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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 4
Kontakte und Standorte
Studienorte
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Carolina, Puerto Rico, 00983
- Pfizer Investigational Site
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Arizona
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Phoenix, Arizona, Vereinigte Staaten, 85051
- Pfizer Investigational Site
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Tucson, Arizona, Vereinigte Staaten, 85712
- Pfizer Investigational Site
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California
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Concord, California, Vereinigte Staaten, 94520
- Pfizer Investigational Site
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Encino, California, Vereinigte Staaten, 91436
- Pfizer Investigational Site
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Fresno, California, Vereinigte Staaten, 93720
- Pfizer Investigational Site
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Fullerton, California, Vereinigte Staaten, 92835
- Pfizer Investigational Site
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Long Beach, California, Vereinigte Staaten, 90806
- Pfizer Investigational Site
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Mission Viejo, California, Vereinigte Staaten, 92691
- Pfizer Investigational Site
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Pasadena, California, Vereinigte Staaten, 91105
- Pfizer Investigational Site
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San Diego, California, Vereinigte Staaten, 92120
- Pfizer Investigational Site
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San Diego, California, Vereinigte Staaten, 92128
- Pfizer Investigational Site
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San Luis Obispo, California, Vereinigte Staaten, 93401
- Pfizer Investigational Site
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Spring Valley, California, Vereinigte Staaten, 91978
- Pfizer Investigational Site
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Stockton, California, Vereinigte Staaten, 95204
- Pfizer Investigational Site
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Walnut Creek, California, Vereinigte Staaten, 94598
- Pfizer Investigational Site
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West Hills, California, Vereinigte Staaten, 91307
- Pfizer Investigational Site
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Colorado
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Golden, Colorado, Vereinigte Staaten, 80401
- Pfizer Investigational Site
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Connecticut
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Waterbury, Connecticut, Vereinigte Staaten, 06708
- Pfizer Investigational Site
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Delaware
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Newark, Delaware, Vereinigte Staaten, 19713
- Pfizer Investigational Site
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Florida
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Chiefland, Florida, Vereinigte Staaten, 32626
- Pfizer Investigational Site
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Clearwater, Florida, Vereinigte Staaten, 33765
- Pfizer Investigational Site
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Hollywood, Florida, Vereinigte Staaten, 33023
- Pfizer Investigational Site
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Kissimmee, Florida, Vereinigte Staaten, 34741
- Pfizer Investigational Site
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Miami, Florida, Vereinigte Staaten, 33156
- Pfizer Investigational Site
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Ocala, Florida, Vereinigte Staaten, 34471
- Pfizer Investigational Site
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Saint Cloud, Florida, Vereinigte Staaten, 34769
- Pfizer Investigational Site
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Winter Park, Florida, Vereinigte Staaten, 32789
- Pfizer Investigational Site
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Georgia
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Atlanta, Georgia, Vereinigte Staaten, 30322
- Pfizer Investigational Site
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Lawrenceville, Georgia, Vereinigte Staaten, 30045
- Pfizer Investigational Site
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Lawrenceville, Georgia, Vereinigte Staaten, 30045-3388
- Pfizer Investigational Site
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Woodstock, Georgia, Vereinigte Staaten, 30189
- Pfizer Investigational Site
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Idaho
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Boise, Idaho, Vereinigte Staaten, 83702
- Pfizer Investigational Site
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Hayden Lake, Idaho, Vereinigte Staaten, 83835
- Pfizer Investigational Site
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Indiana
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Indianapolis, Indiana, Vereinigte Staaten, 46254
- Pfizer Investigational Site
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Kansas
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Overland Park, Kansas, Vereinigte Staaten, 66211
- Pfizer Investigational Site
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Topeka, Kansas, Vereinigte Staaten, 66606
- Pfizer Investigational Site
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Kentucky
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Lexington, Kentucky, Vereinigte Staaten, 40503
- Pfizer Investigational Site
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Louisville, Kentucky, Vereinigte Staaten, 40213
- Pfizer Investigational Site
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Louisiana
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Baton Rouge, Louisiana, Vereinigte Staaten, 70808
- Pfizer Investigational Site
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New Orleans, Louisiana, Vereinigte Staaten, 70121
- Pfizer Investigational Site
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Massachusetts
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Haverhill, Massachusetts, Vereinigte Staaten, 01830-6141
- Pfizer Investigational Site
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Missouri
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Springfield, Missouri, Vereinigte Staaten, 65807
- Pfizer Investigational Site
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Nebraska
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Omaha, Nebraska, Vereinigte Staaten, 68131
- Pfizer Investigational Site
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Nevada
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Las Vegas, Nevada, Vereinigte Staaten, 89104
- Pfizer Investigational Site
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New York
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Staten Island, New York, Vereinigte Staaten, 10301
- Pfizer Investigational Site
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North Carolina
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Charlotte, North Carolina, Vereinigte Staaten, 28209-3734
- Pfizer Investigational Site
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Statesville, North Carolina, Vereinigte Staaten, 28625
- Pfizer Investigational Site
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Winston-Salem, North Carolina, Vereinigte Staaten, 27103
- Pfizer Investigational Site
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Ohio
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Kettering, Ohio, Vereinigte Staaten, 45429
- Pfizer Investigational Site
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Maumee, Ohio, Vereinigte Staaten, 43537-9402
- Pfizer Investigational Site
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Toledo, Ohio, Vereinigte Staaten, 43606
- Pfizer Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Vereinigte Staaten, 73103
- Pfizer Investigational Site
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Oregon
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Medford, Oregon, Vereinigte Staaten, 97504
- Pfizer Investigational Site
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Pennsylvania
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Melrose Park, Pennsylvania, Vereinigte Staaten, 19027
- Pfizer Investigational Site
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South Carolina
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Greenville, South Carolina, Vereinigte Staaten, 29615
- Pfizer Investigational Site
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Greer, South Carolina, Vereinigte Staaten, 29651
- Pfizer Investigational Site
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Spartanburg, South Carolina, Vereinigte Staaten, 29303
- Pfizer Investigational Site
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Tennessee
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Milan, Tennessee, Vereinigte Staaten, 38358
- Pfizer Investigational Site
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Texas
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Arlington, Texas, Vereinigte Staaten, 76014-2010
- Pfizer Investigational Site
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Beaumont, Texas, Vereinigte Staaten, 77701
- Pfizer Investigational Site
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Dallas, Texas, Vereinigte Staaten, 75231
- Pfizer Investigational Site
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Dallas, Texas, Vereinigte Staaten, 75230
- Pfizer Investigational Site
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Dallas, Texas, Vereinigte Staaten, 75246
- Pfizer Investigational Site
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El Paso, Texas, Vereinigte Staaten, 79935
- Pfizer Investigational Site
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Houston, Texas, Vereinigte Staaten, 77008
- Pfizer Investigational Site
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Houston, Texas, Vereinigte Staaten, 77083
- Pfizer Investigational Site
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San Antonio, Texas, Vereinigte Staaten, 78229
- Pfizer Investigational Site
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San Antonio, Texas, Vereinigte Staaten, 78229-3900
- Pfizer Investigational Site
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Vermont
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Bennington, Vermont, Vereinigte Staaten, 05201-5018
- Pfizer Investigational Site
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Virginia
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Richmond, Virginia, Vereinigte Staaten, 23249
- Pfizer Investigational Site
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Washington
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Federal Way, Washington, Vereinigte Staaten, 98003
- Pfizer Investigational Site
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Wisconsin
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Menomonee Falls, Wisconsin, Vereinigte Staaten, 53051
- Pfizer Investigational Site
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Aktiver 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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Experimental: 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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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
Zeitfenster: 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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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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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Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
Zeitfenster: 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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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Pfizer CT.gov Call Center, Pfizer
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Geschätzt)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des endokrinen Systems
- Stoffwechselerkrankungen
- Störungen des Glukosestoffwechsels
- Diabetes Mellitus
- Ernährungs- und Stoffwechselerkrankungen
- Diabetes mellitus, Typ 2
- Hormone
- Hormone, Hormonersatzstoffe und Hormonantagonisten
- Peptidhormone
- Peptide
- Aminosäuren, Peptide und Proteine
- Insulin, langwirksam
- Insuline
- Pankreashormone
- Insulin Glargin
- Exubera
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- A2171095
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