Document Detail


Pharmacokinetics and pharmacodynamics of inhaled GLP-1 (MKC253): proof-of-concept studies in healthy normal volunteers and in patients with type 2 diabetes.
MedLine Citation:
PMID:  20592721     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
MKC253 is glucagon-like peptide 1 (GLP-1, 7-36 amide) adsorbed onto Technosphere microparticles for oral inhalation. The pharmacokinetics of inhaled GLP-1 and the pharmacokinetic-pharmacodynamic (PK-PD) relationship between inhaled GLP-1 and insulin were analyzed in two trials, one in healthy normal volunteers and the other in patients with type 2 diabetes. Inhaled GLP-1 was absorbed quickly, with peak concentrations occurring within 5 min, and levels returned to baseline within 30 min. Inhaled GLP-1 appeared to produce plasma levels of GLP-1 comparable to those of parenteral administration and sufficient to induce insulin secretion resulting in attenuation of postmeal glucose excursions in subjects with type 2 diabetes. An E(max) (maximum effect) model described the relationship between GLP-1 concentration and insulin release. The variability in the E(max) may be due to differences in baseline glucose levels, differences resulting from genetic polymorphisms in GLP-1 receptors (GLP-1Rs), or the stage of diabetes of the patient.
Authors:
M T Marino; D Costello; R Baughman; A Boss; J Cassidy; C Damico; S van Marle; A van Vliet; P C Richardson
Publication Detail:
Type:  Clinical Trial, Phase I; Journal Article     Date:  2010-06-30
Journal Detail:
Title:  Clinical pharmacology and therapeutics     Volume:  88     ISSN:  1532-6535     ISO Abbreviation:  Clin. Pharmacol. Ther.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-21     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372741     Medline TA:  Clin Pharmacol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-50     Citation Subset:  AIM; IM    
Affiliation:
MannKind Corporation, Paramus, New Jersey, USA. mmarino@mannkindcorp.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adult
Aged
Blood Glucose / metabolism
C-Peptide / metabolism
Diabetes Mellitus, Type 2 / blood,  metabolism*
Dose-Response Relationship, Drug
Drug Delivery Systems
Energy Intake
Female
Glucagon / blood
Glucagon-Like Peptide 1 / administration & dosage,  adverse effects,  pharmacokinetics*
Humans
Hypoglycemic Agents / administration & dosage,  adverse effects,  pharmacokinetics*
Insulin / blood
Male
Middle Aged
Peptide Fragments / administration & dosage,  adverse effects,  pharmacokinetics*
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/C-Peptide; 0/Hypoglycemic Agents; 0/Peptide Fragments; 11061-68-0/Insulin; 119637-73-9/glucagon-like peptide 1 (7-36)amide; 89750-14-1/Glucagon-Like Peptide 1; 9007-92-5/Glucagon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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