Super fast-acting insulin compositions
First Claim
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1. A super fast-acting insulin composition, comprising:
- a therapeutically effective amount of a fast-acting insulin analog for controlling blood glucose levels, wherein the fast-acting analog is insulin aspart or insulin glulisine; and
an amount of a hyaluronan degrading enzyme sufficient to render the composition a super fast-acting insulin composition, wherein;
the sufficient amount of a hyaluronan degrading enzyme to render the composition a super fast-acting insulin composition is 1 Unit or more hyaluronidase activity/mL;
the super fast-acting insulin composition has an onset of action that is shorter than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the composition closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve glycemic control; and
the super fast-acting insulin composition is formulated for a route of administration selected from among subcutaneous, intradermal and intraperitoneal administration.
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Abstract
Provided are combinations, compositions and kits containing an fast-acting insulin composition and a hyaluronan degrading enzyme composition formulated for parenteral administration. Such products can be used in methods of treating insulin-treatable diseases or conditions. Also provided are methods for administration of a fast-acting insulin and a hyaluronan degrading enzyme.
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Citations
81 Claims
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1. A super fast-acting insulin composition, comprising:
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a therapeutically effective amount of a fast-acting insulin analog for controlling blood glucose levels, wherein the fast-acting analog is insulin aspart or insulin glulisine; and an amount of a hyaluronan degrading enzyme sufficient to render the composition a super fast-acting insulin composition, wherein; the sufficient amount of a hyaluronan degrading enzyme to render the composition a super fast-acting insulin composition is 1 Unit or more hyaluronidase activity/mL; the super fast-acting insulin composition has an onset of action that is shorter than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the composition closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve glycemic control; and
the super fast-acting insulin composition is formulated for a route of administration selected from among subcutaneous, intradermal and intraperitoneal administration. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81)
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37. A closed loop system for controlling blood glucose levels in a subject, comprising:
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a fast-acting insulin analog selected from insulin aspart or insulin glulisine; and a hyaluronan degrading enzyme, wherein; the fast-acting insulin analog and the hyaluronan degrading enzyme are in the same or different reservoirs; the amount of a hyaluronan degrading enzyme is sufficient, when combined with the insulin, to render the insulin a super fast-acting insulin; the concentration of hyaluronan degrading enzyme in the closed loop system is 1 Unit or more hyaluronidase activity/mL; and the fast-acting insulin analog and the hyaluronan degrading enzyme, when combined, form a super fast-acting insulin, which has an onset of action that is shorter than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the insulin closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve glycemic control. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52)
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53. A combination, comprising:
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a first composition containing from or from about 10 Units (U) to or to about 500 U of a fast-acting insulin analog selected from insulin aspart or insulin glulisine; and a second composition containing a sufficient amount of a hyaluronan degrading enzyme that, when administered with the insulin, renders the composition containing the fast-acting insulin analog a super fast-acting insulin composition;
wherein;the sufficient amount of hyaluronan degrading enzyme is functionally equivalent to at least or about 1 U hyaluronidase activity/mL, 2 U/mL, 3 U/mL, 4 U/mL, 5 U/mL, 6 U/mL, 7 U/mL, 8 U/mL, 9 U/mL, 10 U/mL, 15 U/mL, 20 U/mL, 25 U/mL, 30 U/mL, 35 U/mL, 37.5 U/mL, 40 U/mL, 50 U/mL, 60 U/mL, 70 U/mL, 80 U/mL, 90 U/mL, 100 U/mL, 200 U/mL, 300 U/mL, 400 U/mL, 500 U/mL, 600 U/mL, 700 U/mL, 800 U/mL, 900 U/mL, 1000 U/mL, 2000 U/mL, 3000 U/mL or 5000 U/mL; and the fast-acting insulin analog and the hyaluronan degrading enzyme, when combined, form a super fast-acting insulin, which has an onset of action that is shorter than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the insulin closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve glycemic control. - View Dependent Claims (54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67)
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Specification