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This Study Is To Determine If Inhaled Insulin Is Effective In Treating Type 2 Diabetes Mellitus

20 juillet 2026 mis à jour par: Pfizer

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

This study is to determine if inhaled insulin is effective in treating type 2 diabetes mellitus.

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Réel)

413

Phase

  • Phase 4

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

      • Carolina, Porto Rico, 00983
        • Pfizer Investigational Site
    • Arizona
      • Phoenix, Arizona, États-Unis, 85051
        • Pfizer Investigational Site
      • Tucson, Arizona, États-Unis, 85712
        • Pfizer Investigational Site
    • California
      • Concord, California, États-Unis, 94520
        • Pfizer Investigational Site
      • Encino, California, États-Unis, 91436
        • Pfizer Investigational Site
      • Fresno, California, États-Unis, 93720
        • Pfizer Investigational Site
      • Fullerton, California, États-Unis, 92835
        • Pfizer Investigational Site
      • Long Beach, California, États-Unis, 90806
        • Pfizer Investigational Site
      • Mission Viejo, California, États-Unis, 92691
        • Pfizer Investigational Site
      • Pasadena, California, États-Unis, 91105
        • Pfizer Investigational Site
      • San Diego, California, États-Unis, 92120
        • Pfizer Investigational Site
      • San Diego, California, États-Unis, 92128
        • Pfizer Investigational Site
      • San Luis Obispo, California, États-Unis, 93401
        • Pfizer Investigational Site
      • Spring Valley, California, États-Unis, 91978
        • Pfizer Investigational Site
      • Stockton, California, États-Unis, 95204
        • Pfizer Investigational Site
      • Walnut Creek, California, États-Unis, 94598
        • Pfizer Investigational Site
      • West Hills, California, États-Unis, 91307
        • Pfizer Investigational Site
    • Colorado
      • Golden, Colorado, États-Unis, 80401
        • Pfizer Investigational Site
    • Connecticut
      • Waterbury, Connecticut, États-Unis, 06708
        • Pfizer Investigational Site
    • Delaware
      • Newark, Delaware, États-Unis, 19713
        • Pfizer Investigational Site
    • Florida
      • Chiefland, Florida, États-Unis, 32626
        • Pfizer Investigational Site
      • Clearwater, Florida, États-Unis, 33765
        • Pfizer Investigational Site
      • Hollywood, Florida, États-Unis, 33023
        • Pfizer Investigational Site
      • Kissimmee, Florida, États-Unis, 34741
        • Pfizer Investigational Site
      • Miami, Florida, États-Unis, 33156
        • Pfizer Investigational Site
      • Ocala, Florida, États-Unis, 34471
        • Pfizer Investigational Site
      • Saint Cloud, Florida, États-Unis, 34769
        • Pfizer Investigational Site
      • Winter Park, Florida, États-Unis, 32789
        • Pfizer Investigational Site
    • Georgia
      • Atlanta, Georgia, États-Unis, 30322
        • Pfizer Investigational Site
      • Lawrenceville, Georgia, États-Unis, 30045
        • Pfizer Investigational Site
      • Lawrenceville, Georgia, États-Unis, 30045-3388
        • Pfizer Investigational Site
      • Woodstock, Georgia, États-Unis, 30189
        • Pfizer Investigational Site
    • Idaho
      • Boise, Idaho, États-Unis, 83702
        • Pfizer Investigational Site
      • Hayden Lake, Idaho, États-Unis, 83835
        • Pfizer Investigational Site
    • Indiana
      • Indianapolis, Indiana, États-Unis, 46254
        • Pfizer Investigational Site
    • Kansas
      • Overland Park, Kansas, États-Unis, 66211
        • Pfizer Investigational Site
      • Topeka, Kansas, États-Unis, 66606
        • Pfizer Investigational Site
    • Kentucky
      • Lexington, Kentucky, États-Unis, 40503
        • Pfizer Investigational Site
      • Louisville, Kentucky, États-Unis, 40213
        • Pfizer Investigational Site
    • Louisiana
      • Baton Rouge, Louisiana, États-Unis, 70808
        • Pfizer Investigational Site
      • New Orleans, Louisiana, États-Unis, 70121
        • Pfizer Investigational Site
    • Massachusetts
      • Haverhill, Massachusetts, États-Unis, 01830-6141
        • Pfizer Investigational Site
    • Missouri
      • Springfield, Missouri, États-Unis, 65807
        • Pfizer Investigational Site
    • Nebraska
      • Omaha, Nebraska, États-Unis, 68131
        • Pfizer Investigational Site
    • Nevada
      • Las Vegas, Nevada, États-Unis, 89104
        • Pfizer Investigational Site
    • New York
      • Staten Island, New York, États-Unis, 10301
        • Pfizer Investigational Site
    • North Carolina
      • Charlotte, North Carolina, États-Unis, 28209-3734
        • Pfizer Investigational Site
      • Statesville, North Carolina, États-Unis, 28625
        • Pfizer Investigational Site
      • Winston-Salem, North Carolina, États-Unis, 27103
        • Pfizer Investigational Site
    • Ohio
      • Kettering, Ohio, États-Unis, 45429
        • Pfizer Investigational Site
      • Maumee, Ohio, États-Unis, 43537-9402
        • Pfizer Investigational Site
      • Toledo, Ohio, États-Unis, 43606
        • Pfizer Investigational Site
    • Oklahoma
      • Oklahoma City, Oklahoma, États-Unis, 73103
        • Pfizer Investigational Site
    • Oregon
      • Medford, Oregon, États-Unis, 97504
        • Pfizer Investigational Site
    • Pennsylvania
      • Melrose Park, Pennsylvania, États-Unis, 19027
        • Pfizer Investigational Site
    • South Carolina
      • Greenville, South Carolina, États-Unis, 29615
        • Pfizer Investigational Site
      • Greer, South Carolina, États-Unis, 29651
        • Pfizer Investigational Site
      • Spartanburg, South Carolina, États-Unis, 29303
        • Pfizer Investigational Site
    • Tennessee
      • Milan, Tennessee, États-Unis, 38358
        • Pfizer Investigational Site
    • Texas
      • Arlington, Texas, États-Unis, 76014-2010
        • Pfizer Investigational Site
      • Beaumont, Texas, États-Unis, 77701
        • Pfizer Investigational Site
      • Dallas, Texas, États-Unis, 75231
        • Pfizer Investigational Site
      • Dallas, Texas, États-Unis, 75230
        • Pfizer Investigational Site
      • Dallas, Texas, États-Unis, 75246
        • Pfizer Investigational Site
      • El Paso, Texas, États-Unis, 79935
        • Pfizer Investigational Site
      • Houston, Texas, États-Unis, 77008
        • Pfizer Investigational Site
      • Houston, Texas, États-Unis, 77083
        • Pfizer Investigational Site
      • San Antonio, Texas, États-Unis, 78229
        • Pfizer Investigational Site
      • San Antonio, Texas, États-Unis, 78229-3900
        • Pfizer Investigational Site
    • Vermont
      • Bennington, Vermont, États-Unis, 05201-5018
        • Pfizer Investigational Site
    • Virginia
      • Richmond, Virginia, États-Unis, 23249
        • Pfizer Investigational Site
    • Washington
      • Federal Way, Washington, États-Unis, 98003
        • Pfizer Investigational Site
    • Wisconsin
      • Menomonee Falls, Wisconsin, États-Unis, 53051
        • Pfizer Investigational Site

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

30 ans à 75 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

La description

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.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur actif: 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.
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.
Expérimental: 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.
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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
Délai: Baseline, Week 26
HbA1c lab value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Délai: Week 26
Percentage of subjects with glycosylated hemoglobin A1c lab value less than 6.5%.
Week 26
Percentage of Subjects Achieving Glycemic Control (HbA1c < 7.0%) at Week 26
Délai: Week 26
Percentage of subjects with glycosylated hemoglobin A1c lab value less than 7.0%.
Week 26
Percentage of Subjects Achieving Glycemic Control (HbA1c < 8.0%) at Week 26
Délai: Week 26
Number of subjects with glycosylated hemoglobin A1c lab value less than 8.0%.
Week 26
Change From Baseline in Fasting Plasma Glucose at Week 26
Délai: Baseline, Week 26
Fasting plasma glucose lab value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26
Change From Baseline in Fasting and Postprandial Blood Glucose as Determined by Standardized Meal Tolerance Tests at Week 26
Délai: Baseline, Week 26
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.
Baseline, Week 26
Change From Baseline in Postprandial Blood Glucose as Measured by 8-Point Profiles at Week 26
Délai: Baseline, Week 26
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.
Baseline, Week 26
Change From Baseline in Lipids at Week 26
Délai: Baseline, Week 26
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.
Baseline, Week 26
Change From Baseline in Cardiovascular (CV) Biomarkers High Sensitivity C-reactive Protein (Hs-CRP), Leptin, and Spot Urine Microalbumin at Week 26
Délai: Baseline, Week 26
CV biomarker (hs-CRP, Leptin, and Spot Urine Microalbumin) lab value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26
Change From Baseline in CV Biomarkers Adiponectin and Apolipoprotein B (ApoB) at Week 26
Délai: Baseline, Week 26
CV biomarker (adiponectin and ApoB) lab value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26
Change From Baseline in 24-Hour Continuous Glucose Monitoring System (CGMS) Glucose Values at Week 26
Délai: Baseline, Week 26
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.
Baseline, Week 26
Change From Baseline in Mean Standard Deviation (SD) of 24-Hour Glucose Values Measured by CGMS at Week 26
Délai: Baseline, Week 26
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.
Baseline, Week 26
Number of Subjects With Hypoglycemic Events
Délai: Months 1 to 7
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.
Months 1 to 7
Number of Total Hypoglycemic Events
Délai: Months 1 to 7
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.
Months 1 to 7
Number of Total Subject Months of Treatment
Délai: Months 1 to 7
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.
Months 1 to 7
Crude Hypoglycemic Event Rate
Délai: Months 1 to 7
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.
Months 1 to 7
Number of Nocturnal Hypoglycemic Events
Délai: Months 1 to 7
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.
Months 1 to 7
Change From Baseline in Body Weight at Week 26
Délai: Baseline, Week 26
Body weight value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26
Change From Baseline in Body Mass Index (BMI) at Week 26
Délai: Baseline, Week 26
BMI value (kg/m2): Change = value at Week 26 minus value at Baseline.
Baseline, Week 26

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
Délai: Baseline, Week 26
HbA1c lab value: Change = value at Week 26 minus value at Baseline.
Baseline, Week 26

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Les enquêteurs

  • Directeur d'études: Pfizer CT.gov Call Center, Pfizer

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 mars 2007

Achèvement primaire (Réel)

1 août 2008

Achèvement de l'étude (Réel)

1 août 2008

Dates d'inscription aux études

Première soumission

3 janvier 2007

Première soumission répondant aux critères de contrôle qualité

4 janvier 2007

Première publication (Estimé)

5 janvier 2007

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

11 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

20 juillet 2026

Dernière vérification

1 juillet 2025

Plus d'information

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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