Diabetes Mellitus, Type 2
Conditions
Brief summary
A study to evaluate the efficacy and safety of Human Insulin Inhalation Powder \[also known as AIR® Inhaled Insulin\]\[AIR® is a registered trademark of Alkermes,Inc.\] in patients with Type 2 diabetes who are currently being treated with once daily insulin glargine injections. The present study is intended to determine if mealtime AIR® Insulin may be superior to once-daily insulin glargine injections.
Interventions
patient specific dose, inhaled, before meals, 52 weeks
patient specific dose, injectable, before meals, 52 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* type 2 diabetes mellitus * one or more oral antihyperglycemic medications * once-daily insulin glargine * HbA1c greater than or equal to 7.5 and less than or equal to 10.5% * Non-smoker
Exclusion criteria
* taking a TZD dose greater than what is indicated * more than two episodes of severe hypoglycemia during the 6 months prior * Have had a lower respiratory infection in the 3 months prior * systemic glucocorticoid therapy * clinical signs or symptoms of liver disease, acute or chronic hepatitis * history of renal transplantation * Have an active or untreated malignancy * Require more than 150 U/day of insulin glargine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare in patients who at study entry have type 2 diabetes not optimally controlled by one or more oral antihyperglycemic medications plus once daily insulin glargine, a regimen that may include mealtime AIR Insulin. | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To measure changes in HbA1c over time | 24 weeks |
| To assess insulin dose requirements | 24 and 52 weeks |
| To assess rate and incidence of hypoglycemia | 24 and 52 weeks |
Countries
Brazil, Canada, Germany, India, Israel, Puerto Rico, Russia, South Africa, South Korea, Spain, United Kingdom, United States