Diabetes Mellitus, Type 2
Conditions
Brief summary
To assess the impact on glucose control by inhaled insulin alone or added to two oral anti-diabetic agents in patients with type 2 diabetes who are not well controlled on 2 oral anti-diabetic agents.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 2 Diabetes Mellitus as defined by American Diabetes Association (ADA) at least 1 year earlier. * Patients were required to have been treated with a stable oral agent regimen involving 2 antidiabetc medications: 1 insulin secretagogue (a sulfonylurea or replabinide) and 1 insulin sensitizer (a thiazolidinedione or metformin).
Exclusion criteria
* Asthma, COPD * Smoking during the previous 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary efficacy endpoint is the change from baseline HbA1c measured at 12 weeks after randomization. | — |
| HbA1c is measured at Weeks -4, -1, 0, 6, and 12 of comparative treatment. The baseline value is the mean of the Week -1 and Week 0 values. | — |
Secondary
| Measure | Time frame |
|---|---|
| These results for efficacy are measured in the lab using plasma samples collected during clinic visits, | — |
| not the subject's home glucose monitoring results. | — |
| Comparison of 24-hour home glucose profiles. | — |
| Secondary: Efficacy: change in fasting plasma glucose and meal glucose response (2-h postprandial increment in plasma glucose)Fasting plasma glucose measured at Weeks -4, -1, 0, and 12 (the Weeks -1 and 12 measurements will be part of the meal studies) | — |
| Meal glucose response measured at Week -1 and at Week 12; | — |
| Proportion of subjects with acceptable or good glycemic control (e.g., HbA1c < 8.0% or <7.0%) at the end of treatment, incidence and severity of hypoglycemic episodes, discontinuation rate, change in fasting lipid profile, and change in body weight. | — |
| A patient satisfaction and preference questionnaire will be administered at screening, at baseline, during active therapy, and at the end of the study. | — |
Countries
Canada, United States