Insulin Receptor Partial Agonist Dimers for Basal Glucose Control

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Solution Overview

Problem

Current insulin therapies for diabetes, particularly long-acting insulins, are not optimized for physiological basal insulin and lead to increased risk of hypoglycemia due to over-insulinization of peripheral tissues.

Innovation Solution

Development of insulin receptor partial agonist (IPRA) covalent insulin dimers that activate the insulin receptor with regular insulin-like potency but with reduced maximum activity, formulated as a novel basal insulin for once daily administration.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If current long-acting insulins are used to regulate basal glucose levels, then glucose control is achieved, but the risk of hypoglycemia increases due to over-insulinization of peripheral tissues

Engineering Contradiction:
Improveglucose controlVSAvoidhypoglycemia risk
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by creating an insulin dimer with non-uniform receptor interaction properties. The dimer structure enables selective action: full insulin-like potency at the liver (hepato-preferring action for glucose regulation) but reduced maximum activity at peripheral tissues. This spatial differentiation of biological activity resolves the contradiction by maintaining effective glucose control while preventing peripheral over-insulinization that causes hypoglycemia

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent employs partial action by designing an insulin receptor partial agonist (IPRA) that provides sufficient insulin activity for basal glucose control but deliberately limits maximum receptor activation. The dimeric structure produces sub-maximal insulin-like potency at peripheral tissues compared to monomeric insulin, achieving adequate glucose regulation without excessive insulinization that leads to hypoglycemia

Inventive Principle:
Principle #16Partial or excessive action

2Stability of the object's composition

If insulin analogs are developed to improve PK flatness, then pharmacokinetic stability is enhanced, but the relative over-insulinization of peripheral tissues persists

Engineering Contradiction:
ImprovePK flatnessVSAvoidperipheral over-insulinization
Core Design Contradiction:
Stability of the object's compositionVSObject-generated harmful factors

Solution Approach 1:

The patent uses composite materials by constructing an insulin dimer from two insulin monomers linked together. This composite structure combines the pharmacokinetic stability benefits of engineered insulins with a novel dimeric architecture that inherently limits peripheral tissue insulinization. The composite dimer structure achieves both PK flatness and reduced harmful peripheral effects simultaneously

Inventive Principle:
Principle #40Composite materials

3Reliability

If rapid-acting insulin analogs are used to control post-prandial hyperglycemia, then blood sugar control after meals is improved, but the therapeutic index remains narrow

Engineering Contradiction:
Improvepost-prandial glucose controlVSAvoidtherapeutic index
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The patent applies dynamics by creating an insulin dimer that can dynamically adapt its activity based on physiological needs. The dimer structure provides insulin-like potency when needed for glucose control but automatically limits maximum activity to prevent hypoglycemia. This dynamic response capability broadens the therapeutic index while maintaining effective post-prandial and basal glucose control

Inventive Principle:
Principle #15Dynamics

Data Source

PatentEP3660040B1Insulin receptor partial agonists
Publication Date: 2025.06.18 MERCK SHARP & DOHME LLC
  • EP3660040B1 patent drawingFigure 1
  • EP3660040B1 patent drawingFigure 2A
  • EP3660040B1 patent drawingFigure 2B

AI summary

Insulin dimers and insulin analog dimers that act as partial agonists at the insulin receptor are disclosed.