Diabetes Type 2Phase 3NCT00309244
Efficacy and Safety in Subjects With Type 2 Diabetes Receiving Subcutaneous Basal Insulin and Prandial Inhalation of Technosphere/Insulin Versus Subcutaneous Premixed Insulin Therapy Over a 52-Week Treatment Period and a 4-Week Follow-up
A Phase 3 study testing Technosphere® Insulin Inhalation Powder and 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin) in people with Diabetes Type 2, run by Mannkind Corporation at 151 sites in 10 countries.
Trial summary
The purpose of this 13 month study (12 month treatment period and 1 month follow-up period) is to determine whether inhaled insulin is safe and effective in the treatment of type 2 diabetes. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Diabetes Type 2
- What is being tested?
- Technosphere® Insulin Inhalation Powder and 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 677 participants
- Where
- 151 sitesin 10 countries
- Study dates
- Feb 2006to Sep 2008
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men or women ≥ 18 and ≤ 80 years old
- Clinical diagnosis of type 2 diabetes mellitus
- HbA1c > 7.0% and ≤ 11.0%
- BMI ≤ 40 kg/m2
- Negative smoking status and urine cotinine test
- Written informed consent
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- Receiving sc insulin 2-3 times daily administered as any of the following 3 regimens: self-mix regimen, pre-mix regimen, or long-acting analogue and regular or rapid-acting insulin analogue not to exceed 3 daily injections. Subjects may also have received oral antidiabetic agents including metformin or thiazolidinediones.
- No dose adjustments for insulin and oral antidiabetic agents within the preceding 6 weeks.
- FEV1 ≥ 70% of NHANES III predicted; TLC) ≥ 80% of predicted (Intermountain Thoracic Society); DLCO uncorrected ≥ 70% of predicted
Who cannot join
- Total daily dose of insulin ≥1.4 IU/kg body weight
- Treatment with any sulfonylureas and/or meglitinides and/or alpha-glucosidase inhibitors within the preceding 8 weeks
- Treatment with pramlintide acetate (Symlin®), and/or any incretins (e.g., exenatide [Byetta®]) within the preceding 8 weeks
- Unstable diabetes mellitus control, defined as 2 or more episodes of severe hypoglycemia (requiring third party intervention) and/or any hospitalization or emergency room visit due to poor diabetic control or hyperglycemia requiring hospitalization within the preceding 6 months
- Exposure to an inhaled insulin at any time, treatment with an investigational drug within the preceding 3 months, and/or current participation in another clinical trial
- Allergy to insulin or to any drugs to be used as part of the clinical trial, or history of hypersensitivity to the investigational drug or to drugs of similar chemical structures
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- History of active viral and/or cirrhotic hepatic disease and/or abnormal liver enzymes as evidenced by serum aspartate aminotransferase (AST)and/or alanine aminotransferase (ALT) ≥ 3 x Upper Limit of Normal (ULN)(Includes active hepatitis A, positive hepatitis B and/or hepatitis C serology)
- Serum creatinine > 1.8 mg/dL in women and > 2.0 mg/dL in men History of chronic obstructive pulmonary disease (COPD), asthma (any history of bronchospasm or asthma after the age of 14), and/or any other clinically important pulmonary disease confirmed by documented history, pulmonary function testing, or radiologic findings
- Congestive heart disease graded as class III or class IV according to New York Heart Association criteria and subjects currently being treated pharmacologically for ventricular dysrhythmias using amiodarone
- History of myocardial infarction, cardiac surgery, coronary angioplasty, and/or stroke within the preceding 3 months
- Symptomatic coronary artery disease, including crescendo angina, unstable angina, and/or unstable or symptomatic cardiac arrhythmias
- Poorly controlled arterial hypertension despite pharmacologic treatment, defined as systolic blood pressure (BP) > 180 mm Hg and/or diastolic BP > 110 mm Hg at screening
- History of malignancy within the preceding 5 years (other than excised basal cell carcinoma of the skin), any history of lung neoplasm, and/or subjects with current or previous chemotherapy or radiation therapy that may result in pulmonary toxicity
- History of acquired immunodeficiency syndrome (AIDS), AIDS-related complex (ARC), or positive human immunodeficiency virus (HIV) serology
- Prior diagnosis of systemic autoimmune or collagen vascular disease requiring previous or current treatment with systemic corticosteroids, cytotoxic drugs, or penicillamine
- Visit 1/Screening (Week -3), but prior to Visit 1 PFTs and before Visit 3/Baseline (Week 0), subject will be scheduled for PFTs after 30 days from resolution of respiratory infection. An additional hemoglobin and urine β-HCG (for women of childbearing potential age only) will be required
- Women who are pregnant, lactating or planning to become pregnant
- Women of childbearing potential (defined as pre-menopausal and not surgically sterilized or postmenopausal for less than 2 years) not practicing adequate birth control. Adequate birth control is defined as using oral, percutaneous and/or transdermal contraceptives; condoms and diaphragms with a spermicide, or intrauterine devices
- Current drug and/or alcohol abuse
- Subjects who in the opinion of the Investigator will be unable to comply with the requirements of the protocol
- Severe complications of diabetes mellitus, in the opinion of the Investigator, including: symptomatic autonomic neuropathy, disabling peripheral neuropathy, active proliferative retinopathy; nephropathy with renal failure, renal transplant and/or dialysis; history of foot ulcers; nontraumatic amputations due to gangrene;and/or vascular claudication
- Any other concurrent medical or major psychiatric condition which, in the opinion of the Investigator, makes the subject unsuitable for the clinical trial, or could limit the validity of the ICF and/or impair the subject's ability to participate in the trial
- Inability to perform PFT maneuvers meeting recommended American Thoracic Society (ATS) acceptability and repeatability criteria.
Trial locations and contacts
151 sites in 10 countries.
151 sites in 10 countries
United States80 sites
New Mexico Clinical Research & Osteoporosis Center
Albuquerque, New Mexico, 87106
University of New Mexico HCS
Albuquerque, New Mexico, 87131
Israel Hartman MD
Arlington, Texas, 76014
South Arlington Primary Care Assoc PA
Arlington, Texas, 76017
Laureate Clinical Research Group
Atlanta, Georgia, 30308
Joslin Diabetes Center University of Maryland Medicine
Baltimore, Maryland, 21201
AM Diabetes and Endocrinology Center
Bartlett, Tennessee, 38133
Pennsylvania Research Institute
Bensalem, Pennsylvania, 19020
Billings Clinic Research Division
Billings, Montana, 59101
Montana Health Research Institute
Billings, Montana, 59102
Valley Medical Primary Care
Centerville, Ohio, 45459
Sensenbrenner Primary Care
Charlotte, North Carolina, 28277
John H Stoger Jr Hospital of Cook County
Chicago, Illinois, 60612
International Clinical Research Network
Chula Vista, California, 91911
Amin Radparvar's Private Practice
City of Saint Peters, Missouri, 63376
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Dallas Diabetes & Endocrine Center
Dallas, Texas, 75230
North Texas Endocrine Center
Dallas, Texas, 75231
Radiant Research Dallas-North
Dallas, Texas, 75231
Baylor Endocrine Center
Dallas, Texas, 75246
Galenos Research
Dallas, Texas, 75251
Providence Health Partners - Center of Clinical Research
Dayton, Ohio, 45439
Wayne State University
Detroit, Michigan, 48201
Atlanta Pharmaceutical Research Center
Dunwoody, Georgia, 30338
Cleveland Clinic Health System
East Cleveland, Ohio, 44112
Radiant Research Inc (Minneapolis)
Edina, Minnesota, 55435
Oregon Medical Group Clinical Resesarch
Eugene, Oregon, 97401
Lane Medical Research Group
Eugene, Oregon, 97404
Larry D Stonesifer MD Inc PS
Federal Way, Washington, 98003
Saad Hijazi MD Inc
Fresno, California, 93710
Valley Research
Fresno, California, 93720
Spuhler Medical Associates
Friendswood, Texas, 77546
East Carolina University (Tanenberg)
Greenville, North Carolina, 27834
Physician's East PA
Greenville, North Carolina, 27834
Upstate Pharmaceutical Research
Greenville, South Carolina, 29615
Clinical Trial Network
Houston, Texas, 77074
Diabetes/Lipid Management and Research Center
Huntington Beach, California, 92648
South Bay Clinical Research
Inglewood, California, 90301
Wells Institute for Health Awareness
Kettering, Ohio, 45429
North Atlanta Endocrinology & Diabetes PC
Lawrenceville, Georgia, 30045
Michigan Institute of Medicine
Livonia, Michigan, 48152
Memphis Internal Medicine PLLC
Memphis, Tennessee, 38119
The Endocrine Clinic
Memphis, Tennessee, 38119
Medical Research of Louisiana
Metairie, Louisiana, 70002
University of Miami Diabetes Research Institute
Miami, Florida, 33136
International Research Associates LLC
Miami, Florida, 33156
Winthrop University Hospital
Mineola, New York, 11501
International Diabetes Center
Minneapolis, Minnesota, 55416
Center for Urologic Clinical Trials University of Minnesota
Minneapolis, Minnesota, 55455
Coastal Clinical Research Inc
Mobile, Alabama, 36608
North Shore Diabetes and Endocrine Associates
New Hyde Park, New York, 11042
Sentara Medical Group
Norfolk, Virginia, 23502
Clinical Research Associates of Tidewater
Norfolk, Virginia, 23507
Creighton Diabetes Center
Omaha, Nebraska, 68131
Southern California Endocrine Center
Pasadena, California, 91105
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Portland Diabetes & Endocrinology Center
Portland, Oregon, 97210
New Hope Research of Oregon
Portland, Oregon, 97219
Covance CRU Inc.
Portland, Oregon, 97239
Rainier Clinical Research Center Inc
Renton, Washington, 98055
Atlanta Center for Clinical Research
Roswell, Georgia, 30075
KMED Research
Saint Clair Shores, Michigan, 48081
Salt Lake Research
Salt Lake City, Utah, 84107
Quality Assurance Research Center Inc
San Antonio, Texas, 78205
Covenant Clinic Research
San Antonio, Texas, 78229
Diabetes & Glandular Disease Research Assoc PA
San Antonio, Texas, 78229
SAM Clinical Research Center
San Antonio, Texas, 78229
Coastal Biomedical Research Inc
Santa Monica, California, 90404
Clintell Inc
Skokie, Illinois, 60076
Clintell Inc (Ellyin)
Skokie, Illinois, 60077
MedEx Healthcare Research Inc
St Louis, Missouri, 63117
Univeristy of Physicians Group Endocrine Division
Staten Island, New York, 10301
Cedar Research
Tacoma, Washington, 98405
Liberty Research Center
Tacoma, Washington, 98405
Southeastern Research Associates Inc
Taylors, South Carolina, 29687
James A Dicke MDPA
Towson, Maryland, 21204
Quality of Life Medical & Research Center
Tucson, Arizona, 85712
Southern Arizona VA Healthcare System
Tucson, Arizona, 85723
Tucson Clinical Research
Tucson, Arizona, 85741
Diabetes Research Center
Tustin, California, 92780
Russia16 sites
NHI Kemerovo Regional Clinical Hospital
Kemerovo, RUS, 650061
NI Principal Military Clinical Hospital n a academician N.N. Burdenko of the Ministry of Defense
Moscow, RUS, 105229
NEI HPE Moscow State University of Medicine and Dentistry of FAHSD City Clinical Hospital #70
Moscow, RUS, 111399
Moscow City Clinical Hospital # 13
Moscow, RUS, 115280
SEI HPE Moscow Medical Academy IM Sechenov of Roszdrav Clinic of Endocrinology
Moscow, RUS, 119435
SI Internal Affairs of Moscow- Clinical Hospital
Moscow, RUS, 125299
RAAMS Endocrinology and Diabetology Department
Moscow, RUS, 125315
NI Central Clinical Hospital of RAS
Moscow, 117 593
City Clinical Hospital # 61
Moscow, 119 048
St Petersburg NHI City Polytclinic #77 City Diabetological Center #4
Saint Petersburg, RUS, 193012
Central Medical Sanitary Unit #122
Saint Petersburg, RUS, 194291
Pavlov State Medical Univ of St Petersburg
Saint Petersburg, RUS, 197022
NEI HPE Smolensk State Medical Academy of FAHSD RNHI Smolensk Regional Clinical Hospital
Smolensk, RUS, 214018
MHI Clinical Hospital for Emergency Care na NV Soloviev
Yaroslavl, RUS, 150003
MCHI Medical Sanitary Unit of Novo-Yaroslavsky Oil Refining Plant
Yaroslavl, RUS, 150023
NHI Yaroslavl Regional Clinical Hospital
Yaroslavl, RUS, 150062
Brazil12 sites
Universidade Estabual de Maringa
Maringa Parana, 87020-900
Nucleo de Medicina Integrada
Mogi das Cruzes, 08780-090
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Hospital Sao Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Estadual De Diabetes e Endocrinologia Luis Capriglione
Rio de Janeiro, 20211-340
Ccbr Brasil Centro de Analises e Pesquisas Clinicas Ltda
Rio de Janeiro, 22271-100
Hospital Guilherme Alvaro
Santos, 11045-904
CPClin-Centro de Pesquisas Clinicas
São Paulo, São Paulo, 01244-030
Hospital do Rim e Hipertensao
São Paulo, 04025-011
Instituto da Saude e Bem Estar da Mulher
São Paulo, 04062-003
Blumenau Servicos Medicos S/C Ltda
São Paulo, 05302-001
Centro de Pesquisa Clinica e Medicina Avancada
São Paulo, 05437-010
Spain9 sites
Hospital del Mar (Cano)
Barcelona, 08003
Centro Médico Teknon
Barcelona, 08022
Hospital Universitario de la Princessa
Madrid, 28006
Hospital Ramon y Cajal
Madrid, 28034
Hospital de Mataro
Mataró, Barcelona, 08304
Corporacion Sanitaria Parc Tauli Unidad de Endocrinologia
Sabadell, 08208
Complejo Hospitalario Nuestra Senora de Valme
Seville, Andalusia, 41014
Complejo Hospitalario Virgen del Rocio
Seville, 41013
Hospital Virgen Macarena (policlinico) 2ª planta Servicio de Endocrinologia y Nutricion
Seville, 41071
Argentina7 sites
Hospital Interzonal de Agudos Pedro Fiorito
Avellaneda, Buenos Aires, B1870ARG
FUNDAPRES/CIMel
Buenos Aires, B1824KAJ
Centro Endocrinologic Tiempo
Buenos Aires, C1117ABH
Hospital Italiano de Buenos Aires
Buenos Aires, C1181ACH
Cons Asoc de Endocrinologia
Buenos Aires, C1425AGC
Centro Medico Dra De Salvo
Buenos Aires, C1426ABP
CITDEEM - Centro de Investigacion y Tratamiento En Diabetes y Enfermedades Endocrino-Metabolicas
San Miguel de Tucumán, Tucumán Province, 4000
Poland7 sites
Oddzial Chorob Wewnetrznych
Bialystock, POL, 15-950
NZOZ Specjalistyczny Osrodek Internistyczno - Diabetologiczny
Bialystok, POL, 15-435
Katedra I Klinika Chorob Metabolicznych Collegium Medicum Uniwersytety Jagiellonskiego
Krakow, POL, 31 501
Klliniczny nr 1 im Norberta Barlickiego Uniwersytetu Medycznego w Lodzi
Lodz, POL, 90 153
Instytut Centrum Zdrowia (009) Matki Polki
Lodz, POL, 93-338
Szpital Kolejowy im Dr w Roeflera(009) Oddzial Gastorenterologii
Pruszków, POL, 05 800
NZOZ Diabetologiczna Poradnia Specjalistyczna
Warsaw, 01-911
Canada6 sites
Keele Medical Place
Downsview, Ontario, M3M 3E5
Quest Clinical Trials
Markham, Ontario, L6B 1A1
Lifestyle Metabolism Center
Oakville, Ontario, L6H 3P1
Sarnia Institute of Clinical Research
Sarnia, Ontario, N7T 4X3
Lifestyle Metabolism Center
Thornhill, Ontario, L4J 8L7
Lifestyle Metabolism Center
Toronto, Ontario, M4R 2G4
Mexico6 sites
Hospital Santa Engracia-CIMA
Garza García, 66260
Instituto Mexicano de Investigacion
Mexico City, Durango, 06700
Centro de Estudios en Diabetes
Mexico City, 01120
Cifbiotec
Mexico City, CP14050
Hospital Universitario Dr Jose E Gonzalez
Monterrey, Nuevo León, 64460
Hospital OCA
Monterrey, Nuevo Leon, MX, 64000
Chile4 sites
Hospital del Salvador
Santiago, Santiago Metropolitan
Hospital Padre Alberto Hurtado
Santiago, Santiago Metropolitan
Hospital Clinico Pontificia Universidad Catolica de Chile
Santiago
Hospital San Borja ArriaranUniversidad de Chile
Santiago
United Kingdom4 sites
Birchwood Surgery
Letchworth Garden City, Herts, SG6 4UB
Guy's & St Thomas Hospital
London, SE1 9RT
Yaxley Group Practice
Peterborough, PE7 3JL
Lister Hospital
Stevenage, Herts, SG1 4AB
About this study
Official title: A Prospective, Multi-Center, Open-Label, Randomized, Controlled Clinical Trial Comparing the Efficacy and Safety in Subjects With Type 2 Diabetes Receiving Subcutaneous Basal Insulin and Prandial Inhalation of Technosphere /Insulin Versus Subcutaneous Premixed Insulin Therapy Over a 52-Week Treatment Period and a 4-Week Follow-up
The purpose of this 13 month study (12 month treatment period and 1 month follow-up period) is to determine whether inhaled insulin is safe and effective in the treatment of type 2 diabetes.
- Conditions
- Diabetes Type 2
- Being tested
- Technosphere® Insulin Inhalation Powder, 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin)
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Technosphere® Insulin Inhalation PowderDrug
Inhalation, 15U/30U
70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin)Drug
BPR 70/30, which is a premix of intermediate acting and rapid acting insulin given sc
| Study group | Role | What they receive |
|---|---|---|
| TI + Insulin glargine | Experimental | Technosphere® Insulin Inhalation Powder + insulin glargine Receives: Drug: Technosphere® Insulin Inhalation Powder |
| BPR 70/30 | Active comparator | 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin) Receives: Drug: 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in HbA1c to Week 52
Measured: Baseline to Week 52
Secondary outcomes (7)
Change From Baseline in Weight to Week 52
Measured: Baseline to Week 52
Change From Baseline in Fasting Plasma Glucose to Week 52
Measured: Baseline to Week 52
Number of Subjects Achieving Week 52 HbA1c Levels Less Than or Equal to 7.0%
Measured: Week 52
Incidence of Total Hypoglycemia
Defined as hypoglycemic symptoms that are relieved with carbohydrate intake or blood glucose measurement <= 63 mg/dL, regardless of symptoms.
Measured: 52 Weeks
Incidence of Severe Hypoglycemia
Severe hypoglycemia occurs when all 3 of the following occur simultaneously:
- Subject requires the assistance of another person;
- Subject exhibits at least 1 cognitive neurological symptom (memory loss, confusion, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, seizure, loss of consciousness);
- Measured BG is ≤ 49 mg/dL (2.7 mmol/L), or, in the absence of a BG measurement, clinical symptoms are reversed by oral carbohydrates, sc glucagon or intravenous glucose administration; OR,
- Measured BG is ≤ 36 mg/dL (2.0 mmol/L) with or without symptoms.
Measured: 52 Weeks
Total Hypoglycemia Event Rate
Number of Hypoglycemic Events/Total Subject Exposure Time (in months)
Measured: 52 Weeks
Severe Hypoglycemia Event Rate
Number of Severe Hypoglycemic Events/Total Subject Exposure Time (in months)
Measured: 52 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Mar 2006 (estimated)
- Study startFeb 2006
- Primary completionAug 2008
- Study completionSep 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Diabetes Type 2Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 677 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mannkind Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00309244
- Sponsor's protocol ID
- MKC-TI-102
- Status last verified
- Oct 2014
- First submitted
- 27 Mar 2006
- Last updated
- 16 Oct 2014
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Peyrot M, Rubin RR. Patient-reported outcomes in adults with type 2 diabetes using mealtime inhaled technosphere insulin and basal insulin versus premixed insulin. Diabetes Technol Ther. 2011 Dec;13(12):1201-6. doi: 10.1089/dia.2011.0037. Epub 2011 Oct 14.
PubMed 21999640Rosenstock J, Lorber DL, Gnudi L, Howard CP, Bilheimer DW, Chang PC, Petrucci RE, Boss AH, Richardson PC. Prandial inhaled insulin plus basal insulin glargine versus twice daily biaspart insulin for type 2 diabetes: a multicentre randomised trial. Lancet. 2010 Jun 26;375(9733):2244-53. doi: 10.1016/S0140-6736(10)60632-0.
PubMed 20609970
Study at a glance
From the registry record, last updated by the sponsor on 16 Oct 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multi-Center, Open-Label, Randomized, Controlled Clinical Trial Comparing the Efficacy and Safety in Subjects With Type 2 Diabetes Receiving Subcutaneous Basal Insulin and Prandial Inhalation of Technosphere /Insulin Versus Subcutaneous Premixed Insulin Therapy Over a 52-Week Treatment Period and a 4-Week Follow-up
- ClinicalTrials.gov ID
- NCT00309244
- Acronym / sponsor ID
- MKC-TI-102
- Conditions
- Diabetes Type 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 677 participants (actual)
- Lead sponsor
- Mannkind CorporationIndustry (pharma, biotech, devices)
- Study start
- Feb 2006
- Primary completion
- Aug 2008 (actual)
- Study completion
- Sep 2008 (actual)
- First posted
- 31 Mar 2006 (estimated)
- Results
- Posted 16 Oct 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this 13 month study (12 month treatment period and 1 month follow-up period) is to determine whether inhaled insulin is safe and effective in the treatment of type 2 diabetes.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| TI + Insulin glargine | Experimental | Drug: Technosphere® Insulin Inhalation PowderTechnosphere® Insulin Inhalation Powder + insulin glargine |
| BPR 70/30 | Active comparator | Drug: 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin)70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin) |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Men or women ≥ 18 and ≤ 80 years old
- Clinical diagnosis of type 2 diabetes mellitus
- HbA1c > 7.0% and ≤ 11.0%
- BMI ≤ 40 kg/m2
- Negative smoking status and urine cotinine test
Key exclusion criteria (23 listed)
- Total daily dose of insulin ≥1.4 IU/kg body weight
- Treatment with any sulfonylureas and/or meglitinides and/or alpha-glucosidase inhibitors within the preceding 8 weeks
- Treatment with pramlintide acetate (Symlin®), and/or any incretins (e.g., exenatide [Byetta®]) within the preceding 8 weeks
- Unstable diabetes mellitus control, defined as 2 or more episodes of severe hypoglycemia (requiring third party intervention) and/or any hospitalization or emergency room visit due to poor diabetic control or hyperglycemia requiring hospitalization within the preceding 6 months
- Exposure to an inhaled insulin at any time, treatment with an investigational drug within the preceding 3 months, and/or current participation in another clinical trial
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Technosphere® Insulin Inhalation PowderInhalation, 15U/30U | Drug | TI + Insulin glargine |
| 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin)BPR 70/30, which is a premix of intermediate acting and rapid acting insulin given sc | Drug | BPR 70/30 |
Primary outcome
Change From Baseline in HbA1c to Week 52
Time frame: Baseline to Week 52
7 secondary outcomes
Change From Baseline in Weight to Week 52
Time frame: Baseline to Week 52
Change From Baseline in Fasting Plasma Glucose to Week 52
Time frame: Baseline to Week 52
Number of Subjects Achieving Week 52 HbA1c Levels Less Than or Equal to 7.0%
Time frame: Week 52
Incidence of Total Hypoglycemia
Time frame: 52 Weeks
Incidence of Severe Hypoglycemia
Time frame: 52 Weeks
Total Hypoglycemia Event Rate
Time frame: 52 Weeks
Severe Hypoglycemia Event Rate
Time frame: 52 Weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Oct 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 21999640Peyrot M, Rubin RR. Patient-reported outcomes in adults with type 2 diabetes using mealtime inhaled technosphere insulin and basal insulin versus premixed insulin. Diabetes Technol Ther. 2011 Dec;13(12):1201-6. doi: 10.1089/dia.2011.0037. Epub 2011 Oct 14.
- Derived from this study: PubMed 20609970Rosenstock J, Lorber DL, Gnudi L, Howard CP, Bilheimer DW, Chang PC, Petrucci RE, Boss AH, Richardson PC. Prandial inhaled insulin plus basal insulin glargine versus twice daily biaspart insulin for type 2 diabetes: a multicentre randomised trial. Lancet. 2010 Jun 26;375(9733):2244-53. doi: 10.1016/S0140-6736(10)60632-0.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
151 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Technosphere® Insulin Inhalation Powder and 70% insulin aspart protamine suspension and 30% insulin aspart injection (rDNA origin) in people with Diabetes Type 2, run by Mannkind Corporation at 151 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 151 sites in United States, Russia, Brazil, Spain, Argentina and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 16 Oct 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in HbA1c to Week 52 (time frame: Baseline to Week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00309244, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2014.