title: Compatibility of insulin Lispro, Aspart, and Glulisine with the Solo MicroPump, a novel miniature insulin pump.
abstract: BACKGROUND
  This study compared the stability of commercially available, rapid-acting insulin in the novel tubeless, skin-adhering Solo insulin pump over 6 days at extreme environmental conditions.
  
  
  METHODS
  Forty-eight pumps for each tested analog were loaded with three different insulin lots and operated at 30 U/day (three sets of 12 pumps) and 15 U/day (one set of 12 pumps) with basal/bolus delivery patterns for 6 days under extreme climatic (37 degrees C, 40% relative humidity) and mechanical (35 strokes/min) stresses. The insulin solutions dispensed were sampled periodically and analyzed for potency, related substances, high molecular weight proteins (HMWP), and preservative content by high-performance liquid chromatography techniques. Biological activity (bioidentity) was demonstrated by an abrupt decrease in blood glucose in rabbits. Solutions were inspected for visual appearance and measured for pH levels.
  
  
  RESULTS
  During the 6-day sampling period, the potency of all insulin samples was maintained at 95.0-105.0% of the bulk solution concentration of the insulin vials. The levels of HMWP and related substances remained well below labeling limits. The preservative concentration decreased with time but remained bacteriostatic effective. Solutions maintained pH and clarity and were particulate free. The biological activity was verified.
  
  
  CONCLUSIONS
  Insulin analogs lispro, aspart, and glulisine maintained physical, chemical, and biological properties for 6 days when used in the Solo MicroPump device.
authors.affiliation: Medingo Ltd., Yoqneam, Israel. gil@medingo.com
authors.forename: Gil
authors.initials: G
authors.lastname: Senesh
authors.forename: Doron
authors.initials: D
authors.lastname: Bushi
authors.forename: Avraham
authors.initials: A
authors.lastname: Neta
authors.forename: Ofer
authors.initials: O
authors.lastname: Yodfat
mesh_terms: D000818:Animals; D002851:Chromatography, High Pressure Liquid; D004355:Drug Stability; D007003:Hypoglycemia / Q000097:blood / Q000139:chemically induced; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000032:analysis; D007328:Insulin / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000032:analysis; D061267:Insulin Aspart; D007332:Insulin Infusion Systems / Q000592:standards; D061268:Insulin Lispro; D008904:Miniaturization; D011310:Preservatives, Pharmaceutical / Q000494:pharmacology; D011817:Rabbits; D012867:Skin; D013696:Temperature
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin; D061268:Insulin Lispro; D011310:Preservatives, Pharmaceutical; C479079:insulin glulisine; D061267:Insulin Aspart