S. Akalin et al., SAFETY AND EFFICACY OF [LYS(B28),PRO(B29)]-HUMAN INSULIN IN PATIENTS WITH DIABETES-MELLITUS, Israel journal of medical sciences, 33(11), 1997, pp. 716-719
The primary objectives of this study were to assess the efficacy and s
afety of Lys(B28), Pro(B29) in the treatment of patients with diabetes
mellitus and to compare Lys(B28), Pro(B29) to currently available reg
ular insulin with respect to quality of life. This study was designed
as an open-label, non-comparative one. The number of patients enrolled
in the trial was 39. At Visit 1 (week 0), blood samples for fasting,
1- and 2-hour postprandial blood glucose, and HbA1c were taken. At Vis
it 2 (week 6) and Visit 3 (week 12), fasting, 1- and 2-hour postprandi
al blood glucose, and HbAlc levels were measured again. There was no s
ignificant change in HbAlc, fasting blood glucose and 1- and 2-hour po
stprandial blood glucose levels. The 1- and 2-hour postprandial blood
glucose excursions decreased significantly from Visit 1 to Visit 3. Th
ere were no serious adverse events during the study. Half of the patie
nts had less hypoglycemia with LysPro insulin, while 25% had an increa
se in episodes. Thirty percent of patients were more satisfied with Ly
sPro insulin than with the short-acting insulin that they had previous
ly used. In conclusion, LysPro therapy can be regarded as safe, since
there were no unexpected adverse events and no changes in the usual ph
ysical parameters.