Clinical Trial Evaluating the Efficacy and Safety of Technosphere® Inhalation Insulin (TI) Inhalation Powder Using the Gen2 Inhaler

NCT ID: NCT01196104

Last Updated: 2014-10-30

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2012-03-31

Brief Summary

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This is an open-label, randomized, forced-titration clinical trial evaluating the efficacy and safety of Technosphere Insulin (TI) Inhalation Powder in combination with insulin glargine versus insulin aspart in combination with insulin glargine in subjects with type 2 diabetes.

Detailed Description

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Phase 3 clinical trial is designed to examine the efficacy and safety of inhaled prandial TI Inhalation Powder in combination with basal insulin verses insulin aspart in combination with basal insulin in subjects with type 2 diabetes who are suboptimally controlled with their current insulin regimens.This trial will employ a variety of methods to intensively manage these subjects.

Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Technosphere® Insulin Inhalation Powder (TI)

Insulin Glargine and Technosphere® Insulin Inhalation Powder

Group Type EXPERIMENTAL

Technosphere® Insulin Inhalation Powder

Intervention Type DRUG

Insulin Glargine

Intervention Type DRUG

Comparator

Insulin Glargine and Insulin Aspart

Group Type ACTIVE_COMPARATOR

Insulin Aspart

Intervention Type DRUG

Usual Care

Insulin Glargine

Intervention Type DRUG

Interventions

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Technosphere® Insulin Inhalation Powder

Intervention Type DRUG

Insulin Aspart

Usual Care

Intervention Type DRUG

Insulin Glargine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Men and women ≥ 18 and ≤ 80 years of age
* Clinical diagnosis of type 2 diabetes mellitus for more than 12 months
* Body mass index (BMI) ≤ 45 kg/m2
* Glycated Hemoglobin (HbA1c) \> 6.5% and ≤ 10.0%
* Treatment with 1 to 3 Oral Antidiabetic Drugs (OADs) and basal insulin for a minimum of 3 months before screening. Doses of OADs must have been stable for 3 months before study entry
* Nonsmokers (includes cigarettes, cigars, pipes, and chewing tobacco) for the preceding ≥ 6 months
* Office spirometry at the investigator site

* Forced expiratory volume in 1 second (FEV1) ≥ 65% Third National Health and Nutrition Examination Survey (NHANES III) predicted
* Forced vital capacity (FVC) ≥ 65% NHANES III predicted
* Forced expiratory volume in 1 second as a percentage of forced vital capacity (FEV1/FVC) ≥ lower limit of normal (LLN)

Exclusion Criteria

* Current or prior treatment with prandial or PreMix (70/30) insulin
* History of insulin pump use within 6 weeks of Visit 1
* Treatment with Glucagon-like Peptide (GLP-1) analog drugs within the preceding 12 weeks of Visit 1
* History of chronic obstructive pulmonary disease (COPD), asthma, or any other clinically important pulmonary disease (eg, pulmonary fibrosis)
* Any clinically significant radiological findings on screening chest x-ray
* Use of medications for asthma, COPD, or any other chronic respiratory conditions
* Evidence of serious complications of diabetes (eg, symptomatic autonomic neuropathy)
* Significant cardiovascular dysfunction or history within 3 months of Visit 1 (eg, congestive heart failure \[New York Heart Association {NYHA} Class III or IV\])
* Serious arrhythmia, myocardial infarction, cardiac surgery, recurrent syncope, transient ischemic attacks, or any cerebrovascular accident
* History of pulmonary embolism or deep venous thrombosis in the 12 months before Screening (Visit 1)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mannkind Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Coastal Clinical Research Inc

Mobile, Alabama, United States

Site Status

Valley Research

Fresno, California, United States

Site Status

Health Care Partners Medical Group

Long Beach, California, United States

Site Status

Diabetes Research Center

Tustin, California, United States

Site Status

Diablo Clinical Research

Walnut Creek, California, United States

Site Status

Laureate Clinical Research Group

Atlanta, Georgia, United States

Site Status

Atlanta Diabetes Associates

Atlanta, Georgia, United States

Site Status

Alta Pharmaceutical Research Center

Dunwoody, Georgia, United States

Site Status

John H Stoger Jr Hospital of Cook County

Chicago, Illinois, United States

Site Status

LaPorte County Institute for Clinical Research Inc.

Michigan City, Indiana, United States

Site Status

Radiant Research Inc (Minneapolis)

Edina, Minnesota, United States

Site Status

Amin Radparvar's Private Practice

City of Saint Peters, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Billings Clinic Research Center

Billings, Montana, United States

Site Status

Creighton Diabetes Center

Omaha, Nebraska, United States

Site Status

University of New Mexico HCS

Albuquerque, New Mexico, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

North Shore Diabetes and Endocrine Associates

New Hyde Park, New York, United States

Site Status

Endocrine Research Physicians East PA

Greenville, North Carolina, United States

Site Status

Your Diabetes Endocrine Nutrition Group, Inc.

Mentor, Ohio, United States

Site Status

Legacy Clinical Research

Portland, Oregon, United States

Site Status

OHSU Diabetes Center Research Oregon Health & Science University

Portland, Oregon, United States

Site Status

The Endocrine Clinic

Memphis, Tennessee, United States

Site Status

Dallas Diabetes & Endocrine Center

Dallas, Texas, United States

Site Status

Baylor Endocrine Center

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

SAM Clinical Research Center

San Antonio, Texas, United States

Site Status

Exodus Healthcare Network

Magna, Utah, United States

Site Status

Diabetes Research Center -Fletcher Allen Health Care

South Burlington, Vermont, United States

Site Status

Countries

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United States

Other Identifiers

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MKC-TI-162

Identifier Type: -

Identifier Source: org_study_id

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