Endocrine profile of a long-acting somatostatin derivative SMS 201-995. Study in normal volunteers following subcutaneous administration

Acta Endocrinol (Copenh). 1986 Apr;111(4):433-9. doi: 10.1530/acta.0.1110433.

Abstract

The pharmacokinetics and the endocrine profile of a new low molecular somatostatin derivative, SMS 201-995, were investigated in a group of 35 normal subjects. Clearance studies (n = 6) for this peptide showed a prolonged half-life in plasma, 113 min, following single sc injections of 50 or 100 micrograms. Arginine stimulation tests (n = 6) were conducted immediately and 180 min after sc injection of 50 micrograms of SMS 201-995. The stimulatory effect of arginine on GH and insulin was counteracted by the peptide at the P less than 0.001 and P less than 0.02 significance level, respectively. Delayed arginine stimulation revealed a persistent blockade of the GH release (P less than 0.02), whereas a recovery of the insulin response was observed. Plasma glucagon increments following a standard protein meal (n = 10) were significantly (P less than 0.001) inhibited by previous sc injection of 50 micrograms of SMS 202-995. Pretreatment with 50 and 100 micrograms of SMS 202-995 sc (n = 9) inhibited (P less than 0.001) the stimulatory effect of TRH (200 micrograms iv) on TSH without modifying basal levels. The injection of 100 micrograms/h during sleep completely abolished the nocturnal GH peak in 4 volunteers. No rebound rise after decline of the suppressive action on GH was recorded in any of the trials. Safety chemistries and blood coagulation studies remained normal and no side-effects or untoward reactions were recorded throughout the investigation.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Adult
  • Arginine / pharmacology
  • Blood Glucose / metabolism
  • Dietary Proteins / administration & dosage
  • Glucagon / blood
  • Growth Hormone / blood
  • Half-Life
  • Humans
  • Injections, Subcutaneous
  • Insulin / blood
  • Male
  • Octreotide
  • Sleep / physiology
  • Somatostatin / administration & dosage
  • Somatostatin / analogs & derivatives*
  • Somatostatin / blood
  • Thyrotropin / metabolism
  • Thyrotropin-Releasing Hormone / pharmacology

Substances

  • Blood Glucose
  • Dietary Proteins
  • Insulin
  • Somatostatin
  • Thyrotropin-Releasing Hormone
  • Thyrotropin
  • Growth Hormone
  • Glucagon
  • Arginine
  • Octreotide