were once referred to as 'inactive ingredients' – we can achieve really big advancements in the overall efficacy of the drug," Appel added in a university news release.

Ultrafast action

His team identified an additive polymer that could stabilize monomeric insulin for more than 24 hours in stressed conditions. Current commercial fast-acting insulin stays stable for six to 10 hours under the same conditions.

The researchers confirmed the ultrafast action of their formulation in pigs with diabetes, the most advanced non-human animal model. Their results were published on 1 July in the journal Science Translational Medicine.

In the pigs, the experimental insulin reached 90% of its peak activity within five minutes of injection, while commercial fast-acting insulin began showing significant activity only after 10 minutes.

The experimental insulin's activity peaked at about 10 minutes; commercial insulin required 25 minutes.

Though results of animal experiments are not always the same in humans, the researchers said the difference could be significant. It could translate to a fourfold decrease in the time insulin takes to reach peak activity in people.

"It's really unprecedented," Appel said. "This has been a major target for many big pharmaceutical companies for decades."

Additional tests are underway with an eye to applying for US Food and Drug Administration (FDA) approval for clinical trials in humans.

Image credit: iStock

 

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Diabetes expert

Dr. May currently works as a fulltime endocrinologist and has been in private practice since 2004. He has a variety of interests, predominantly obesity and diabetes, but also sees patients with osteoporosis, thyroid disorders, men's health disorders, pituitary and adrenal disorders, polycystic ovaries, and disorders of growth. He is a leading member of several obesity and diabetes societies and runs a trial centre for new drugs.

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