Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2020

Open Access 01-12-2020 | Insulin Human | Research article

Pharmacodynamics and pharmacokinetics of a new type of recombinant insulin Lisargine injection

Authors: Jiangjie Lu, Yong Zeng, Xiulin Yi, Hongmei Zhang, Lin Zhu, Lixin Jiang, Jing Li, Wei Zhou, Hong Zhu, Aijun Xiong

Published in: BMC Complementary Medicine and Therapies | Issue 1/2020

Login to get access

Abstract

Background

Recombinant insulin Lisargine is a new type of insulin. In this study, we aimed to compare its pharmacodynamic (PD) and pharmacokinetic (PK) with Lantus.

Methods

The PD test was performed by exploring the effect of single administration on blood glucose of normal rats and STZ-induced diabetic rats, and the effect of multiple administrations on blood glucose of STZ-induced diabetic rats. Further PD tests include receptor affinity test, receptor autophosphorylation test and adipocyte glucose uptake test. Four IU and 8 IU per dog Lisargine was used for PK test, insulin was measured and area under curve (AUC) was calculated.

Results

With single injection, Lisargine 1.5 IU/kg had significant hypoglycemic effects at 1 and 2 h, similar to that of Lantus. Lisargine 5 IU/kg and 10 IU/kg lowered the blood glucose of STZ-induced diabetic rats at 1, 2, 4 & 6 h significantly. With multiple injections, Lantus lowered blood glucose at 2, 4 & 6 h, Lisargine 2.5 IU/kg, 5 IU/kg, and 10 IU/kg lowered blood glucose at 2 & 4 h significantly, compared with vehicle. There was no difference for receptor affinity test, receptor autophosphorylation test and adipocyte glucose uptake test between Lisargine and Lantus. The PK of Lisargine and Lantus of healthy Beagle dogs was very similar.

Conclusions

This animal study demonstrated that PK and PD of Lisargine and Lantus were similar, suggesting the bioequivalence of these products.
Literature
2.
go back to reference Das S. Phytochemicals and their effective role in the treatment of diabetes mellitus: a short review. Phytochem Rev. 2018;17:1111–28.CrossRef Das S. Phytochemicals and their effective role in the treatment of diabetes mellitus: a short review. Phytochem Rev. 2018;17:1111–28.CrossRef
3.
go back to reference Syamsurizal D. Type-2 diabetes mellitus of degenerative disease. Bioscience. 2018;2:34.CrossRef Syamsurizal D. Type-2 diabetes mellitus of degenerative disease. Bioscience. 2018;2:34.CrossRef
4.
go back to reference Chellappan DK, Yap WS, Bt Ahmad Suhaimi NA, Gupta G, Dua K. Current therapies and targets for type 2 diabetes mellitus. Panminerva Med. 2018;60:117–31.PubMed Chellappan DK, Yap WS, Bt Ahmad Suhaimi NA, Gupta G, Dua K. Current therapies and targets for type 2 diabetes mellitus. Panminerva Med. 2018;60:117–31.PubMed
5.
go back to reference Bergenstal R. Continuous glucose monitoring versus usual Care in Patients with Type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Ann Intern Med. 2017;167:365–74. Bergenstal R. Continuous glucose monitoring versus usual Care in Patients with Type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Ann Intern Med. 2017;167:365–74.
6.
go back to reference Völk M. Oral hypoglycemic agents: insulin secretagogues, α-glucosidase inhibitors and insulin sensitizers. Exp Clin Endocrinol Diabetes. 2001;109:S265–87.CrossRef Völk M. Oral hypoglycemic agents: insulin secretagogues, α-glucosidase inhibitors and insulin sensitizers. Exp Clin Endocrinol Diabetes. 2001;109:S265–87.CrossRef
7.
go back to reference Naim MJ, Alam O, Alam MJ, Shaquiquzzaman M, Alam MM, Naidu VGM. Synthesis, docking, in-vitro and in-vivo antidiabetic activity of pyrazole based 2,4-thiazolidinedione derivatives as PPARγ modulator. Arch Pharm. 2018;351:e1700223.CrossRef Naim MJ, Alam O, Alam MJ, Shaquiquzzaman M, Alam MM, Naidu VGM. Synthesis, docking, in-vitro and in-vivo antidiabetic activity of pyrazole based 2,4-thiazolidinedione derivatives as PPARγ modulator. Arch Pharm. 2018;351:e1700223.CrossRef
8.
go back to reference Moore LE. In: Moore LE, editor. Oral hypoglycemic agents. In: diabetes in pregnancy: the complete guide to management. Cham: Springer International Publishing; 2018. p. 103–10. Moore LE. In: Moore LE, editor. Oral hypoglycemic agents. In: diabetes in pregnancy: the complete guide to management. Cham: Springer International Publishing; 2018. p. 103–10.
9.
go back to reference Abbasi MY, Ali A, Almehlasi M. A prospective study on prescribing patterns of anti-diabetic drugs. World J Pharm Pharm Sciences. 2018;3:45–57. Abbasi MY, Ali A, Almehlasi M. A prospective study on prescribing patterns of anti-diabetic drugs. World J Pharm Pharm Sciences. 2018;3:45–57.
10.
go back to reference Griffiths S. Insulin glargine (Lantus®). Int J Clin Pract. 2002;56:460–6.PubMed Griffiths S. Insulin glargine (Lantus®). Int J Clin Pract. 2002;56:460–6.PubMed
11.
go back to reference Levitt NS. Diabetes in south African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE wave 1 data. Glob Health Action. 2018;11:1449924.CrossRefPubMedPubMedCentral Levitt NS. Diabetes in south African older adults: prevalence and impact on quality of life and functional disability – as assessed using SAGE wave 1 data. Glob Health Action. 2018;11:1449924.CrossRefPubMedPubMedCentral
12.
go back to reference Ng R, Sutradhar R, Yao Z, Wodchis W, Rosella L. Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. Int J Epidemiol. 2019;49:113–30. Ng R, Sutradhar R, Yao Z, Wodchis W, Rosella L. Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. Int J Epidemiol. 2019;49:113–30.
13.
go back to reference Yohonu DT. Ethnobotanical study of herbal medicines for management of diabetes mellitus in Dangme West District of southern Ghana. J Herb Med. 2016;6:204–9.CrossRef Yohonu DT. Ethnobotanical study of herbal medicines for management of diabetes mellitus in Dangme West District of southern Ghana. J Herb Med. 2016;6:204–9.CrossRef
14.
go back to reference Salzsieder E. Glycemic Key Metrics and the Risk of Diabetes-Associated Complications. Rom J Diabetes Nutr Met Dis. 2016;23:403–13. Salzsieder E. Glycemic Key Metrics and the Risk of Diabetes-Associated Complications. Rom J Diabetes Nutr Met Dis. 2016;23:403–13.
15.
go back to reference Gregory E. Intermediate and long-acting insulins: a review of NPH insulin, insulin glargine and insulin detemir. Curr Med Res Opin. 2006;22:2613–9.CrossRef Gregory E. Intermediate and long-acting insulins: a review of NPH insulin, insulin glargine and insulin detemir. Curr Med Res Opin. 2006;22:2613–9.CrossRef
16.
go back to reference Ooi CP, Ting TH, Loke SC. Ultra-long acting insulin versus long-acting insulin for type 1 diabetes mellitus. Cochrane Database Syst Rev. 2014;5:CD011102. Ooi CP, Ting TH, Loke SC. Ultra-long acting insulin versus long-acting insulin for type 1 diabetes mellitus. Cochrane Database Syst Rev. 2014;5:CD011102.
17.
go back to reference Scavini M. Effects of structured versus unstructured self-monitoring of blood glucose on glucose control in patients with non-insulin-treated type 2 diabetes: a meta-analysis of randomized controlled trials. J Diabetes Sci Technol. 2018;12:183.CrossRefPubMed Scavini M. Effects of structured versus unstructured self-monitoring of blood glucose on glucose control in patients with non-insulin-treated type 2 diabetes: a meta-analysis of randomized controlled trials. J Diabetes Sci Technol. 2018;12:183.CrossRefPubMed
18.
go back to reference Linnebjerg H, Lam E, Seger M, Coutant D, Chua L, Chong C, Ferreira M, Soon D, Zhang X. Comparison of the pharmacokinetics and pharmacodynamics of LY2963016 insulin Glargine and European Union- and U.S.-approved versions of Lantus insulin Glargine in healthy subjects: three randomized Euglycemic clamp studies. Diabetes Care. 2015;38:2226–33.CrossRefPubMed Linnebjerg H, Lam E, Seger M, Coutant D, Chua L, Chong C, Ferreira M, Soon D, Zhang X. Comparison of the pharmacokinetics and pharmacodynamics of LY2963016 insulin Glargine and European Union- and U.S.-approved versions of Lantus insulin Glargine in healthy subjects: three randomized Euglycemic clamp studies. Diabetes Care. 2015;38:2226–33.CrossRefPubMed
19.
go back to reference Zhang X, Lam E, Seger M, Coutant D, Chua L, Tan L, Soon D, Linnebjerg H. LY2963016 insulin Glargine and insulin Glargine (Lantus) produce comparable pharmacokinetics and pharmacodynamics at two dose levels: clinical pharmacology in drug development. Clin Pharmacol Drug Dev. 2017;6:556–63.CrossRefPubMed Zhang X, Lam E, Seger M, Coutant D, Chua L, Tan L, Soon D, Linnebjerg H. LY2963016 insulin Glargine and insulin Glargine (Lantus) produce comparable pharmacokinetics and pharmacodynamics at two dose levels: clinical pharmacology in drug development. Clin Pharmacol Drug Dev. 2017;6:556–63.CrossRefPubMed
20.
go back to reference Prasanna Kumar KM. Comparative evaluation of pharmacokinetics and pharmacodynamics of insulin glargine (Glaritus?) and Lantus? In healthy subjects: a double-blind, randomized clamp study. Acta Diabetol. 2018;55:461–8.CrossRefPubMed Prasanna Kumar KM. Comparative evaluation of pharmacokinetics and pharmacodynamics of insulin glargine (Glaritus?) and Lantus? In healthy subjects: a double-blind, randomized clamp study. Acta Diabetol. 2018;55:461–8.CrossRefPubMed
21.
go back to reference Sethi JK. Efficacy and safety of biosimilar insulins compared to their reference products: a systematic review. PLoS One. 2018;13:e0195012.CrossRef Sethi JK. Efficacy and safety of biosimilar insulins compared to their reference products: a systematic review. PLoS One. 2018;13:e0195012.CrossRef
Metadata
Title
Pharmacodynamics and pharmacokinetics of a new type of recombinant insulin Lisargine injection
Authors
Jiangjie Lu
Yong Zeng
Xiulin Yi
Hongmei Zhang
Lin Zhu
Lixin Jiang
Jing Li
Wei Zhou
Hong Zhu
Aijun Xiong
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2020
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-020-03110-3

Other articles of this Issue 1/2020

BMC Complementary Medicine and Therapies 1/2020 Go to the issue