US-FDA has approved Eli Lilly and Company's new ultra rapid-acting insulin Lyumjev™ (Insulin lispro-aabc injection) for type 1 and type 2 diabetes.


 The US FDA granted approval to Eli Lilly’s Lyumjev™ (insulin lispro-aabc injection, 100 units/mL and 200 units/mL). This is a new rapid fast-acting insulin with a novel formulation to speed up the absorption of insulin into the blood stream and reduce glucose levels post meals, mimicking natural insulin’s post prandial action. Eli Lilly has another fast-acting insulin Humalog™ in the market. In comparative studies, Lyumjev™ has demonstrated faster absorption profile compared to Humalog™. The rapid insulin time-action profile can be attributed to two excipients in the formulation: microdose of treprostinil which increases absorption through vasodilation and sodium citrate which increases local vascular permeability.

The approval of the drug was based on two phase 3 studies: PRONTO T1D and PRONTO T2D. In both studies Lyumjev™ demonstrated superior action compared to Humalog in preventing blood glucose spikes one and two hours after meal. Earlier this year, the product was approved by EMA in Europe and PMDA in Japan.

The newly approved drug will be part of Lilly Insulin Value Program which enables patient access to the product with or without insurance at a maximum cap of $35 for their monthly dose. This is a welcome move at a time when insulin affordability could become more challenging for patients in the USA, many of whom have been living on a shoestring due to the pandemic.

USA has just one other fast-acting insulin lispro Admelog™ from Sanofi, Humalog™, and now Lyumjev™ by Eli Lilly. Regulatory agility in addressing affordability barriers for patients with diabetes is very encouraging – with the FDA having a new system in place for insulin products to be approved as a biologic, opening avenues for more developers to come up with ‘generic’ versions of insulin. The product is directly classified as a biologic now, approved under the 351(a) pathway, becoming one of the first few products being approved under FDA’s new regulatory system for insulin products. The most recent product to be approved under the new system was Biocon and Mylan’s samglee

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