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Scientists Are Working On Ways To Swap the Needle For a Pill (npr.org)

An anonymous reader quotes a report from NPR: One team of scientists, from MIT's Koch Institute for Integrative Cancer Research and Harvard's Brigham and Women's Hospital, developed a system to deliver insulin that actually still uses a needle -- but is so small you can swallow it and the injection doesn't hurt. They built a pea-size device containing a spring that ejects a tiny dart of solid insulin into the wall of the stomach, says gastroenterologist Carlo Giovanni Traverso, an associate physician at Brigham and Women's Hospital. "We chose the stomach as the site of delivery because we recognized that the stomach is a thick and robust part of the GI tract," Traverso says. Once the device gets into the stomach, the humidity there allows the spring to launch the insulin dart. As the researchers report in the journal Science, they've tested the device on pigs, and it can deliver a therapeutic dose of insulin provided the pig has an empty stomach.

On the other side of the U.S., nanoengineer Ronnie Fang of the University of California, San Diego and his colleagues have a different delivery system. Theirs is a kind of ingestible microrocket, about the size of a grain of sand, that is designed to zip past the stomach and into the small intestine. "It actually propels [itself] using bubbles in a reaction of magnesium with biological fluids," Fang says. The rocket has a coating that protects its payload from the acidic and enzyme-filled environment of the stomach. Once the rocket enters the small intestine, the change in acidity causes the coating to dissolve and lets the rocket stick to the intestinal wall to release its payload, in this case a vaccine protein. As Fang and his colleagues report in Nano Letters, their delivery system works in mice, but human testing is probably many years off.

27 of 58 comments (clear)

  1. Uhhm... insulin shots don't hurt. by Anonymous Coward · · Score: 3, Interesting

    As a guy who has been using it for at least ten years, most of the time it doesn't hurt. Even when it does, it is not massive pain.

    1. Re:Uhhm... insulin shots don't hurt. by clawsoon · · Score: 1

      They don't even hurt when you re-use them four or five times.

    2. Re: Uhhm... insulin shots don't hurt. by jellomizer · · Score: 1

      Stupidity and jumping to conclusions transcends politics.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
  2. Great! by Pezbian · · Score: 1

    Great! Only $3.14 million a year.

    --
    In a world of the blind, the one-eyed man is king--and the two-eyed man is a heretic.
    1. Re:Great! by mentil · · Score: 1

      Said the piemaker after selling one million units.

      --
      Corruption is convincing someone that the selfless ideal is the same as their selfish ideal.
  3. The dumbest idea I'll read all day, probably by Anonymous Coward · · Score: 1

    Eat a spring-loaded micro-injection pill to accomplish a minor convenience. What could go wrong. Yeah don't work on curing cancer, make a bullshit product instead. Great work Harvard/MIT money-grubs.

    1. Re:The dumbest idea I'll read all day, probably by crypticedge · · Score: 1

      These are totally different types of research.

      Do you honestly think every scientist in the world is sitting around working on the same problem, or even informed on the same subjects?

  4. Re:Maybe get rid of diabetes instead? by fahrbot-bot · · Score: 2

    Get people less obese, then we have to need to stick needles in them or shove more stuff down their throats (they already shove too much anyway)

    People aren't always diabetic simply because they're over-weight idiot -- and, sometimes, alternate diets, to help mitigate the effects, and taking insulin can actually make weight management more difficult.

    For example, Halle Berry, Nick Jonas, Sharon Stone, Jay Cutler have Type 1 Diabetes, while Tom Hanks, Salma Hayek have Type 2.

    --
    It must have been something you assimilated. . . .
  5. Pricing, Pricing, Pricing by Dorianny · · Score: 3, Insightful

    Look forward to having 30 cent insulin needles be replaced with 300 dollar pills, not even talking about the actual insulin of course

    1. Re:Pricing, Pricing, Pricing by Errol+backfiring · · Score: 1

      Resistence is futile. You will be assimilated.

      --
      Nae king! Nae laird! Nae yurrupiean pressedent! We willna be fooled again!
    2. Re:Pricing, Pricing, Pricing by Luckyo · · Score: 2

      Fear of needles is a severe problem in medicine. It causes people to skip injections they really need. There's also a problem with scarification and bruising.

      It's why injection ports, essentially a multi-use cannula are a thing for insulin injecting patients.

  6. No user data gathered? by Anonymous Coward · · Score: 1

    It's shocking how out of touch medical science can be. The problem with shots - for people who have fear of them - was never about the pain. It was the bone-deep aversion to sharp objects being stuck in the skin. Just knowing it's going in. Whether it hurts or not is utterly irrelevant. A "painless" needle is just as uncomfortable as a painful one. Perhaps even more so, because at least with the physical pain it can disctract you from the thought of what the needle entails. It's difficult to understand for those who have no problem with needles. Think of it as an aversion to nails scratching the chalkboard. It's not any physical pain that's the cause of the discomfort (obviously no physical pain is entailed in such a scenario). But it's still maddening.

    Scientists... please contact and get user feedback before you develop drugs. Don't just push what you think is best, because it will look good in a high impact journal publication and win you that next round of funding...

    1. Re:No user data gathered? by mentil · · Score: 1

      Some people with needle phobia, perhaps. Others actually fear injection pain, which is why devices like the ShotBlocker exist.

      --
      Corruption is convincing someone that the selfless ideal is the same as their selfish ideal.
    2. Re:No user data gathered? by crypticedge · · Score: 1

      That's the thing though, a painless needle they can go without knowing how it works and just take it as "take pill, get better"

      The sight of the needle typically is what sets off those kind of people and their fear. No needle to see, and no one telling them how that pill works means that fear stays locked away

    3. Re: No user data gathered? by Luckyo · · Score: 1

      For those with fear of needles and type 1, there are multi-use simple install injection ports.

  7. Jack Putter machine, zero defects by SoundGuyNoise · · Score: 1

    Reminds me of "Innerspace".

    --
    You never expect irony, do you?
    Want to be a professional wrestler? Visit www.iyfwrestling.com
    @iyfwrestling
  8. Seen the capsule and the damage done ? by mnemotronic · · Score: 1

    I hit the city and I lost my band
    I watched the lozenge take another man
    Gone, gone, the damage done

    Sorry. That just doesn't ring for me like the original.

    --
    The Russians have won. They have made the world a cesspool of distrust, greed, fear and hate.
  9. Insulin Dose (pill) Size / Absorption Rate? by Anonymous Coward · · Score: 1

    Two things I didn't see mentioned in the linked article, but will be addressed at some point, is the fact that the dose of insulin can vary wildly depending on current blood glucose level (take more to get it back to the target), and food consumption (more food = more insulin). (So lots of pills of a single dose, several pills of varying doses, or fill the pills yourself?)
    The other thing I don't recall seeing was how fast the body absorbs the insulin delivered into the stomach lining compared to the (roughly) 30 minutes delay after injecting into the fatty tissue that is typical for the fast acting insulins.

  10. Sodium > Magnesium by Joosy · · Score: 4, Funny

    It actually propels [itself] using bubbles in a reaction of magnesium with biological fluids

    If instead of magnesium it used a sodium reaction it would propel itself much faster, and at the same time would provide a dramatic cure for constipation.

    --
    I'm sick and tired of these hip, "ironic" sigs. This is an actual, honest-to-goodness no-nonsense sig!
  11. Oddly enough.. INSULIN INHALER by Rick+Schumann · · Score: 1

    I'm not going to shill for a specific pharmaceutical product by mentioning it's name, but oddly enough, DVR and I-don't-watch-commercials-or-not, I managed to notice there is a product on the market that is an inhaled version of insulin.

  12. Re:Maybe get rid of diabetes instead? by umghhh · · Score: 1

    contrary to common belief there is not much protein there. Go on indulge as you please.

  13. Re:Missed target by Kinthelt · · Score: 1

    What happens when the insulin dart is a dud, it hits some food, doesn't pierce the stomach, etc. There is no verification it worked.

    I was thinking the exact same thing.

    --

    "Evil will always triumph over good, because good is dumb." - Dark Helmet (Spaceballs)

  14. Sounds like a James Bond gadget to me... by ToTheStars · · Score: 1

    I can hear Q's narration in my head: "Now pay attention, 007. This pill contains a magnesium micro-rocket that ignites on contact with stomach acid. The blue pill delivers a needle with a fast-acting poison, and the red pill implants a tracking device that will remain embedded in the intestinal lining for up to two weeks. If you should use one...please, do us both a favor and don't recover it!"

    1. Re:Sounds like a James Bond gadget to me... by Obfuscant · · Score: 1

      I can hear Q's narration in my head: "Now pay attention, 007.

      I think Q always called him "Picard". 7 (of nine) and Q never met, AFAIK.

  15. Stupid drug laws by blindseer · · Score: 1

    I remember going shopping with my mom and they'd have boxes of single use syringes on the shelf for people to buy. My sister has type I diabetes and so needs insulin injections. Each box seemed quite inexpensive as I recall, otherwise they would not be out in the open on the shelf for people to grab while shopping. Then one day they disappeared.

    You see the illegal drug abusers were buying these same syringes for their habit and we can't have that, apparently. The "people who know best" in government required people to have a physician's note to buy syringes now. So the drug abusers were saving needles, sharing them, and getting infections from it. HIV spread quickly about this time. So, what does the "people who know best" do? They set up needle exchanges, if you bring in a dirty needle then they give you a clean one. Or some government funded project just hands out needles to anyone that asked for one. You see, we can't seem to stop people using the drugs and so we treat this new health problem by giving the drug abusers clean needles.

    Here's an idea, let's go back to selling sterile single use needles by the gross like we did decades ago. That way we aren't expending unnecessary resources in both keeping the drug abusers from getting the needles while also spending government money handing them out. It's probably cheaper to give them away than have to deal with people stealing them from hospitals and clinics. If we make it legal again to just SELL them then people can make money on this.

    A gross of needles might sound like a lot at first but for a diabetic that needs 4 injections per day that's a one month supply. This is far safer than re-using needles, and given the prevalence of the practice not so long ago I'd assume it's also quite inexpensive.

    Stupid drug laws created this problem with syringes, let's do away with them all. We'd all be healthier for it. It's that or we keep giving out needles instead of just letting the drug abusers buy them like they used to.

    --
    I am armed because I am free. I am free because I am armed.
  16. Re:Missed target by desdinova+216 · · Score: 1

    maybe there will be instructions to take it on an empty stomach? I'm sure it could be used for other inject able drugs besides insulin

  17. Interesting by Nicp25 · · Score: 1

    I can see how this might be beneficial for those who are afraid of needles... But Idk how it will be possible considering pills will take time to process.