Pooled Analysis of Clinical Trials Investigating the Pharmacokinetics (PK) of Ultra-rapid Insulin BioChaperone Lispro (BCLIS) vs. Lispro (LIS) in Subjects with Type 1 (T1D) and Type 2 (T2D) Diabetes
BCLIS is an ultra-rapid insulin lispro formulation designed to accelerate the time-action profile vs. conventional short-acting insulin analogs. PK characteristics of single doses of BCLIS and LIS were characterized in four randomized, double-blind, crossover studies in altogether 112 T1D and 51 T2D...
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Veröffentlicht in: | Diabetes (New York, N.Y.) N.Y.), 2018-07, Vol.67 (Supplement_1) |
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creator | HEISE, TIM RANSON, AYMERIC GAUDIER, MARTIN SOULA, OLIVIER ALLUIS, BERTRAND ZIJLSTRA, ERIC GLEZER, STANISLAV MEIFFREN, GRÉGORY |
description | BCLIS is an ultra-rapid insulin lispro formulation designed to accelerate the time-action profile vs. conventional short-acting insulin analogs. PK characteristics of single doses of BCLIS and LIS were characterized in four randomized, double-blind, crossover studies in altogether 112 T1D and 51 T2D subjects who received BCLIS and LIS (0.2 U/kg in studies 1 and 2, individualized doses in studies 3 and 4) subcutaneously by syringe. Insulin absorption was consistently faster with BCLIS than with LIS as indicated by reaching early half-maximum insulin levels (early t50%max) 8.4 (95% confidence interval [-9.6;-7.2]) and time to maximum levels (tmax) 10.0 [-14.3;-5.8] min earlier (p |
doi_str_mv | 10.2337/db18-998-P |
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In conclusion, BCLIS consistently shows faster onset and offset of exposure than conventional LIS in both T1D and T2D.</description><identifier>ISSN: 0012-1797</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db18-998-P</identifier><language>eng</language><ispartof>Diabetes (New York, N.Y.), 2018-07, Vol.67 (Supplement_1)</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>HEISE, TIM</creatorcontrib><creatorcontrib>RANSON, AYMERIC</creatorcontrib><creatorcontrib>GAUDIER, MARTIN</creatorcontrib><creatorcontrib>SOULA, OLIVIER</creatorcontrib><creatorcontrib>ALLUIS, BERTRAND</creatorcontrib><creatorcontrib>ZIJLSTRA, ERIC</creatorcontrib><creatorcontrib>GLEZER, STANISLAV</creatorcontrib><creatorcontrib>MEIFFREN, GRÉGORY</creatorcontrib><title>Pooled Analysis of Clinical Trials Investigating the Pharmacokinetics (PK) of Ultra-rapid Insulin BioChaperone Lispro (BCLIS) vs. Lispro (LIS) in Subjects with Type 1 (T1D) and Type 2 (T2D) Diabetes</title><title>Diabetes (New York, N.Y.)</title><description>BCLIS is an ultra-rapid insulin lispro formulation designed to accelerate the time-action profile vs. conventional short-acting insulin analogs. PK characteristics of single doses of BCLIS and LIS were characterized in four randomized, double-blind, crossover studies in altogether 112 T1D and 51 T2D subjects who received BCLIS and LIS (0.2 U/kg in studies 1 and 2, individualized doses in studies 3 and 4) subcutaneously by syringe. Insulin absorption was consistently faster with BCLIS than with LIS as indicated by reaching early half-maximum insulin levels (early t50%max) 8.4 (95% confidence interval [-9.6;-7.2]) and time to maximum levels (tmax) 10.0 [-14.3;-5.8] min earlier (p<0.0001 for both comparisons). Early insulin exposure was significantly greater for BCLIS for up to 2 hours after administration (Figure). BCLIS also showed faster offset of exposure, with a 22.3 [-28.8;-15.7] min earlier time to late half-maximum insulin levels (late t50%max) (p<0.0001) and a 24% lower late exposure (AUC2-6h; Figure). Total exposure (AUC0-6h) was similar for both formulations in all studies (treatment ratio in pooled analysis 0.99 [0.95;1.03], p=NS).
In conclusion, BCLIS consistently shows faster onset and offset of exposure than conventional LIS in both T1D and T2D.</description><issn>0012-1797</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqVkE1Lw0AQhhdRsH5c_AVzbIXU3QRMc7SpYrGHQCN4C5tk20xNd8POtpI_6O9yo-Jd5jDw8L7D8DB2I_g0jKL4ri7FLEiSWZCdsJFIoiSIwvjtlI04F2Eg4iQ-ZxdEO875vZ8R-8yMaVUND1q2PSGB2UDaosZKtpBblC3BUh8VOdxKh3oLrlGQNdLuZWXeUSuHFcE4e5kM1dfWWRlY2WHta3Twl2COJm1kp6zRClZInTUwnqer5XoCR5r-oW_g8-tDuVOVI_hA10DedwoEjHOxmIDU9Q8IPQg9WKAslVN0xc42_lV1_bsv2e3TY54-B5U1RFZtis7iXtq-ELwYTBWDqcKbKrLoX-EvvzZvAw</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>HEISE, TIM</creator><creator>RANSON, AYMERIC</creator><creator>GAUDIER, MARTIN</creator><creator>SOULA, OLIVIER</creator><creator>ALLUIS, BERTRAND</creator><creator>ZIJLSTRA, ERIC</creator><creator>GLEZER, STANISLAV</creator><creator>MEIFFREN, GRÉGORY</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20180701</creationdate><title>Pooled Analysis of Clinical Trials Investigating the Pharmacokinetics (PK) of Ultra-rapid Insulin BioChaperone Lispro (BCLIS) vs. Lispro (LIS) in Subjects with Type 1 (T1D) and Type 2 (T2D) Diabetes</title><author>HEISE, TIM ; RANSON, AYMERIC ; GAUDIER, MARTIN ; SOULA, OLIVIER ; ALLUIS, BERTRAND ; ZIJLSTRA, ERIC ; GLEZER, STANISLAV ; MEIFFREN, GRÉGORY</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-crossref_primary_10_2337_db18_998_P3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HEISE, TIM</creatorcontrib><creatorcontrib>RANSON, AYMERIC</creatorcontrib><creatorcontrib>GAUDIER, MARTIN</creatorcontrib><creatorcontrib>SOULA, OLIVIER</creatorcontrib><creatorcontrib>ALLUIS, BERTRAND</creatorcontrib><creatorcontrib>ZIJLSTRA, ERIC</creatorcontrib><creatorcontrib>GLEZER, STANISLAV</creatorcontrib><creatorcontrib>MEIFFREN, GRÉGORY</creatorcontrib><collection>CrossRef</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HEISE, TIM</au><au>RANSON, AYMERIC</au><au>GAUDIER, MARTIN</au><au>SOULA, OLIVIER</au><au>ALLUIS, BERTRAND</au><au>ZIJLSTRA, ERIC</au><au>GLEZER, STANISLAV</au><au>MEIFFREN, GRÉGORY</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pooled Analysis of Clinical Trials Investigating the Pharmacokinetics (PK) of Ultra-rapid Insulin BioChaperone Lispro (BCLIS) vs. Lispro (LIS) in Subjects with Type 1 (T1D) and Type 2 (T2D) Diabetes</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><date>2018-07-01</date><risdate>2018</risdate><volume>67</volume><issue>Supplement_1</issue><issn>0012-1797</issn><eissn>1939-327X</eissn><abstract>BCLIS is an ultra-rapid insulin lispro formulation designed to accelerate the time-action profile vs. conventional short-acting insulin analogs. PK characteristics of single doses of BCLIS and LIS were characterized in four randomized, double-blind, crossover studies in altogether 112 T1D and 51 T2D subjects who received BCLIS and LIS (0.2 U/kg in studies 1 and 2, individualized doses in studies 3 and 4) subcutaneously by syringe. Insulin absorption was consistently faster with BCLIS than with LIS as indicated by reaching early half-maximum insulin levels (early t50%max) 8.4 (95% confidence interval [-9.6;-7.2]) and time to maximum levels (tmax) 10.0 [-14.3;-5.8] min earlier (p<0.0001 for both comparisons). Early insulin exposure was significantly greater for BCLIS for up to 2 hours after administration (Figure). BCLIS also showed faster offset of exposure, with a 22.3 [-28.8;-15.7] min earlier time to late half-maximum insulin levels (late t50%max) (p<0.0001) and a 24% lower late exposure (AUC2-6h; Figure). Total exposure (AUC0-6h) was similar for both formulations in all studies (treatment ratio in pooled analysis 0.99 [0.95;1.03], p=NS).
In conclusion, BCLIS consistently shows faster onset and offset of exposure than conventional LIS in both T1D and T2D.</abstract><doi>10.2337/db18-998-P</doi></addata></record> |
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source | EZB-FREE-00999 freely available EZB journals; PubMed Central |
title | Pooled Analysis of Clinical Trials Investigating the Pharmacokinetics (PK) of Ultra-rapid Insulin BioChaperone Lispro (BCLIS) vs. Lispro (LIS) in Subjects with Type 1 (T1D) and Type 2 (T2D) Diabetes |
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