This Study Is To Determine If Inhaled Insulin Is Effective In Treating Type 2 Diabetes Mellitus
A Six Month, Open Label, Randomized Parallel Group Trial Assessing The Impact Of Dry Powder Inhaled Insulin (Exubera) On Glycemic Control Compared To Insulin Glargine (Lantus) In Patients With Type 2 Diabetes Mellitus Who Are Poorly Controlled On A Combination Of Two Or More Oral Agents
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 4
Kontakty a umístění
Studijní místa
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Carolina, Portoriko, 00983
- Pfizer Investigational Site
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Arizona
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Phoenix, Arizona, Spojené státy, 85051
- Pfizer Investigational Site
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Tucson, Arizona, Spojené státy, 85712
- Pfizer Investigational Site
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California
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Concord, California, Spojené státy, 94520
- Pfizer Investigational Site
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Encino, California, Spojené státy, 91436
- Pfizer Investigational Site
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Fresno, California, Spojené státy, 93720
- Pfizer Investigational Site
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Fullerton, California, Spojené státy, 92835
- Pfizer Investigational Site
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Long Beach, California, Spojené státy, 90806
- Pfizer Investigational Site
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Mission Viejo, California, Spojené státy, 92691
- Pfizer Investigational Site
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Pasadena, California, Spojené státy, 91105
- Pfizer Investigational Site
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San Diego, California, Spojené státy, 92120
- Pfizer Investigational Site
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San Diego, California, Spojené státy, 92128
- Pfizer Investigational Site
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San Luis Obispo, California, Spojené státy, 93401
- Pfizer Investigational Site
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Spring Valley, California, Spojené státy, 91978
- Pfizer Investigational Site
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Stockton, California, Spojené státy, 95204
- Pfizer Investigational Site
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Walnut Creek, California, Spojené státy, 94598
- Pfizer Investigational Site
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West Hills, California, Spojené státy, 91307
- Pfizer Investigational Site
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Colorado
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Golden, Colorado, Spojené státy, 80401
- Pfizer Investigational Site
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Connecticut
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Waterbury, Connecticut, Spojené státy, 06708
- Pfizer Investigational Site
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Delaware
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Newark, Delaware, Spojené státy, 19713
- Pfizer Investigational Site
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Florida
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Chiefland, Florida, Spojené státy, 32626
- Pfizer Investigational Site
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Clearwater, Florida, Spojené státy, 33765
- Pfizer Investigational Site
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Hollywood, Florida, Spojené státy, 33023
- Pfizer Investigational Site
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Kissimmee, Florida, Spojené státy, 34741
- Pfizer Investigational Site
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Miami, Florida, Spojené státy, 33156
- Pfizer Investigational Site
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Ocala, Florida, Spojené státy, 34471
- Pfizer Investigational Site
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Saint Cloud, Florida, Spojené státy, 34769
- Pfizer Investigational Site
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Winter Park, Florida, Spojené státy, 32789
- Pfizer Investigational Site
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Georgia
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Atlanta, Georgia, Spojené státy, 30322
- Pfizer Investigational Site
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Lawrenceville, Georgia, Spojené státy, 30045
- Pfizer Investigational Site
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Lawrenceville, Georgia, Spojené státy, 30045-3388
- Pfizer Investigational Site
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Woodstock, Georgia, Spojené státy, 30189
- Pfizer Investigational Site
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Idaho
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Boise, Idaho, Spojené státy, 83702
- Pfizer Investigational Site
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Hayden Lake, Idaho, Spojené státy, 83835
- Pfizer Investigational Site
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Indiana
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Indianapolis, Indiana, Spojené státy, 46254
- Pfizer Investigational Site
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Kansas
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Overland Park, Kansas, Spojené státy, 66211
- Pfizer Investigational Site
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Topeka, Kansas, Spojené státy, 66606
- Pfizer Investigational Site
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Kentucky
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Lexington, Kentucky, Spojené státy, 40503
- Pfizer Investigational Site
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Louisville, Kentucky, Spojené státy, 40213
- Pfizer Investigational Site
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Louisiana
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Baton Rouge, Louisiana, Spojené státy, 70808
- Pfizer Investigational Site
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New Orleans, Louisiana, Spojené státy, 70121
- Pfizer Investigational Site
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Massachusetts
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Haverhill, Massachusetts, Spojené státy, 01830-6141
- Pfizer Investigational Site
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Missouri
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Springfield, Missouri, Spojené státy, 65807
- Pfizer Investigational Site
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Nebraska
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Omaha, Nebraska, Spojené státy, 68131
- Pfizer Investigational Site
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Nevada
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Las Vegas, Nevada, Spojené státy, 89104
- Pfizer Investigational Site
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New York
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Staten Island, New York, Spojené státy, 10301
- Pfizer Investigational Site
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North Carolina
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Charlotte, North Carolina, Spojené státy, 28209-3734
- Pfizer Investigational Site
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Statesville, North Carolina, Spojené státy, 28625
- Pfizer Investigational Site
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Winston-Salem, North Carolina, Spojené státy, 27103
- Pfizer Investigational Site
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Ohio
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Kettering, Ohio, Spojené státy, 45429
- Pfizer Investigational Site
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Maumee, Ohio, Spojené státy, 43537-9402
- Pfizer Investigational Site
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Toledo, Ohio, Spojené státy, 43606
- Pfizer Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Spojené státy, 73103
- Pfizer Investigational Site
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Oregon
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Medford, Oregon, Spojené státy, 97504
- Pfizer Investigational Site
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Pennsylvania
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Melrose Park, Pennsylvania, Spojené státy, 19027
- Pfizer Investigational Site
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South Carolina
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Greenville, South Carolina, Spojené státy, 29615
- Pfizer Investigational Site
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Greer, South Carolina, Spojené státy, 29651
- Pfizer Investigational Site
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Spartanburg, South Carolina, Spojené státy, 29303
- Pfizer Investigational Site
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Tennessee
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Milan, Tennessee, Spojené státy, 38358
- Pfizer Investigational Site
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Texas
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Arlington, Texas, Spojené státy, 76014-2010
- Pfizer Investigational Site
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Beaumont, Texas, Spojené státy, 77701
- Pfizer Investigational Site
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Dallas, Texas, Spojené státy, 75231
- Pfizer Investigational Site
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Dallas, Texas, Spojené státy, 75230
- Pfizer Investigational Site
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Dallas, Texas, Spojené státy, 75246
- Pfizer Investigational Site
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El Paso, Texas, Spojené státy, 79935
- Pfizer Investigational Site
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Houston, Texas, Spojené státy, 77008
- Pfizer Investigational Site
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Houston, Texas, Spojené státy, 77083
- Pfizer Investigational Site
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San Antonio, Texas, Spojené státy, 78229
- Pfizer Investigational Site
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San Antonio, Texas, Spojené státy, 78229-3900
- Pfizer Investigational Site
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Vermont
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Bennington, Vermont, Spojené státy, 05201-5018
- Pfizer Investigational Site
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Virginia
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Richmond, Virginia, Spojené státy, 23249
- Pfizer Investigational Site
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Washington
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Federal Way, Washington, Spojené státy, 98003
- Pfizer Investigational Site
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Wisconsin
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Menomonee Falls, Wisconsin, Spojené státy, 53051
- Pfizer Investigational Site
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Age > 30 years and ≤ 75 years with a diagnosis of type 2 diabetes mellitus made > 6 months prior to study entry
- Screening HbA1c > 7.0%
- Currently treated on a stable dose of at least 2 oral antidiabetic agents for at least 3 months prior to study entry; including a sulfonylurea and/or metformin, and/or a thiazolidinedione
Exclusion Criteria:
Smoking within last 6 months PFTs outside of range
- Type 1 diabetes mellitus
- Type 2 diabetes mellitus currently (last three months) treated with an insulin regimen (alone or with Oral Antidiabetic Agents)
- Active liver disease; significantly-impaired hepatic function, as shown by, but not limited to, alanine aminotransferase (ALT) serum glutamic pyruvic transaminase (SGPT) or aspartate transaminase (AST) serum glutamic-oxaloacetic transaminase (SGOT) above 2x the upper limit of normal as measured at visit 1. However, patients with elevated ALT >1.5 upper limit of normal as a result of hepatic steatosis are permitted to enter the study.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Aktivní komparátor: Insulin glargine
Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents.
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Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents.
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Experimentální: Exubera
Initiation dose of one mg per meal, and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents.
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Initiation dose of one mg per meal, and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents.
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
Časové okno: Baseline, Week 26
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HbA1c lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Časové okno: Week 26
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Percentage of subjects with glycosylated hemoglobin A1c lab value less than 6.5%.
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Week 26
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 7.0%) at Week 26
Časové okno: Week 26
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Percentage of subjects with glycosylated hemoglobin A1c lab value less than 7.0%.
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Week 26
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 8.0%) at Week 26
Časové okno: Week 26
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Number of subjects with glycosylated hemoglobin A1c lab value less than 8.0%.
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Week 26
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Change From Baseline in Fasting Plasma Glucose at Week 26
Časové okno: Baseline, Week 26
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Fasting plasma glucose lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Fasting and Postprandial Blood Glucose as Determined by Standardized Meal Tolerance Tests at Week 26
Časové okno: Baseline, Week 26
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Postprandial blood glucose lab value (Time 0 min [fasting], Time 30 min, Time 60 min, Time 90 min, Time 120 min, Time 180 min): Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Postprandial Blood Glucose as Measured by 8-Point Profiles at Week 26
Časové okno: Baseline, Week 26
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Post-prandial=after a meal.
8-point scale: (1 = before breakfast, 2 = 2 hours post breakfast, 3 = before lunch, 4 = 2 hours post lunch, 5 = before dinner, 6 = 2 hours post dinner, 7 = at bedtime, 8 = overnight [between 2 and 4 am]).
Postprandial blood glucose lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Lipids at Week 26
Časové okno: Baseline, Week 26
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Lipid (total cholesterol, high density lipoprotein cholesterol [HDL-c], low density lipoprotein cholesterol [LDL-c], triglycerides) lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Cardiovascular (CV) Biomarkers High Sensitivity C-reactive Protein (Hs-CRP), Leptin, and Spot Urine Microalbumin at Week 26
Časové okno: Baseline, Week 26
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CV biomarker (hs-CRP, Leptin, and Spot Urine Microalbumin) lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in CV Biomarkers Adiponectin and Apolipoprotein B (ApoB) at Week 26
Časové okno: Baseline, Week 26
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CV biomarker (adiponectin and ApoB) lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in 24-Hour Continuous Glucose Monitoring System (CGMS) Glucose Values at Week 26
Časové okno: Baseline, Week 26
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24-Hour CGMS glucose lab value was obtained using the Medtronic MiniMed CGMS.
Not all subjects were offered the opportunity to participate in this assessment.
Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Mean Standard Deviation (SD) of 24-Hour Glucose Values Measured by CGMS at Week 26
Časové okno: Baseline, Week 26
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SD of 24-Hour CGMS glucose lab value obtained using the Medtronic MiniMed CGMS.
Not all subjects were offered the opportunity to participate in this assessment.
Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Number of Subjects With Hypoglycemic Events
Časové okno: Months 1 to 7
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A hypoglycemic event was identified by characteristic symptoms or blood glucose levels.
An event was severe if the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL.
Events not meeting all 3 criteria were considered mild-moderate.
Overall=mild, moderate, and severe.
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Months 1 to 7
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Number of Total Hypoglycemic Events
Časové okno: Months 1 to 7
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A hypoglycemic event was identified by characteristic symptoms or blood glucose levels.
Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL.
Events not meeting all 3 criteria were considered mild-moderate.
Overall=mild, moderate, and severe.
Total=events during the study.
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Months 1 to 7
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Number of Total Subject Months of Treatment
Časové okno: Months 1 to 7
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Number of total subject months of treatment.
Subject months = number of days from start of treatment to the last day of active treatment + 1 day lag, including off-drug time)/30.44.
Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL.
Events not meeting all 3 criteria were considered mild-moderate.
Overall=mild, moderate, and severe.
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Months 1 to 7
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Crude Hypoglycemic Event Rate
Časové okno: Months 1 to 7
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crude event rate=(events)/(subject-months).
Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL.
Events not meeting all 3 criteria were considered mild-moderate.
Overall=mild, moderate, and severe.
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Months 1 to 7
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Number of Nocturnal Hypoglycemic Events
Časové okno: Months 1 to 7
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A hypoglycemic event was identified by characteristic symptoms or blood glucose levels.
Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL.
Events not meeting all 3 criteria were considered mild-moderate.
Nocturnal hypoglycemia=event occuring from midnight to 5:59 am.
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Months 1 to 7
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Change From Baseline in Body Weight at Week 26
Časové okno: Baseline, Week 26
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Body weight value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Change From Baseline in Body Mass Index (BMI) at Week 26
Časové okno: Baseline, Week 26
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BMI value (kg/m2): Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Další výstupní opatření
Další výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
Časové okno: Baseline, Week 26
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HbA1c lab value: Change = value at Week 26 minus value at Baseline.
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Baseline, Week 26
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: Pfizer CT.gov Call Center, Pfizer
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhadovaný)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Onemocnění endokrinního systému
- Metabolické choroby
- Poruchy metabolismu glukózy
- Diabetes Mellitus
- Nutriční a metabolické nemoci
- Diabetes mellitus, typ 2
- Hormony
- Hormony, hormonální náhražky a antagonisté hormonů
- Peptidové hormony
- Peptidy
- Aminokyseliny, peptidy a proteiny
- Inzulín, dlouhodobě
- Inzulíny
- Pankreatické hormony
- Inzulin glargin
- Exubera
Další identifikační čísla studie
Další identifikační čísla studie
- A2171095
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