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. 2020 Feb 3;22(5):743–754. doi: 10.1111/dom.13963

Table 2.

Key pharmacokinetic and pharmacodynamic results of second‐generation rapid‐acting insulins versus comparators in subjects with T1DM

Comparator Administration Faster aspart Ultra‐rapid lispro BioChaperone Lispro
Aspart Lispro Aspart Faster aspart Lispro Aspart Faster aspart
Pharmacokinetics
Onset (t Early50%Cmax) sc injection −9.5 min 52 −8.8 36 to − 12.5 43 min −13.9 min 43 −5.9 min 43 −10.7 min a48 NR NR
CSII −11.8 min 55 −8.6 min 40 NR NR NR −11.7 min 30 −0.7 min30
Offset (t Late50%Cmax) sc injection −12.2 min 52 −7.0 36 to − 13.8 43  min −21.1 min 43 −9.5 min 43 −28.2 min a48 NR NR
CSII −35.4 min 55 −12.2 min40 NR NR NR −38.2 min 30 −19.6 min 30
Early exposure (AUC30 min) sc injection ↑~2‐fold 52 ↑~2.2 36 ‐ to 2.9 43 ‐fold ↑2.4‐fold 43 ↑1.2‐fold 43 ↑2.5 a43 ‐ to 2.7 49 ‐fold NR NR
CSII ↑~3‐fold 55 ↑1.5‐fold 40 NR NR NR NR NR
Pharmacodynamic
Onset (t Early50%GIRmax) sc injection −9.5 min 52 −12.2 min b35 NR NR −10.0 min 47
CSII −11.1 min 55 NR NR NR NR −13.0 min 30 +1.3 min30
Offset (t Late50%GIRmax) sc injection −14.3 min 52 0 minb35 NR NR NR NR NR
CSII −24.0 min 55 NR NR NR NR −38.2 min 30 −19.6 min 30
Early effect (AUCGIR,30 min) sc injection ↑~1.7‐fold 52 NR NR NR ↑>3‐fold 47 NR NR
CSII ↑~2‐fold 55 NR NR NR NR NR NR

Table shows mean time difference versus comparators. Items in bold are statistically significant. Table adapted from oral presentation by Tim Heise at American Diabetes Association Symposium on June 25, 2018.

Abbreviations: AUC, area under the insulin concentration curve; CSII, continuous subcutaneous insulin infusion; GIR, glucose infusion rate; NR, not reported; sc, subcutaneous; t Early50%Cmax, time to 50% of maximum insulin concentration in the early part of the pharmacokinetic profile; t Late50%Cmax, time to late half‐maximum insulin exposure; T1DM, type 1 diabetes.

Mean data from two studies in patients with T1DM.48

In healthy subjects.