insulin detemir
Trade name: Levemir
Approved
Jun 16, 2005
Insulin detemir, a long-acting human insulin analog, is sold under the brand name LEVEMIR to improve glycemic control in adults and children with diabetes mellitus. Insulin detemir binds to the insulin receptor. Receptor-bound insulin lowers blood glucose by facilitating cellular uptake of glucose into skeletal muscle and adipose tissue and by inhibiting the output of glucose from the liver. The primary activity of insulin detemir is the regulation of glucose metabolism. Insulin detemir crosses the BBB and reduces food intake, it improves weight management by an enhanced and prolonged centrally mediated reduction of energy intake. — NCATS
Clinical trial activity
134 trials · 70 clinical orgs · 1 marketing orgs
Earliest trial started Sep 1, 1999 (NCT00000620)
Timeline
1990s
- Jan 1, 1999
Novo Nordisk — Earliest Phase 1 Sponsor(trial)
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jun 16, 2005
Novo Nordisk — Earliest FDA Approval
- Jun 16, 2005
Novo Nordisk — NDA Secondary Org
- Jun 16, 2005
Novo Nordisk — NDA Organization
- Jan 1, 2008
Earliest Phase 2 Sponsor(trial)
Indications
Studied for
- Alzheimer Disease · Phase 2
- Arteriosclerosis · Phase 4
- Atherosclerosis · Phase 4
- Auditory Diseases, Central · Phase 4
- Cardiovascular Diseases · Phase 4
- Cognitive Dysfunction · Phase 2
- Coronary Disease · Phase 3
- Cystic Fibrosis · Phase 3
- Diabetes, Gestational · Phase 3
- Endothelial Cells · Phase 4
- Healthy Volunteers · Phase 1
- Hypercholesterolemia · Phase 3
- Hyperglycemia · Phase 4
- Hypertension · Phase 3
- Hypoglycemia · Phase 4
- Metabolic Diseases · Phase 4
- Obesity · Phase 4
- Perinatal Care · Phase 3
- Puerperal Disorders · Phase 3
- Weight Gain · Phase 4
Mechanism of action
- Insulin receptorAGONIST
INSR agonist
- Insulin-like growth factor I receptorSupplementation
IGF1R supplementation
Approval history
- approvedJun 16, 2005
Chemistry & pharmacology
SMILES
CCCCCCCCCCCCCC(=O)NCCCC[C@H](NC(=O)[C@@H]1CCCN1C(=O)[C@@H](NC(=O)[C@H](Cc1ccc(O)cc1)NC(=O)[C@H](Cc1ccccc1)NC(=O)[C@H](Cc1ccccc1)NC(=O)CNC(=O)[C@H](CCCNC(=N)N)NC(=O)[C@H](CCC(=O)O)NC(=O)CNC(=O)[C@@H]1CSSC[C@@H](C(=O)N[C@@H](CC(N)=O)C(=O)O)NC(=O)[C@H](Cc2ccc(O)cc2)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](Cc2ccc(O)cc2)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)[C@@H]2CSSC[C@H](NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CCC(=O)O)NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)CN)[C@@H](C)CC)C(C)C)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@H](Cc3c[nH]cn3)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](NC(=O)[C@@H](N)Cc3ccccc3)C(C)C)C(=O)NCC(=O)N[C@@H](CO)C(=O)N[C@@H](Cc3c[nH]cn3)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CCC(=O)O)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](Cc3ccc(O)cc3)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(=O)N1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CO)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N2)[C@@H](C)O)C(=O)O- Mol. weight
- 5916.93 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaInsulin detemir ↗
- NCATS4FT78T86XV ↗
- ChEMBLCHEMBL2104391 ↗
Also known as
- detemir
- detemir
- ins levemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin detemir
- insulin,detemir,human
- insulin detemir [rdna origin]
- insulin detemir recombinant
- insulin detemir recombinant
- insulin detemir recombinant
- insulin detemir recombinant
- insulin detemir recombinant
- insuline detemir
- insulin levemir
- levemir
- levemir
- levemir
- levemir
- levemir flexpen
- levemir flexpen
- levemir innolet
- levemir innolet
- levemir penfill
- levemir penfill
- nn304
- nn 304
- nn-304
- nn-304
- nn-304
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05134987 | Phase 1 | Dec 1, 2021 | Novo Nordisk |
| NCT05124457 | Phase 2 | Nov 30, 2021 | University of California, Los Angeles |
| NCT04416269 | Phase 4 | Jun 30, 2020 | Emory University, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
| NCT03620890 | Phase 4 | Sep 3, 2018 | University of Texas at Houston |
| NCT03377699 | Phase 3 | Nov 22, 2017 | Novo Nordisk |
| NCT04222348 | Phase 3 | Oct 26, 2016 | Government of Spain |
| NCT02741687 | Phase 4 | Jun 1, 2016 | Emory University |
| NCT02967211 | Phase 4 | Dec 1, 2015 | Sanofi |
| NCT02967224 | Phase 4 | Nov 1, 2015 | Sanofi |
| NCT02496780 | Phase 2/Phase 3 (Phase 3) | Aug 1, 2015 | University of Minnesota |
| NCT02451137 | Phase 4 | Jun 16, 2015 | Sanofi |
| NCT01966978 | Phase 4 | Nov 1, 2014 | The University of Texas, Dallas |
| NCT02824510 | N/A | Aug 1, 2014 | Université catholique de Louvain |
| NCT02131272 | Phase 3 | Jun 1, 2014 | Novo Nordisk |
| NCT01835431 | Phase 3 | Oct 1, 2013 | Novo Nordisk |
| NCT01831765 | Phase 3 | Aug 31, 2013 | Novo Nordisk |
| NCT01868542 | Phase 4 | Jun 1, 2013 | Novo Nordisk |
| NCT02048189 | Phase 4 | Mar 1, 2012 | University of Burgundy |
| NCT01461616 | Phase 3 | Feb 1, 2012 | Aarhus University |
| NCT01513473 | Phase 3 | Jan 1, 2012 | Novo Nordisk |
Organizations
Research & Development (70)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Novo Nordisk | For profit | 94 | 73 | 5 | 1999 |
| Sanofi | For profit | 5 | 5 | 2 | 2005 |
| Eli Lilly | For profit | 3 | 2 | 1 | 2007 |
| Emory University | Academic/Hospital | 3 | 3 | 1 | 2006 |
| Rush University | Academic/Hospital | 3 | 1 | 2 | 2006 |
| Steno Diabetes Center Copenhagen | Academic/Hospital | 3 | 3 | 1 | 2007 |
| The University of Texas, Dallas | Academic/Hospital | 3 | 3 | 2 | 2006 |
| Aarhus University | Academic/Hospital | 2 | 2 | 2 | 2005 |
| Diabetes Care Center | Academic/Hospital | 2 | 2 | 1 | 2006 |
| Medical University of Graz | Academic/Hospital | 2 | 1 | 2 | 2007 |
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | Government | 2 | 0 | 2 | 1999 |
| National Institute on Aging (NIA) | Government | 2 | 0 | 2 | 1999 |
| Ohio State University | Academic/Hospital | 2 | 2 | 2 | 2008 |
| The Royal Bournemouth Hospital | Academic/Hospital | 2 | 2 | 2 | 2005 |
| University of Copenhagen | Academic/Hospital | 2 | 1 | 1 | 2008 |
| University of Tuebingen | Academic/Hospital | 2 | 2 | 2 | 2006 |
| Wake Forest University | Academic/Hospital | 2 | 1 | 2 | 1999 |
| Abbott | For profit | 1 | 0 | 1 | 2010 |
| Alzheimer's Association | Academic/Hospital | 1 | 0 | 1 | 2011 |
| AstraZeneca | For profit | 1 | 1 | 1 | 2009 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Novo Nordisk | For profit | SYN | Oct 19, 2005 |
| Novo Nordisk | For profit | NDA2 | Jun 16, 2005 |
| Novo Nordisk | For profit | NDA | Jun 16, 2005 |