{"id":386764,"date":"2026-04-11T13:38:11","date_gmt":"2026-04-11T13:38:11","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/386764\/"},"modified":"2026-04-11T13:38:11","modified_gmt":"2026-04-11T13:38:11","slug":"diabetes-patients-who-rely-on-animal-insulin-may-get-access-to-discontinued-medicine","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/386764\/","title":{"rendered":"Diabetes patients who rely on animal insulin may get access to discontinued medicine"},"content":{"rendered":"<p><a style=\"display:block\" href=\"https:\/\/www.theglobeandmail.com\/resizer\/v2\/PFLJZMNNSZDWHA3SN7YESA6NZM.JPG?auth=61fc29ee3774f8a934c635fad94ff0fc03b380e659db35de3e26d11ebbd7b603&amp;width=600&amp;height=400&amp;quality=80&amp;smart=true\" aria-haspopup=\"true\" data-photo-viewer-index=\"0\" rel=\"nofollow noopener\" target=\"_blank\">Open this photo in gallery:<\/a><\/p>\n<p class=\"figcap-text\">Kyla Cavaliere, centre, with her parents Katerina and Marco Cavaliere. Kyla, 16, relies on pork insulin and her mother Katerina is cautiously optimistic that SAP would provide a way to get the product.Photography by Sammy Kogan\/The Globe and Mail<\/p>\n<p class=\"c-article-body__text text-pr-5\">A small group of Canadian Type 1 diabetes patients who were about to lose access to the only type of insulin they can tolerate may soon be able to obtain the medicine through a special <a href=\"https:\/\/www.theglobeandmail.com\/topics\/health-canada\/\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.theglobeandmail.com\/topics\/health-canada\/\">Health Canada<\/a> program, but the product will likely not be available for regular sale as they had hoped. <\/p>\n<p class=\"c-article-body__text text-pr-5\">The patients at the heart of the case rely on Hypurin, an old-fashioned insulin derived from the pancreases of pigs. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Health Canada announced in March of 2025 that Hypurin would be <a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/drug-products\/drug-shortages\/information-consumers\/supply-notices\/animal-sourced-insulin-discontinuation.html\" target=\"_blank\" rel=\"noreferrer nofollow noopener\" title=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/drug-products\/drug-shortages\/information-consumers\/supply-notices\/animal-sourced-insulin-discontinuation.html\">discontinued in Canada<\/a> because Wockhardt Ltd., the Indian pharmaceutical company that makes the product at a factory in Wales, is switching its distribution method from vials to cartridges for injection pens. <\/p>\n<p class=\"c-article-body__text text-pr-5\">The format change required Wockhardt, the last remaining maker of porcine insulin, to reapply for Health Canada approval, something the federal drug regulator said the company refused to do. <\/p>\n<p class=\"c-article-body__text mv-16 l-inset text-pb-8\" data-sophi-feature=\"interstitial\"><a href=\"https:\/\/www.theglobeandmail.com\/politics\/federal-election\/article-for-people-living-with-diabetes-the-push-for-medical-coverage-isnt\/\" rel=\"nofollow noopener\" target=\"_blank\">For people living with diabetes, the push for medical coverage isn\u2019t political, it\u2019s personal<\/a><\/p>\n<p class=\"c-article-body__text text-pr-5\">Health Canada also told patients \u2013 and The Globe and Mail \u2013 that Wockhardt also declined to participate in the department\u2019s special access program, or SAP, a long-standing route for unlicensed drugs to be brought into the country for individual patients with serious or life-threatening medical conditions.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Wockhardt did an about-face after The Globe <a href=\"https:\/\/www.theglobeandmail.com\/canada\/article-discontinued-animal-insulin-canada\/\" rel=\"nofollow noopener\" target=\"_blank\">asked it about the Canadian situation<\/a> last month. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Bhakti Kamble, the export manager for Wockhardt UK, told The Globe in a March 27 e-mail that the company would, in fact, participate in SAP, and would apply for market authorization of Hypurin cartridges if Health Canada waived the application fees.<\/p>\n<p><a style=\"display:block\" href=\"https:\/\/www.theglobeandmail.com\/resizer\/v2\/2HTRPQMIKFE2FPB7EISSPHJMCU.JPG?auth=a2810920a58c1fe6cbf8d0b324121ed5eb05e9bd3d6842671b1e1ccb34d15f94&amp;width=600&amp;height=400&amp;quality=80&amp;smart=true\" aria-haspopup=\"true\" data-photo-viewer-index=\"1\" rel=\"nofollow noopener\" target=\"_blank\">Open this photo in gallery:<\/a><\/p>\n<p class=\"figcap-text\">Diabetes Canada and Breakthrough T1D Canada say that somewhere between 60 and 100 Canadians use animal insulin.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Nearly two weeks later, Health Canada responded to say it won\u2019t forgo the fees, which range from $44,269 to nearly $320,000, depending on the data a company submits. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Marie-Pier Burelle, a spokeswoman for the regulator, said in a statement Thursday that, \u201cbased on the information available to Health Canada at this time, it does not appear that Wockhardt would be eligible for a fee waiver.\u201d <\/p>\n<p class=\"c-article-body__text text-pr-5\">The regulator can waive, reduce or defer fees in some cases, such as when the applicant is a small business or is addressing an urgent public-health need, she explained, but Wockhardt\u2019s porcine insulin doesn\u2019t appear to fit either bill. <\/p>\n<p class=\"c-article-body__text text-pr-5\">However, Ms. Burelle wrote that Health Canada is now in discussions with Wockhardt about providing Hypurin through SAP, providing a glimmer of hope for patients who\u2019ve been rationing their remaining vials. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Katerina Cavaliere, whose 16-year-old daughter Kyla relies on pork insulin, was cautiously optimistic that SAP would provide a way to get the product.<\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cWe\u2019re in a slightly better position than we were the whole past year with Health Canada, because SAP was not on the table,\u201d said Ms. Cavaliere, who lives with her family in Kleinburg, Ont., north of Toronto. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Still, she worries SAP won\u2019t be a long-term solution for her daughter or others who need animal insulin. The program requires a doctor to reapply every three months on behalf of individual patients, and the paperwork can be onerous. <\/p>\n<p class=\"c-article-body__text text-pr-5\">It was a \u201cpunch in the gut,\u201d to learn that Health Canada wouldn\u2019t take the more straightforward route of waiving the application fee, Ms. Cavaliere added. <\/p>\n<p class=\"c-article-body__text mv-16 l-inset text-pb-8\" data-sophi-feature=\"interstitial\"><a href=\"https:\/\/www.theglobeandmail.com\/canada\/article-grifols-health-canada-terms-conditions-blood-plasma\/\" rel=\"nofollow noopener\" target=\"_blank\">Health Canada imposes new conditions on Grifols after deaths of two people who donated plasma<\/a><\/p>\n<p class=\"c-article-body__text text-pr-5\">Patient advocacy groups Diabetes Canada and Breakthrough T1D Canada say that somewhere between 60 and 100 Canadians still use animal insulin. Ms. Kamble of Wockhardt said it heard from the federal regulator that the figure was less than 20. <\/p>\n<p class=\"c-article-body__text text-pr-5\">The vast majority of Type 1 diabetes patients thrive on either human insulin, produced using recombinant DNA technology inside E. coli cells or baker\u2019s yeast, or newer, genetically modified analogue insulins. <\/p>\n<p class=\"c-article-body__text text-pr-5\">Despite their small numbers, the group that depends on Hypurin embodies a dilemma that patients with other diseases face whenever pharmaceutical companies discontinue old drugs that are no longer profitable, said Matthew Herder, a professor of health law at Dalhousie University. <\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cIf we know there are these predictable market failures, we need to take this out of the for-profit realm for these older medications, or at least create options, especially for a scale like this,\u201d he said.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Colleen Fuller, a Vancouver health researcher and advocate who has relied on porcine insulin for decades, argued that a fee waiver for Hypurin, \u201cis not some kind of outlandish or unheard of proposition.\u201d <\/p>\n<p class=\"c-article-body__text text-pr-5\">Health Canada, she added, \u201chas become an obstacle to accessing an essential medicine, which is not what they are mandated to do.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"Open this photo in gallery: Kyla Cavaliere, centre, with her parents Katerina and Marco Cavaliere. Kyla, 16, relies&hellip;\n","protected":false},"author":2,"featured_media":386765,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[246,229,247,220,218,248,245,217,236,237,232,219,216,184,243,242,235,227,259,221,222,234,163,521,85,46,230,231,224,249,225,254,255,257,252,256,250,253,223,240,241,238,239,251,228,125,244,233,226,126,258],"class_list":{"0":"post-386764","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-alberta","9":"tag-arts-news","10":"tag-bc","11":"tag-breaking-news","12":"tag-breaking-news-video","13":"tag-british-columbia","14":"tag-canada","15":"tag-canada-news","16":"tag-canada-sports","17":"tag-canada-sports-news","18":"tag-canada-trafficcanada-weather","19":"tag-canadian-breaking-news","20":"tag-canadian-news","21":"tag-economy","22":"tag-education","23":"tag-environment","24":"tag-federal-government","25":"tag-foreign-news","26":"tag-globe-and-mail","27":"tag-globe-and-mail-breaking-news","28":"tag-globe-and-mail-canada-news","29":"tag-government","30":"tag-health","31":"tag-healthcare","32":"tag-il","33":"tag-israel","34":"tag-life-news","35":"tag-lifestyle","36":"tag-local-news","37":"tag-manitoba","38":"tag-national-news","39":"tag-new-brunswick","40":"tag-newfoundland-and-labrador","41":"tag-northwest-territories","42":"tag-nova-scotia","43":"tag-nunavut","44":"tag-ontario","45":"tag-pei","46":"tag-photos","47":"tag-political-news","48":"tag-political-opinion","49":"tag-politics","50":"tag-politics-news","51":"tag-quebec","52":"tag-sports-news","53":"tag-technology","54":"tag-travel","55":"tag-trudeau","56":"tag-us-news","57":"tag-world-news","58":"tag-yukon"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/386764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=386764"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/386764\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/386765"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=386764"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=386764"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=386764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}