Diabetes Mellitus, Type 2
Conditions
Brief summary
The purpose of the study is to compare the human insulin inhalation powder plus oral anti-hyperglycemic medication with injected insulin (neutral protamine hegedom insulin) plus oral anti-hyperglycemic medication on lowering the blood sugar level.
Interventions
patient specific, inhaled, at meals, 76 weeks
patient specific dose, injected, daily, 76 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
1. Type 2 diabetes mellitus for at least 6 months 2. One or more oral antihyperglycemic medications for at least 12 weeks 3. HbA1c equal to or greater than 7.0%, and equal to or less than 10.5% 4. Nonsmokers, have 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 5. Satisfactory lung function results to meet the requirement of the study
Exclusion criteria
1. Previously received any form of inhaled insulin 2. Have a current diagnosis or past history of asthma, chronic obstructive pulmonary disease or other clinically relevant lung disease 3. History or presence of liver disease 4. History or presence of kidney disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean change in Hemoglobin A1c (HbA1c) from baseline to the end of each treatment period of Primary Phase | 24, 48 and 76 weeks after Randomization |
Secondary
| Measure | Time frame |
|---|---|
| 8-point SMBG profiles. | 24, 48 and 76 weeks after Randomization |
| Mean change in HbA1c from baseline to the end. | 24, 48 and 76 weeks after Randomization |
| Mean dosage of both preprandial and basal insulin. | 24, 48 and 76 weeks after Randomization |
| Inhaler reliability. | 24, 48 and 76 weeks after Randomization |
| Patient-reported outcomes questionnaires. | 24, 48 and 76 weeks after Randomization |
Countries
Japan