Dalargin, a laboratory-made peptide copy of one of the body's own opioid-like signals that stays out of the brain, is an injected prescription medicine in Russia and Ukraine for ulcers and inflammation of the pancreas. Most favourable studies come from its developer, and in the one Western-standard trial it healed ulcers less well than a standard ulcer medicine. Harms are modest: falling blood pressure, unpredictable heart rate, rare allergic reactions. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Blood pressure (sitting and standing) | No established target; track change from own baseline | Safety check for the labelled pressure fall |
| Heart rate | 60–100 beats/min at rest | Safety check: rate may fall or rise unpredictably |
| Serum amylase and lipase | Amylase 25–125 U/L; lipase 0–160 U/L | Drug suppresses pancreatic enzyme output |
| Fasting insulin | 2–25 µIU/mL | Fell with added dalargin in the coronary trial |
| Triglycerides and high-density lipoprotein cholesterol | No established target; track change from own baseline | Moved further with added dalargin |
| Interleukin-6 | No established target; track change from own baseline | Inflammatory signal that fell in the coronary trial |
| Estimated kidney filtration rate | No established target; track change from own baseline | Safety check: advanced kidney disease was a trial exclusion |
Cadence: Baseline before a course; blood pressure and heart rate before and about 30 minutes after each of the first few doses, then daily; pancreatic enzymes daily through a 4–6 day course; metabolic and inflammatory markers at the end of a 10-day course and again after three months