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Elucidating the Mechanism of Absorption of Fast-Acting Insulin Aspart: The Role of Niacinamide.


ABSTRACT:

Purpose

Fast-acting insulin aspart (faster aspart) is a novel formulation of insulin aspart containing two additional excipients: niacinamide, to increase early absorption, and L-arginine, to optimize stability. The aim of this study was to evaluate the impact of niacinamide on insulin aspart absorption and to investigate the mechanism of action underlying the accelerated absorption.

Methods

The impact of niacinamide was assessed in pharmacokinetic analyses in pigs and humans, small angle X-ray scattering experiments, trans-endothelial transport assays, vascular tension measurements, and subcutaneous blood flow imaging.

Results

Niacinamide increased the rate of early insulin aspart absorption in pigs, and pharmacokinetic modelling revealed this effect to be most prono

SUBMITTER: Kildegaard J 

PROVIDER: S-EPMC6373292 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature