Table 2.
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.