Международный эндокринологический журнал 7 (71) 2015
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Инсулин Тожео — новый базальный инсулин длительного действия Часть 1. Фармакокинетический и фармакодинамический аспекты
Авторы: Полторак В.В., Кравчун Н.А. - ГУ «Институт проблем эндокринной патологии им. В.Я. Данилевского НАМН Украины», г. Харьков; Горшунская М.Ю. - Харьковская медицинская академия последипломного образования
Рубрики: Эндокринология
Разделы: Справочник специалиста
Версия для печати
В данном обзоре, состоящем из двух частей, рассматривается новая формула инсулина гларгин (рДНК происхождения) в форме инъекций 300 ЕД/мл (Gla-300, Тожео). Gla-300 представляет следующую генерацию базального инсулина с новой формулой инсулина гларгин, поставляющего то же количество инсулина, что и гларгин-100 (Gla-100, Лантус®) в 1/3 объема. После подкожной инъекции фармакокинетический и фармакодинамический профили Gla-300 являются более постоянными и продолжительными (более 24 часов) по сравнению с Gla-100, что обусловлено более постепенным и длительным выделением гларгина из подкожного депо (Gla-300 образует более компактное подкожное депо с уменьшенной поверхностью по сравнению с Gla-100). С акцентом на недавних результатах клинических исследований EDITION (3а-фаза) обсуждается клиническая эффективность и безопасность Gla-300 у больных сахарным диабетом 1-го и 2-го типа. Gla-300 демонстрировал сопоставимый гликемическиий контроль и подобный профиль безопасности при условиях более низкой частоты гипогликемических событий по сравнению с Gla-100. Gla-300 обеспечивал гибкий режим введения инсулина (24 ± 3 часа или утром vs вечером) и был ассоциирован с меньшим увеличением массы тела.
В цьому огляді, що складається з двох частин, розглядається нова формула інсуліну гларгін (рДНК походження) у формі ін’єкцій 300 ОД/мл (Gla-300, Тожео). Gla-300 являє собою наступну генерацію базального інсуліну з новою формулою інсуліну гларгін, що поставляє ту ж кількість інсуліну, як і гларгін-100 (Gla-100, Лантус®) в 1/3 об’єму. Після підшкірної ін’єкції фармакокінетичний та фармакодинамічний профілі Gla-300 є більш постійними та тривалими (більше ніж 24 години) порівняно з Gla-100, що пов’язано з більш поступовим та тривалим виділенням гларгіну із підшкірного депо (Gla-300 утворює більш компактне підшкірне депо зі зменшеною поверхнею порівняно з Gla-100). З акцентом на недавніх результатах клінічних досліджень EDITION (3а-фаза) обговорюється клінічна ефективність та безпечність Gla-300 у хворих на цукровий діабет 1-го та 2-го типу. Gla-300 демонстрував порівнянний глікемічний контроль та подібний профіль безпечності за умов більш низької частоти гіпоглікемічних подій порівняно з Gla-100. Gla-300 забезпечував гнучкий режим введення інсуліну (24 ± 3 години або ранком vs вечером) та був асоційований iз меншим збільшенням ваги.
This review, consisting of two parts, considers a new formulation of insulin glargine (rDNA origin) in the form of injections 300 U/ml (Gla-300, Toujeo®). Gla-300 is a next generation basal insulin with a novel formulation of insulin glargin delivering the same amount of insulin, as glargine-100 (Gla-100, Lantus®) in 1/3 volume. Following the subcutaneous injection, pharmacokinetic and pharmacodynamic profiles of Gla-300 are more constant and prolonged (beyond 24 hours) compared with Gla-100 due to a more gradual and extended release of glargine from subcutaneous depot (Gla-300 forms a more compact subcutaneous depot with reduced surface area compared to Gla-100). The clinical efficacy and safety of Gla-300 in patients with type 1 and type 2 diabetes mellitus are discussed with an emphasis on recently released data from EDITION (the phase 3a) clinical trials. Gla-300 showed comparable glycaemic control and similar safety profile with lower incidence of hypoglycaemia events compared with Gla-100. Gla-300 provided flexible dosing of insulin (24 ± 3 h or morning vs evening) and was associated with less body weight gain.
сахарный диабет, гликированный гемоглобин, гипогликемия, гларгин, инсулин, Gla-100 (Лантус®), Gla-300 (Тожео).
цукровий діабет, глікований гемоглобін, гіпоглікемія, гларгін, інсулін, Gla-100 (Лантус®), Gla-300 (Тожео).
diabetes mellitus, glycated hemoglobin, hypoglycaemia, glargine, insulin, Gla-100 (Lantus®), Gla-300 (Toujeo®).
Статья опубликована на с. 22-35
Введение
Фармакокинетика, фармакодинамика и метаболизм
Глоссарий (для обеих частей обзора)
(для обеих частей обзора)
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