Diabetes Mellitus, Type 2
Conditions
Brief summary
This is a phase 3, open-label, randomized study to evaluate the safety and efficacy of the Lilly/Alkermes inhaled insulin system compared to injected pre-meal insulin in non-smoking patients with type 2 diabetes. Patients will be treated for 24 months with a 2-month follow-up period.
Interventions
patient specific dose, inhaled, before meals, 24 months
patient specific dose, injectable, before meals, 24 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 diabetes * Non smoker * Normal lung function
Exclusion criteria
* Pulmonary, hepatic, or renal disease * Congestive heart failure * Active malignancy * Systemic glucocorticoid therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the change in baseline to endpoint in HbA1c in Type II diabetic patients comparing inhaled human insulin to injectable insulin | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| To compare inhaled human insulin to injectable insulin over time with respect to change on body weight | baseline and every visit |
| To compare inhaled human insulin to injectable insulin over time with respect to patient satisfaction | baseline, 6 months, 12 months, 18 months, 24 months |
| To compare inhaled human insulin to injectable insulin over time with respect to percentage of patients achieving good glucose control as measured by HbA1c | baseline and every visit |
| To compare inhaled human insulin to injectable insulin over time with respect to safety based on reported adverse events, lab tests, chest x-rays, pulmonary function tests, & episodes of hypoglycemia | throughout the study |
| To test the hypothesis that inhaled human insulin is non-inferior to preprandial injectable insulin | 24 months |
| To test dose titration methods | 6 months |
| To assess inhaler reliability | throughout the study |
| To assess the pharmacokinetics on inhaled human insulin in a subgroup of patients | 3 months, 6 months |
| To compare inhaled human insulin to injectable insulin over time with respect to insulin dose requirements | 24 months |
Countries
Brazil, Germany, Hungary, India, Italy, Mexico, Poland, Portugal, Puerto Rico, Taiwan, United States