Diabetes Mellitus, Type 1
Conditions
Brief summary
The purpose of the study is to compare the human insulin inhalation powder plus insulin glargine with injected insulin (regular human insulin or insulin lispro) plus insulin glargine on lowering the blood sugar level.
Interventions
Patient specific, injected, daily, 24 weeks
patient specific dose, inhaled, before meals,12 weeks
Patient specific dose,injected, before meals, 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1 diabetes mellitus for at least 24 months * Injecting insulin (insulin lispro, aspart or regular insulin, insulin lispro/aspart mixtures, or regular human insulin mixtures) in the last 24 months * HbA1c equal or less than 11 % * Nonsmokers, had not smoked for at least 6 months and agree not to smoke (cigars, cigarettes or pipes) or use smokeless tobacco for the duration of the study * Satisfactory lung function results to meet the requirement of the study
Exclusion criteria
* Previously received any form of inhaled insulin * Require a daily total insulin dosage greater than 100 U * Have a current or past history of asthma, chronic obstructive pulmonary disease or other clinically relevant lung disease * History or presence of liver disease * History or presence of kidney disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in HbA1c from baseline | 12 and 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Insulin (regular human insulin, insulin lispro, human insulin inhalation powder or insulin glargine)doses | at each visit |
| 8-point self monitoring blood glucose profiles | 12 and 24 weeks |
| Two hour glucose excursions for the morning, midday, and evening meals | 12 and 24 weeks |
| Proportion of patients who achieve an HbA1c < 7% and <= 6.5% | 12 and 24 weeks |
| Patient-reported treatment satisfaction and insulin delivery satisfaction | 12 and 24 weeks |
| Preference for the study therapies | week 24 |
| Inhaler reliability | throughout the study |
Countries
Japan, Taiwan