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Feline Insulin Market Sees Changes

By Marissa Heflin

Veterinarians can expect some changes in the feline insulin market as a new product is entering the market and another is leaving.

The U.S. Food and Drug Administration recently approved Intervet Inc.’s Vetsulin (porcine insulin zinc suspension) for the reduction of hyperglycemia and hyperglycemia-associated clinical signs in cats with diabetes mellitus. The insulin was previously indicated only for treating diabetic dogs.

Around the same time, Idexx Pharmaceuticals Inc. discontinued its PZI VET (protamine zinc insulin), an insulin for cats that is derived from bovine and porcine pancreatic glands.

The company says it is discontinuing the product because the raw materials to produce it are no longer available.

“All of the FDA-approved plants that produced the beef/pork insulin crystals have been closed,” says Randy Lynn, DVM, director of the Professional Services Group of Idexx Pharmaceuticals.

When the plants were built decades ago, Dr. Lynn says, they primarily supplied beef and pork crystal for use in human beings. However, with the recent move toward recombinant human insulin, there is not enough volume to keep those plants open, he adds.

The company’s previous public filings had indicated that this time would come, but the formal letter to veterinarians stating that the product was no longer in production was posted April 8.

Idexx says there is enough product still available—although it declines to say how much—to give veterinarians plenty of time to transition their patients to another treatment regimen.

“We still have a significant amount of product in distribution,” Lynn says. “The purpose of notifying veterinarians now was to let them know in plenty of time before those stocks are exhausted so they can sit down with their clients and staff and make a decision on how they want to move forward.”

He says that some veterinarians are purchasing large quantities of insulin to keep their cats going until a new product is approved, while others are deciding to switch to another product now.

Idexx is working with the FDA to develop a new insulin product for cats, but its representatives declined to disclose further details.

The discontinuation has caused some concern among veterinarians and cat owners.

“Any complete unavailability of bovine-derived insulin will be a problem for feline diabetic patients,” says Elizabeth Hodgkins, DVM, Esq., who has been studying feline diabetes for more than a decade. Dr. Hodgkins practices in Yorba Linda, Calif. Her book, “Your Cat: Simple Secrets to a Longer, Stronger Life,” was published last year by St. Martin’s Press.“Bovine insulin is molecularly most similar to feline insulin and, in clinical practice, gives far better results than any other type, including those developed for dogs and humans.”

Jennifer Gimon, founder and president of BCP Veterinary Pharmacy in Houston, says she has received several calls asking if her company’s BCP PZI bovine insulin for felines was also going to be discontinued.

“Our 100 percent bovine PZI product for cats, BCP PZI, is and will remain readily available,” Gimon says.

“The insulin crystals we use meet all U.S. Pharmacopeia Monograph Specifications. We subject BCP PZI to ongoing analysis not only in-house but at independent testing facilities to ensure the highest quality control.” <HOME>

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Reader Comments
This article is confusing me. I just got told by my vet that Vetsulin, which my cat is on, is being discontinued and they would be switching to PZI. Which I do not what I will do because this product is extremely high priced and way out of my budget range. Come someone please clarify???
Kimberly, whitesboro, NY
Posted: 3/5/2010 1:56:12 PM
felinediabetes.com is the best site on the internet for owners of diabetic cats. The collective body of knowledge there is astounding. This article is even behind on the news -- the bigger recent news in Feline Diabetes treatments is the addition of Levimir to the options for long-acting insulins. This insulin is working for many cats who were very difficult to regulate on other insulins.
Stefani, Silver Spring, MD
Posted: 2/26/2010 6:11:34 PM
PZI leaving the market is no big loss for the feline diabetic patient, it always was a poor choice compared to the results possible from Lantus or Levemir. The major issue is that rather than switching their former PZI clients to Lantus, there is the push to switch them to Vetsulin which is simply a horrible choice for felines. Do your research~ the Vetsulin using feline patients are poorly controlled, are far more likely to have a serious hypoglycemic events, and rarely is Vetsulin able to provide 12 hours of action in cats leaving them at far too high BG's for too many hours ruining chances for remission. So many felines are able to achieve remission when started out on Lantus and the proper (low carb canned food, no dry food at all) diet. Yes, Lantus has to be scripted out meaning that the revenue from supplying your clients with veterinary only use insulin will be lost, however client satisfaction with the excellent results from Lantus use instills long term client loyalty which more than makes up for the few dollars lost by not being the source where they purchase their insulin.
jojo LVT, Hampton Bays, NY
Posted: 10/17/2009 1:24:01 PM
Harry - felinediabetes.com is a free support message board, not a money-making site. Any money that the board does make is through donations from individual members and affiliations with pet-supply companies unrelated to insulin production -- but it does not come close to covering the operating costs of such a large and heavily used site.

Apparently you do not know this, but Levemir is a human insulin and so the manufacturer does not recognize publicly the use of its insulin on felines. Most certainly they would not provide any monetary donations to a cat message board.

FDMB is a group open to anyone with a diabetic cat to share their experiences using ALL insulins, including BCP PZI and PZI Vet, which is still available.
Carolyn, Virginia Beach, VA
Posted: 9/12/2009 10:53:41 AM
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