The present disclosure provides recombinantly manufactured ultra-
long acting insulin-Fe fusion proteins for use in treating canine and feline diabetes. The
insulin-Fe fusion proteins comprise an
insulin polypeptide linked via
a peptide linker to an Fe-fragment of canine or feline origin. Based on the results obtained, creating a treatment that is amenable to low cost manufacturing, exhibits sufficient
in vivo bioactivity, displays extended duration of bioactivity, does not induce anti-dmg antibodies, and substantially retains is
potency over multiple administrations, requires a non-obvious com- bination of insulin polypeptide,
peptide linkers, and species-specific Fe fragment, in addition to selective mutations on one or more of these components. Exemplary ultra-
long acting insulin-Fe fusion proteins, polynucleotides encoding these insulin-Fe fusion proteins, and pharmaceutical formulations of exemplary insulin-Fe fusion proteins are provided, in addition to methods of use and preparation. 20 24 28 71 86 23 D ec 2 02 4 1 0 0 5 6 8 8 4 5 4 A B S T R A C T 2 0 2 4 2 8 7 1 8 6 2 3 D e c 2 0 2 4