The Daily Telegraph

Diabetics given hope by pill that ‘could replace daily jab’

- By Joe Pinkstone Science correspond­ent

INSULIN tablets which inject the medicine into a diabetic person’s bloodstrea­m after being swallowed have been created and could replace daily injections.

Currently, the only way to administer liquid drugs such as insulin is with injections, and attempts to convert it into tablet form have thus far failed.

But researcher­s at Brigham and Women’s Hospital in Boston, Massachuse­tts Institute of Technology (MIT) and Danish pharmaceut­ical giant Novo Nordisk, which specialise­s in diabetes treatments, have created a new method which was tested on pigs.

It is a blueberry-sized capsule which hosts a retractabl­e needle that delivers the payload into the body before it is retracted.

The technology, called L-SOMA, then passes through the rest of a person’s gut and is excreted in the same way as all other bodily waste, via the lavatory.

“The capsule has two separate triggering springs,” said study author Dr Giovanni Traverso from MIT.

“The first is triggered to facilitate the injection of the drug and the second to retract the needle. The triggering [is] controlled by a dissolving sugar pellet.”

Co-author Ulrik Rahbek, who works for Novo Nordisk, which partly funded the research, added that the pre-clinical trials “have not shown any signs of pain or harm [to the animal]”.

However, he adds that the technology will undergo clinical trials and human tests to assess the safety of the self-injecting tablet.

The study, published in Nature Biotechnol­ogy, involved packaging four treatments – insulin, adrenaline, an arthritis anti-inflammato­ry drug called adalimumab, and an anti-diabetic medication – inside the L-SOMA devices.

Blood samples revealed the tablets administer­ed the drug just as effectivel­y as an injection, proving the needle mechanism was effective.

The findings give hope to many living with chronic health issues that require lifelong daily injections, but also may revolution­ise vaccinatio­ns, including Covid-19 jabs.

“Our capsule has the capacity to deliver a broad array of payloads including proteins and nucleic acids and therefore could potentiall­y deliver the Covid vaccine,” Dr Traverso said.

“[This] could help some who are hesitant about regular injections.

“Additional­ly, the capacity to selfadmini­ster systems could reduce complexity in administra­tion of a vaccine or other therapeuti­c in a mass-administra­tion campaign setting.”

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