Evidence map›Paper›PMID 32611683›Full record

ArticleScience translational medicine2020

An ultrafast insulin formulation enabled by high-throughput screening of engineered polymeric excipients.

Joseph L Mann, Caitlin L Maikawa, Anton A A Smith, Abigail K Grosskopf, Sam W Baker, Gillie A Roth, Catherine M Meis, Emily C Gale, Celine S Liong, Santiago Correa and 7 more

Open access · goldAbstract read
In one paragraph

Article in Science translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  12. Deep Eutectic Solvents for Subcutaneous Delivery of Protein Therapeutics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Article
  13. Article
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  15. Article
  16. Discrete, Chiral Polymer-Insulin Conjugates.Journal of the American Chemical Society · 2022
    Article
  17. Article
  18. Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 3 countries.

Joseph L MannDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA.ORCID 0000-0002-2847-5337
Caitlin L MaikawaDepartment of Bioengineering, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-6214-1226
Anton A A SmithDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA.ORCID 0000-0001-6728-5299
Abigail K GrosskopfDepartment of Chemical Engineering, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-0471-1825
Sam W BakerDepartment of Comparative Medicine, Stanford University, Palo Alto, CA 94305, USA.
Gillie A RothDepartment of Bioengineering, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-3451-3694
Catherine M MeisDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA.ORCID 0000-0002-3330-8058
Emily C GaleDepartment of Biochemistry, Stanford University, Palo Alto, CA 94305, USA.ORCID 0000-0002-6536-3027
Celine S LiongDepartment of Bioengineering, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-3186-7291
Santiago CorreaDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA.ORCID 0000-0001-8230-4945
Doreen ChanDepartment of Chemistry, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0001-9301-6789
Lyndsay M StapletonDepartment of Bioengineering, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-8665-9687
Anthony C YuDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA.ORCID 0000-0002-5888-2718
Ben MuirCSIRO Manufacturing, Clayton, VIC 3168, Australia.ORCID 0000-0002-8858-3217
Shaun HowardCSIRO Manufacturing, Clayton, VIC 3168, Australia.ORCID 0000-0003-4721-1748
Almar PostmaCSIRO Manufacturing, Clayton, VIC 3168, Australia.ORCID 0000-0001-7343-7236
Eric A AppelDepartment of Materials Science and Engineering, Stanford University, Stanford, CA 94025, USA. eappel@stanford.edu.ORCID 0000-0002-2301-7126
Stanford University · USCSIRO Manufacturing · AUAarhus University · DKPalo Alto University · US

Funding

Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
Co-Formulations of Amylin Analogues with Insulin Analogues for Treatment of DiabetesR01DK119254 · NIDDK · STANFORD UNIVERSITY · PI APPEL, ERIC ANDREW · 2019 to 2023
$2.9M
NIDDK NIH HHS P30 DK116074NIDDK NIH HHS R01 DK119254
6 · The paper itself

Abstract

Insulin has been used to treat diabetes for almost 100 years; yet, current rapid-acting insulin formulations do not have sufficiently fast pharmacokinetics to maintain tight glycemic control at mealtimes. Dissociation of the insulin hexamer, the primary association state of insulin in rapid-acting formulations, is the rate-limiting step that leads to delayed onset and extended duration of action. A formulation of insulin monomers would more closely mimic endogenous postprandial insulin secretion, but monomeric insulin is unstable in solution using present formulation strategies and rapidly aggregates into amyloid fibrils. Here, we implement high-throughput-controlled radical polymerization techniques to generate a large library of acrylamide carrier/dopant copolymer (AC/DC) excipients designed to reduce insulin aggregation. Our top-performing AC/DC excipient candidate enabled the development of an ultrafast-absorbing insulin lispro (UFAL) formulation, which remains stable under stressed aging conditions for 25 ± 1 hours compared to 5 ± 2 hours for commercial fast-acting insulin lispro formulations (Humalog). In a porcine model of insulin-deficient diabetes, UFAL exhibited peak action at 9 ± 4 min, whereas commercial Humalog exhibited peak action at 25 ± 10 min. These ultrafast kinetics make UFAL a promising candidate for improving glucose control and reducing burden for patients with diabetes.

Indexed as

Diabetes Mellitus, Type 2InsulinAnimalsBlood GlucoseExcipientsHigh-Throughput Screening AssaysHumansHypoglycemic AgentsInsulin LisproSwineBlood GlucoseExcipientsHypoglycemic AgentsInsulinInsulin Lispro

Identifiers

PMID32611683
PMCPMC7716884
OpenAlexW3038606466

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.