Diabetes, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Asthma
Conditions
Brief summary
This trial is conducted in Europe, Asia, Oceania and the United States of America (USA). This is a one-year clinical trial to compare the safety of inhaled preprandial human insulin to subcutaneous insulin aspart in subjects with type 1 or 2 diabetes and asthma.
Detailed description
The decision to discontinue the development of AERx® is not due to any safety concerns. An analysis concluded that fast-acting inhaled insulin in the form it is known today, is unlikely to offer significant clinical or convenience benefits over injections of modern insulin with pen devices.
Interventions
Treat-to-target dose titration scheme, injection s.c.
Treat-to-target dose titration scheme, inhalation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1 or type 2 diabetes * Treatment with insulin and/or oral anti-diabetic drugs * Asthma for at least 6 months * Positive airway reversibility/bronchoprovocation test or documented positive test in the last 3 years * HbA1C less than or equal to 11.0 % * Body Mass Index (BMI) less than or equal to 40.0 kg/m2
Exclusion criteria
* Current smoking or smoking within the last 6 months * Other current acute or chronic pulmonary disease excluding asthma * Recurrent severe hypoglycaemia * Proliferative retinopathy or maculopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in lung function, chest X-rays, or asthma exacerbation frequency | after 52 weeks of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Diabetes control measured by change in HbA1c | from baseline to end of treatment |
| Laboratory assessments (biochemistry, insulin antibodies, blood count) | from baseline to end of treatment |
| Preprandial insulin doses | for the duration of the trial |
Countries
Australia, India, Malaysia, Serbia and Montenegro, Slovakia, United States