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
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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Arizona
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Phoenix, Arizona, Forenede Stater, 85051
- Pfizer Investigational Site
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Tucson, Arizona, Forenede Stater, 85712
- Pfizer Investigational Site
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California
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Concord, California, Forenede Stater, 94520
- Pfizer Investigational Site
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Encino, California, Forenede Stater, 91436
- Pfizer Investigational Site
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Fresno, California, Forenede Stater, 93720
- Pfizer Investigational Site
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Fullerton, California, Forenede Stater, 92835
- Pfizer Investigational Site
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Long Beach, California, Forenede Stater, 90806
- Pfizer Investigational Site
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Mission Viejo, California, Forenede Stater, 92691
- Pfizer Investigational Site
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Pasadena, California, Forenede Stater, 91105
- Pfizer Investigational Site
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San Diego, California, Forenede Stater, 92120
- Pfizer Investigational Site
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San Diego, California, Forenede Stater, 92128
- Pfizer Investigational Site
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San Luis Obispo, California, Forenede Stater, 93401
- Pfizer Investigational Site
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Spring Valley, California, Forenede Stater, 91978
- Pfizer Investigational Site
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Stockton, California, Forenede Stater, 95204
- Pfizer Investigational Site
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Walnut Creek, California, Forenede Stater, 94598
- Pfizer Investigational Site
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West Hills, California, Forenede Stater, 91307
- Pfizer Investigational Site
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Colorado
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Golden, Colorado, Forenede Stater, 80401
- Pfizer Investigational Site
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Connecticut
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Waterbury, Connecticut, Forenede Stater, 06708
- Pfizer Investigational Site
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Delaware
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Newark, Delaware, Forenede Stater, 19713
- Pfizer Investigational Site
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Florida
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Chiefland, Florida, Forenede Stater, 32626
- Pfizer Investigational Site
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Clearwater, Florida, Forenede Stater, 33765
- Pfizer Investigational Site
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Hollywood, Florida, Forenede Stater, 33023
- Pfizer Investigational Site
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Kissimmee, Florida, Forenede Stater, 34741
- Pfizer Investigational Site
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Miami, Florida, Forenede Stater, 33156
- Pfizer Investigational Site
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Ocala, Florida, Forenede Stater, 34471
- Pfizer Investigational Site
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Saint Cloud, Florida, Forenede Stater, 34769
- Pfizer Investigational Site
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Winter Park, Florida, Forenede Stater, 32789
- Pfizer Investigational Site
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Georgia
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Atlanta, Georgia, Forenede Stater, 30322
- Pfizer Investigational Site
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Lawrenceville, Georgia, Forenede Stater, 30045
- Pfizer Investigational Site
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Lawrenceville, Georgia, Forenede Stater, 30045-3388
- Pfizer Investigational Site
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Woodstock, Georgia, Forenede Stater, 30189
- Pfizer Investigational Site
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Idaho
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Boise, Idaho, Forenede Stater, 83702
- Pfizer Investigational Site
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Hayden Lake, Idaho, Forenede Stater, 83835
- Pfizer Investigational Site
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46254
- Pfizer Investigational Site
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Kansas
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Overland Park, Kansas, Forenede Stater, 66211
- Pfizer Investigational Site
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Topeka, Kansas, Forenede Stater, 66606
- Pfizer Investigational Site
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Kentucky
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Lexington, Kentucky, Forenede Stater, 40503
- Pfizer Investigational Site
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Louisville, Kentucky, Forenede Stater, 40213
- Pfizer Investigational Site
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Louisiana
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Baton Rouge, Louisiana, Forenede Stater, 70808
- Pfizer Investigational Site
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New Orleans, Louisiana, Forenede Stater, 70121
- Pfizer Investigational Site
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Massachusetts
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Haverhill, Massachusetts, Forenede Stater, 01830-6141
- Pfizer Investigational Site
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Missouri
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Springfield, Missouri, Forenede Stater, 65807
- Pfizer Investigational Site
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Nebraska
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Omaha, Nebraska, Forenede Stater, 68131
- Pfizer Investigational Site
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89104
- Pfizer Investigational Site
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New York
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Staten Island, New York, Forenede Stater, 10301
- Pfizer Investigational Site
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North Carolina
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Charlotte, North Carolina, Forenede Stater, 28209-3734
- Pfizer Investigational Site
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Statesville, North Carolina, Forenede Stater, 28625
- Pfizer Investigational Site
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Winston-Salem, North Carolina, Forenede Stater, 27103
- Pfizer Investigational Site
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Ohio
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Kettering, Ohio, Forenede Stater, 45429
- Pfizer Investigational Site
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Maumee, Ohio, Forenede Stater, 43537-9402
- Pfizer Investigational Site
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Toledo, Ohio, Forenede Stater, 43606
- Pfizer Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Forenede Stater, 73103
- Pfizer Investigational Site
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Oregon
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Medford, Oregon, Forenede Stater, 97504
- Pfizer Investigational Site
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Pennsylvania
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Melrose Park, Pennsylvania, Forenede Stater, 19027
- Pfizer Investigational Site
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South Carolina
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Greenville, South Carolina, Forenede Stater, 29615
- Pfizer Investigational Site
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Greer, South Carolina, Forenede Stater, 29651
- Pfizer Investigational Site
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Spartanburg, South Carolina, Forenede Stater, 29303
- Pfizer Investigational Site
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Tennessee
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Milan, Tennessee, Forenede Stater, 38358
- Pfizer Investigational Site
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Texas
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Arlington, Texas, Forenede Stater, 76014-2010
- Pfizer Investigational Site
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Beaumont, Texas, Forenede Stater, 77701
- Pfizer Investigational Site
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Dallas, Texas, Forenede Stater, 75231
- Pfizer Investigational Site
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Dallas, Texas, Forenede Stater, 75230
- Pfizer Investigational Site
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Dallas, Texas, Forenede Stater, 75246
- Pfizer Investigational Site
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El Paso, Texas, Forenede Stater, 79935
- Pfizer Investigational Site
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Houston, Texas, Forenede Stater, 77008
- Pfizer Investigational Site
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Houston, Texas, Forenede Stater, 77083
- Pfizer Investigational Site
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San Antonio, Texas, Forenede Stater, 78229
- Pfizer Investigational Site
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San Antonio, Texas, Forenede Stater, 78229-3900
- Pfizer Investigational Site
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Vermont
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Bennington, Vermont, Forenede Stater, 05201-5018
- Pfizer Investigational Site
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Virginia
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Richmond, Virginia, Forenede Stater, 23249
- Pfizer Investigational Site
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Washington
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Federal Way, Washington, Forenede Stater, 98003
- Pfizer Investigational Site
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Wisconsin
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Menomonee Falls, Wisconsin, Forenede Stater, 53051
- Pfizer Investigational Site
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Carolina, Puerto Rico, 00983
- Pfizer Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Aktiv komparator: 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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Eksperimentel: 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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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
Tidsramme: 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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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
Tidsramme: 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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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Pfizer CT.gov Call Center, Pfizer
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i det endokrine system
- Metaboliske sygdomme
- Glukosemetabolismeforstyrrelser
- Diabetes mellitus
- Ernæringsmæssige og metaboliske sygdomme
- Diabetes mellitus, type 2
- Hormoner
- Hormoner, hormonsubstitutter og hormonantagonister
- Peptidhormoner
- Peptider
- Aminosyrer, peptider og proteiner
- Insulin, langtidsvirkende
- Insuliner
- Pancreashormoner
- Insulin Glargine
- Exubera
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- A2171095
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