Diabetes Mellitus, Type 2 Clinical Trial
Official title:
Efficacy and Safety of Inhaled Compared With Subcutaneous Human Insulin Therapy in Subjects With Type 2 Diabetes Mellitus: A Six-Month, Outpatient, Parallel Comparative Trial
| Verified date | February 2007 |
| Source | Pfizer |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | United States: Food and Drug Administration |
| Study type | Interventional |
To determine, in subjects with Type 2 Diabetes Mellitus:
1. Whether glycemic control can be achieved at least as effectively with an insulin
regimen involving pre-meal EXUBERA™ (inhaled insulin) plus a single bedtime Ultralente
injection as with a conventional subcutaneous insulin regimen involving 2 mixed
Regular/NPH insulin injections per day.
2. The toleration and safety of EXUBERA™ (inhaled insulin) therapy and its effects after 6
months, if any, on measures of pulmonary function.
| Status | Completed |
| Enrollment | 300 |
| Est. completion date | December 2000 |
| Est. primary completion date | |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 35 Years to 80 Years |
| Eligibility |
Inclusion Criteria: - Type 2 Diabetes - Stable insulin regimen of at least 2 injections per day Exclusion Criteria: - Any smoking within the last 6 months. Smoking is not permitted at any time during this study. - Subjects on insulin pump during 2 months prior to screening. - Subjects with poorly-controlled asthma, clinically significant chronic obstructive pulmonary disease, or other significant respiratory disease. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
| Country | Name | City | State |
|---|---|---|---|
| Canada | Pfizer Investigational Site | Calgary | Alberta |
| Canada | Pfizer Investigational Site | Chomedy | Quebec |
| Canada | Pfizer Investigational Site | Edmonton | Alberta |
| Canada | Pfizer Investigational Site | Halifax | Nova Scotia |
| Canada | Pfizer Investigational Site | Mississauga | Ontario |
| Canada | Pfizer Investigational Site | Montreal | Quebec |
| Canada | Pfizer Investigational Site | Ottawa | Ontario |
| Canada | Pfizer Investigational Site | Red Deer | Alberta |
| Canada | Pfizer Investigational Site | St John's | Newfoundland and Labrador |
| Canada | Pfizer Investigational Site | Toronto | Ontario |
| Canada | Pfizer Investigational Site | Winnipeg | Manitoba |
| United States | Pfizer Investigational Site | Austin | Texas |
| United States | Pfizer Investigational Site | Burlingame | California |
| United States | Pfizer Investigational Site | Burlington | Vermont |
| United States | Pfizer Investigational Site | Charlottesville | Virginia |
| United States | Pfizer Investigational Site | Chicago | Illinois |
| United States | Pfizer Investigational Site | Clearwater | Florida |
| United States | Pfizer Investigational Site | Cleveland | Ohio |
| United States | Pfizer Investigational Site | Columbia | Missouri |
| United States | Pfizer Investigational Site | Dallas | Texas |
| United States | Pfizer Investigational Site | Durham | North Carolina |
| United States | Pfizer Investigational Site | Greenville | North Carolina |
| United States | Pfizer Investigational Site | Irvine | California |
| United States | Pfizer Investigational Site | Irving | Texas |
| United States | Pfizer Investigational Site | Los Angeles | California |
| United States | Pfizer Investigational Site | Louisville | Kentucky |
| United States | Pfizer Investigational Site | Miami | Florida |
| United States | Pfizer Investigational Site | New Haven | Connecticut |
| United States | Pfizer Investigational Site | New Hyde Park | New York |
| United States | Pfizer Investigational Site | New Orleans | Louisiana |
| United States | Pfizer Investigational Site | New York | New York |
| United States | Pfizer Investigational Site | Newport Beach | California |
| United States | Pfizer Investigational Site | Omaha | Nebraska |
| United States | Pfizer Investigational Site | Orange | California |
| United States | Pfizer Investigational Site | Portland | Oregon |
| United States | Pfizer Investigational Site | Renton | Washington |
| United States | Pfizer Investigational Site | Rochester | New York |
| United States | Pfizer Investigational Site | San Antonio | Texas |
| United States | Pfizer Investigational Site | San Diego | California |
| United States | Pfizer Investigational Site | San Francisco | California |
| United States | Pfizer Investigational Site | St Louis | Missouri |
| United States | Pfizer Investigational Site | St. Louis | Missouri |
| United States | Pfizer Investigational Site | Tampa | Florida |
| United States | Pfizer Investigational Site | Tustin | California |
| United States | Pfizer Investigational Site | Washington | District of Columbia |
| United States | Pfizer Investigational Site | Winston-salem | North Carolina |
| Lead Sponsor | Collaborator |
|---|---|
| Pfizer |
United States, Canada,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Primary outcome is 24 week change in baseline in HbA1c. | |||
| Secondary | The secondary endpoints include the following efficacy assessments: | |||
| Secondary | Incidence of hypoglycemia | |||
| Secondary | Proportion of subjects with acceptable glycemic control (e.g., HbA1c<8%) | |||
| Secondary | Change from baseline in fasting lipid profile | |||
| Secondary | Change from baseline in fasting plasma glucose level | |||
| Secondary | Change from baseline in meal glucose response (2-hour postprandial increment in plasma glucose) | |||
| Secondary | Dose of insulin (total dose of injected sustained-duration insulin, and total dose of inhaled or injected Regular insulin during the study). | |||
| Secondary | Change from baseline in body weight | |||
| Secondary | Change from baseline in 24-hour home glucose profile (based on the area under the glucose profile curve calculated by the trapezoid rule with special weights assigned to the pre-breakfast and bedtime assessments). | |||
| Secondary | Patient satisfaction and preference. |
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