Type 2 & other diabetes

Pharmacokinetic and pharmacodynamic properties of once‐weekly insulin icodec in individuals with type 2 diabetes

Diabetes Obes MetabPublished Pharmacokinetic and pharmacodynamic study

Authors' conclusion

The pharmacokinetic and pharmacodynamic characteristics of icodec in individuals with T2D support its potential as a once-weekly basal insulin.

Study context

Population
Basal insulin-treated individuals with T2D, 18–75 years, BMI 18.0–38.0 kg/m², HbA1c ≤75 mmol/mol [≤9%]
Participants
46 individuals
Outcome
Pharmacokinetic and pharmacodynamic properties of once-weekly icodec
Follow-up
Steady state
Methodological detailsopen-label, glucose clamps, pharmacokinetic-pharmacodynamic modelling, Glucose effect assessed at steady state in three glucose clamps (target 7.5 mmol/L): 0 to 36, 40 to 64 and 144 to 168 h post-dose
  • Open-label
  • Glucose clamps
  • Pharmacokinetic-pharmacodynamic modelling
  • Glucose effect assessed at steady state in three glucose clamps (target 7.5 mmol/L): 0 to 36, 40 to 64 and 144 to 168 h post-dose

Main finding

As reported in the abstract

steady state

Model-predicted icodec steady state attained after

3 to 4 weeks

Model-predicted daily proportions of glucose-lowering effect, days 1 to 7 of the 1-week dosing interval

14.1%, 16.1%, 15.8%, 15.0%, 14.0%, 13.0% and 12.0%

Safety

Once-weekly icodec was overall safe and well tolerated

Original publication

Pharmacokinetic and pharmacodynamic properties of once‐weekly insulin icodec in individuals with type 2 diabetes. Diabetes Obes Metab. Published 11 September 2023. doi:10.1111/dom.15266

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