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礼来基础胰岛素peglispro III期研究疗效优于来得时(IMAGINE研究)

2014-05-15 MedSci MedSci原创

礼来(Eli Lilly)5月12日公布了在2型糖尿病患者中开展的有关基础胰岛素peglispro(BIL)3个已完成的III临床试验的积极顶线数据。在所有3个试验中,peglispro在降低糖化血红蛋白(HbA1c)方面均达到了相较于来得时(Lantus,甘精胰岛素)的非劣效性主要疗效终点,与Lantus相比,peglispro治疗组HbA1c水平表现出统计学意义的优越降低。来得时(Lantus

礼来(Eli Lilly)5月12日公布了在2型糖尿病患者中开展的有关基础胰岛素peglispro(BIL)3个已完成的III临床试验的积极顶线数据。在所有3个试验中,peglispro在降低糖化血红蛋白(HbA1c)方面均达到了相较于来得时(Lantus,甘精胰岛素)的非劣效性主要疗效终点,与Lantus相比,peglispro治疗组HbA1c水平表现出统计学意义的优越降低。

来得时(Lantus)是全球最畅销的胰岛素产品,该药的美国专利将于2015年2月到期。是赛诺菲主打产品之一。

这3个临床试验分别评估了peglispro用于3种特定的2型糖尿病患者群体:既往未使用胰岛素治疗的群体(IMAGINE-1研究),正接受基础胰岛素和餐时胰岛素治疗的群体(IMAGINE-4),正接受基础胰岛素治疗的群体(IMAGINE-5研究)。所有3项研究均评估了基础胰岛素 peglispro相对于甘精胰岛素的疗效。

这些研究还评估了夜间低血糖率和体重变化的次要终点。所有3项研究中,peglispro治疗组夜间低血糖发生率显著低于甘精胰岛素治疗组,同时体重增加也显著较少。

目前,礼来正在调查peglispro用于1型和2型糖尿病的治疗。礼来计划于2015年第一季度向FDA和欧盟提交peglispro的监管文件

相关文献:
Maiorino MI, Petrizzo M, Capuano A, Giugliano D, Esposito K.The development of new basal insulins: is there any clinical advantage with their use in type 2 diabetes?Expert Opin Biol Ther. 2014 Mar 27.

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    国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间

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    2015-04-11 x35042875

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    2014-06-20 feather89
  4. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1725604, encodeId=8ff11e25604ca, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 20 20:50:00 CST 2014, time=2014-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1915823, encodeId=ccf8191582314, content=<a href='/topic/show?id=c5a89550ff' target=_blank style='color:#2F92EE;'>#III#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9550, encryptionId=c5a89550ff, topicName=III)], attachment=null, authenticateStatus=null, 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2014, time=2014-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1623068, encodeId=cb9f1623068d1, content=<a href='/topic/show?id=2eb542152f0' target=_blank style='color:#2F92EE;'>#基础胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42152, encryptionId=2eb542152f0, topicName=基础胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=51af20470990, createdName=liuyong2987, createdTime=Sat May 17 13:50:00 CST 2014, time=2014-05-17, status=1, ipAttribution=)]
    2014-07-31 juliusluan78
  5. 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  6. 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encodeId=883215943e2e2, content=<a href='/topic/show?id=b317956200' target=_blank style='color:#2F92EE;'>#III期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9562, encryptionId=b317956200, topicName=III期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智智灵药, createdTime=Sat May 17 13:50:00 CST 2014, time=2014-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1601709, encodeId=9d401601e0975, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Sat May 17 13:50:00 CST 2014, time=2014-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1623068, encodeId=cb9f1623068d1, content=<a href='/topic/show?id=2eb542152f0' target=_blank style='color:#2F92EE;'>#基础胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42152, encryptionId=2eb542152f0, topicName=基础胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=51af20470990, createdName=liuyong2987, createdTime=Sat May 17 13:50:00 CST 2014, time=2014-05-17, status=1, ipAttribution=)]
    2015-02-25 baoya
  7. 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2014, time=2014-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1623068, encodeId=cb9f1623068d1, content=<a href='/topic/show?id=2eb542152f0' target=_blank style='color:#2F92EE;'>#基础胰岛素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42152, encryptionId=2eb542152f0, topicName=基础胰岛素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=51af20470990, createdName=liuyong2987, createdTime=Sat May 17 13:50:00 CST 2014, time=2014-05-17, status=1, ipAttribution=)]
    2014-05-17 wleon8899
  8. 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  9. 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    2014-05-17 sunylz
  10. 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胰升糖素样肽-1(GLP-1)类似物和二肽基肽酶4(DPP-4)是新一代抗糖尿病药物。这类药物对胰腺的影响越来越受人们关注,然而,对于肠促胰岛素类药物是否会引起急性胰腺炎仍没有一致的研究结果。 鉴于肠促胰岛素类药物使用人数不断上升,并出于对这类药物安全性方面的担忧,来自加拿大犹太总医院临床流行病学中心的Faillie等进行了一项研究,探讨肠促胰岛素类药物是否会增加急性胰腺炎风险。研究结果近期发表

Diabetologia:循环利钠肽可反映胰岛素敏感性

利钠肽是一种由心肌细胞产生的激素,可以影响心室重构、水电解质平稳和血管紧张性。流行病学研究显示2型糖尿病高危个体(肥胖和胰岛素抵抗)中,心房利钠肽和B型利钠肽水平较低。然而,利钠肽在这些疾病发展中的作用仍不清楚。 为此,来自美国麻省总医院糖尿病研究中心的Florez教授及其团队使用糖尿病预防计划(DPP)的数据进行了一项研究,探讨肥胖和胰岛素敏感性指标与N末端B型利钠肽原(NT-proBNP)之

JAMA:胰岛β细胞再生新方法

加利福尼亚大学研究人员的一项研究显示,新研发的阶梯式过程能将小鼠皮肤细胞转化为分泌胰岛素的β细胞。Hampton博士对此进行了报道,文章发表在2014年4月2日的The Journal of American Medical Association上。【原文下载】当研究人员采用独特的分子和重组因子混合物处理成纤维细胞时,这些细胞转化为内胚层样细胞。进一步用其它化合物处理,细胞转化为胰腺祖细胞样细胞

JAAOS:糖尿病骨骼肌肉表现和骨科围手术期处置

糖尿病是未经控制的高血糖状态。尽管目前对糖尿病的病理生理有了足够的了解,并且已经开发出了控制血糖较有针对性的药物,但该病的发生率及由该病引发的严重后果后遗症的人群仍在持续上升。糖尿病导致的神经,血管,免疫系统等并发损伤使得这类患者的骨骼肌肉结果较正常更易受损。 糖尿病患者的足部损伤是目前为止最为常见的骨科损伤类型,除此之外,上肢,脊柱,肌肉等也均较正常患者更易出现问题。骨科医生目前面

Sci Rep:出生顺序会影响身体质量指数(BMI)和胰岛素敏感性吗?

对50个超重的中年男子所做的一项研究表明,第一个出生的人比第二个出生的人更可能有较大的身体质量指数(BMI)和对胰岛素的较低敏感性。发表在本期Scientific Reports上的这项研究增进了我们对出生顺序的潜在长期健康影响的认识,尽管还需要进行将“同胞对”包括在内的更大规模的研究来全面评估这一联系。 一些证据表明,出生顺序从婴儿期到成年早期可能会影响代谢和身体组成,但中年时期的潜在影响此前

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