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胰岛素德谷门冬双胰岛素:首个胰岛素类似物复方制剂

Insulin Degludec Aspart: The First Co-formulation of Insulin Analogues.

机构信息

Department of Endocrinology, Bharti Hospital and BRIDE, Karnal, 132001, Haryana, India,

出版信息

Diabetes Ther. 2014 Jun;5(1):65-72. doi: 10.1007/s13300-014-0067-x. Epub 2014 May 15.

DOI:10.1007/s13300-014-0067-x
PMID:24828136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4065296/
Abstract

Insulin degludec/insulin aspart (IDegAsp) is the first soluble co-formulation which combines two insulin analogues, and provides effective basal and prandial glycemic coverage. It has been assessed as basal insulin in type 2 diabetes mellitus (T2DM), and as part of basal-bolus regime in both type 1 diabetes mellitus and T2DM. Insulin degludec has also been assessed as flexibly administered basal insulin in terms of time of administration. This review discusses data pertaining to the efficacy, safety, tolerability, and clinical potential of IDegAsp. The discussion includes comparisons of IDegAsp with basal as well as premixed insulin.

摘要

德谷胰岛素/门冬胰岛素(IDegAsp)是首个可溶性的双胰岛素复方制剂,它结合了两种胰岛素类似物,可有效控制基础和餐时血糖。该药已被评估为用于 2 型糖尿病(T2DM)的基础胰岛素,也被评估为 1 型糖尿病和 T2DM 的基础-餐时胰岛素方案中的基础胰岛素部分。此外,该药还被评估为可灵活给药的基础胰岛素,给药时间较为灵活。本综述讨论了 IDegAsp 的疗效、安全性、耐受性和临床潜力的数据。讨论内容包括 IDegAsp 与基础胰岛素和预混胰岛素的比较。

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本文引用的文献

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The Distinct Prandial and Basal Pharmacodynamics of IDegAsp Observed in Younger Adults Are Preserved in Elderly Subjects with Type 1 Diabetes.在年轻成人中观察到的德谷门冬双胰岛素独特的餐时和基础药效学在老年1型糖尿病患者中得以保留。
Drugs Aging. 2015 Jul;32(7):583-90. doi: 10.1007/s40266-015-0272-y.
2
Distinct Prandial and Basal Glucose-Lowering Effects of Insulin Degludec/Insulin Aspart (IDegAsp) at Steady State in Subjects with Type 1 Diabetes Mellitus.在 1 型糖尿病患者中,德谷胰岛素/门冬胰岛素(IDegAsp)在稳态下具有不同的餐时和基础降糖作用。
Diabetes Ther. 2014 Jun;5(1):255-65. doi: 10.1007/s13300-014-0070-2. Epub 2014 Jun 3.
3
Insulin degludec: a significant advancement in ultralong-acting Basal insulin.德谷胰岛素:超长效基础胰岛素的重大进展。
Diabetes Ther. 2013 Dec;4(2):167-73. doi: 10.1007/s13300-013-0047-6. Epub 2013 Nov 20.
4
A novel insulin combination of insulin degludec and insulin aspart achieves a more stable overnight glucose profile than insulin glargine: results from continuous glucose monitoring in a proof-of-concept trial.德谷胰岛素与门冬胰岛素的新型胰岛素组合在夜间血糖控制方面比甘精胰岛素更稳定:概念验证试验中连续血糖监测的结果。
J Diabetes Sci Technol. 2013 Sep 1;7(5):1328-36. doi: 10.1177/193229681300700524.
5
Exploring insulin analogue safety and effectiveness in a Maghrebian cohort with type 2 diabetes: results from the A₁chieve study.探索 2 型糖尿病马格里布人群中胰岛素类似物的安全性和有效性:A₁chieve 研究结果。
Diabetes Res Clin Pract. 2013 Aug;101 Suppl 1:S4-14. doi: 10.1016/S0168-8227(13)70014-7.
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Superior glycaemic control with once-daily insulin degludec/insulin aspart versus insulin glargine in Japanese adults with type 2 diabetes inadequately controlled with oral drugs: a randomized, controlled phase 3 trial.在口服药物控制不佳的日本 2 型糖尿病成人中,每日一次德谷胰岛素/门冬胰岛素与甘精胰岛素相比具有更好的血糖控制效果:一项随机对照 3 期试验。
Diabetes Obes Metab. 2013 Sep;15(9):826-32. doi: 10.1111/dom.12097. Epub 2013 Apr 5.
7
Efficacy and safety of insulin degludec in a flexible dosing regimen vs insulin glargine in patients with type 1 diabetes (BEGIN: Flex T1): a 26-week randomized, treat-to-target trial with a 26-week extension.在 1 型糖尿病患者中,灵活剂量方案的胰岛素地特胰岛素与甘精胰岛素的疗效和安全性(BEGIN:Flex T1):一项 26 周随机、靶向治疗试验及 26 周扩展。
J Clin Endocrinol Metab. 2013 Mar;98(3):1154-62. doi: 10.1210/jc.2012-3249. Epub 2013 Feb 7.
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The efficacy and safety of insulin degludec given in variable once-daily dosing intervals compared with insulin glargine and insulin degludec dosed at the same time daily: a 26-week, randomized, open-label, parallel-group, treat-to-target trial in individuals with type 2 diabetes.在 26 周的时间内,与甘精胰岛素和每日等量的德谷胰岛素相比,每日不同时间点给予德谷胰岛素的疗效和安全性:一项针对 2 型糖尿病患者的随机、开放标签、平行组、治疗至目标的试验。
Diabetes Care. 2013 Apr;36(4):858-64. doi: 10.2337/dc12-1668. Epub 2013 Jan 22.
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Insulin degludec versus insulin glargine in insulin-naive patients with type 2 diabetes: a 1-year, randomized, treat-to-target trial (BEGIN Once Long).在 2 型糖尿病的胰岛素初治患者中,德谷胰岛素对比甘精胰岛素:一项为期 1 年、随机、以目标为导向的试验(BEGIN Once Long)。
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Insulin degludec/insulin aspart administered once daily at any meal, with insulin aspart at other meals versus a standard basal-bolus regimen in patients with type 1 diabetes: a 26-week, phase 3, randomized, open-label, treat-to-target trial.每日一次在任意一餐中给予德谷胰岛素/门冬胰岛素,其他餐次给予门冬胰岛素,与 1 型糖尿病患者的标准基础-餐时胰岛素方案相比:一项 26 周、3 期、随机、开放标签、以目标为导向的试验。
Diabetes Care. 2012 Nov;35(11):2174-81. doi: 10.2337/dc11-2503. Epub 2012 Aug 28.