White John R
Department of Pharmacotherapy, Washington State University, College of Pharmacy, Spokane, WA.
Clin Diabetes. 2016 Apr;34(2):86-91. doi: 10.2337/diaclin.34.2.86.
In Brief New insulin glargine 300 units/mL (Gla-300) is a formulation of insulin glargine that has a more constant pharmacokinetic profile with a prolonged duration of action. The EDITION clinical trial program showed that the use of Gla-300 leads to glycemic control comparable to that of insulin glargine 100 units/mL in a wide range of populations of people with diabetes. It is associated with comparable to less nocturnal confirmed or severe hypoglycemia and less weight gain, despite requiring a somewhat higher insulin dose than U-100. The distinct pharmacokinetic/pharmacodynamic and clinical profiles of Gla-300 may benefit a range of people with type 1 or type 2 diabetes.
简而言之,新型甘精胰岛素300单位/毫升(Gla-300)是甘精胰岛素的一种制剂,其药代动力学特征更为稳定,作用持续时间更长。EDITION临床试验项目表明,在广泛的糖尿病患者群体中,使用Gla-300可实现与100单位/毫升甘精胰岛素相当的血糖控制。尽管所需胰岛素剂量比U-100略高,但它与夜间确诊或严重低血糖发生率相当或更低以及体重增加更少相关。Gla-300独特的药代动力学/药效学和临床特征可能使一系列1型或2型糖尿病患者受益。