Chemistry:Insulin icodec

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Short description: Ultralong-acting basal insulin analogue
Insulin icodec
Clinical data
ATC code
Identifiers
CAS Number
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC280H435N71O87S6
Molar mass6380.33 g·mol−1

Insulin icodec is an investigational ultralong-acting basal insulin analogue that is developed by Novo Nordisk.

It has a plasma half-life more than eight days[1] (compared to 25 hours of the previous longest-acting insulin analogue insulin degludec), making it a once-weekly basal insulin.s[1]

Like insulin, icodec is composed of two peptide chains linked by a disulfide bridge. However, a C20 fatty diacid-containing side chain has been added for strong, reversible albumin binding; and three amino acid substitutions provide molecular stability and attenuate insulin receptor binding and clearance. Together, these modifications prolong the half-life.[2]

Insulin icodec is the international nonproprietary name.[3]

Research

Based on a clinical trial, glycemic control was found to be non-inferior with once-weekly insulin icodec compared with once-daily insulin glargine U100.[4]

References

  1. 1.0 1.1 "Molecular Engineering of Insulin Icodec, the First Acylated Insulin Analog for Once-Weekly Administration in Humans". Journal of Medicinal Chemistry 64 (13): 8942–8950. July 2021. doi:10.1021/acs.jmedchem.1c00257. PMID 33944562. 
  2. "Molecular and pharmacological characterization of insulin icodec: a new basal insulin analog designed for once-weekly dosing". BMJ Open Diabetes Research & Care 9 (1): e002301. August 2021. doi:10.1136/bmjdrc-2021-002301. PMID 34413118. 
  3. "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 85". WHO Drug Information 35 (1). 2021. 
  4. "Weekly Icodec versus Daily Glargine U100 in Type 2 Diabetes without Previous Insulin". The New England Journal of Medicine 389 (4): 297–308. July 2023. doi:10.1056/NEJMoa2303208. PMID 37356066.