Super fast-acting insulin compositions
First Claim
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1. A method for controlling post-prandial glucose levels in a subject, comprising administering to the subject a fast-acting insulin analog and a hyaluronan-degrading enzyme less than 15 minutes before a meal up until 30 minutes after commencing a meal, whereby glucose levels in the diabetic subject mimic the levels in a non-abetic subject, wherein:
- the amount of hyaluronan degrading enzyme administered is sufficient to render the fast-acting insulin analog a super fast acting insulin;
a super fast-acting insulin has an onset of action that is faster than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the super fast-acting insulin closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve post-prandial glycemic control;
the sufficient amount of a hyaluronan degrading enzyme to render the fast-acting insulin analog a super fast-acting insulin composition is 1 Unit or more hyaluronidase activity/mL; and
administration of the fast-acting insulin analog and the hyaluronan degrading enzyme is effected via subcutaneous, intradermal, intramuscular or intraperitoneal administration.
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Abstract
Provided are methods for control of post-prandial glucose in diabetic subjects by administering a fast-acting insulin analog and a hyaluronidase degrading enzyme. The fast-acting insulin analog and a hyaluronidase are administered between 15 minutes before the meal and 30 minutes after commencing the meal.
128 Citations
42 Claims
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1. A method for controlling post-prandial glucose levels in a subject, comprising administering to the subject a fast-acting insulin analog and a hyaluronan-degrading enzyme less than 15 minutes before a meal up until 30 minutes after commencing a meal, whereby glucose levels in the diabetic subject mimic the levels in a non-abetic subject, wherein:
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the amount of hyaluronan degrading enzyme administered is sufficient to render the fast-acting insulin analog a super fast acting insulin; a super fast-acting insulin has an onset of action that is faster than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the super fast-acting insulin closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve post-prandial glycemic control; the sufficient amount of a hyaluronan degrading enzyme to render the fast-acting insulin analog a super fast-acting insulin composition is 1 Unit or more hyaluronidase activity/mL; and administration of the fast-acting insulin analog and the hyaluronan degrading enzyme is effected via subcutaneous, intradermal, intramuscular or 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)
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27. A method for controlling post-prandial glucose levels in a subject, comprising administering to the subject a fast-acting insulin analog and a hyaluronan degrading enzyme, wherein:
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the fast-acting analog is insulin aspart or insulin glulisine; the amount hyaluronan degrading enzyme administered is sufficient to render the fast-acting insulin analog a super fast acting insulin; a super fast-acting insulin has an onset of action that is faster than the analog alone, and a duration of action that is shorter than the analog alone, whereby, upon administration, the super fast-acting insulin closely mimics the physiologic post-prandial insulin response of a non-diabetic subject to achieve post-prandial glycemic control; the sufficient amount of a hyaluronan degrading enzyme to render the fast-acting insulin analog a super fast-acting insulin composition is 1 Unit or more hyaluronidase activity/mL; and administration of the fast-acting insulin analog and the hyaluronan degrading enzyme is effected via subcutaneous, intradermal, intramuscular or intraperitoneal administration. - View Dependent Claims (28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. A method for controlling post-prandial glucose levels in a subject, comprising administering to the subject a hyaluronidase and a fast-acting insulin analog, wherein:
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the hyaluronidase and fast-acting insulin analog are administered simultaneously or sequentially; the fast-acting insulin analog is insulin aspart or insulin glulisine; and administration is via subcutaneous, intradermal, intramuscular or intraperitoneal administration. - View Dependent Claims (41, 42)
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Specification