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
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Faza 4
Kontakty i lokalizacje
Lokalizacje studiów
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Carolina, Portoryko, 00983
- Pfizer Investigational Site
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Arizona
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Phoenix, Arizona, Stany Zjednoczone, 85051
- Pfizer Investigational Site
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Tucson, Arizona, Stany Zjednoczone, 85712
- Pfizer Investigational Site
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California
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Concord, California, Stany Zjednoczone, 94520
- Pfizer Investigational Site
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Encino, California, Stany Zjednoczone, 91436
- Pfizer Investigational Site
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Fresno, California, Stany Zjednoczone, 93720
- Pfizer Investigational Site
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Fullerton, California, Stany Zjednoczone, 92835
- Pfizer Investigational Site
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Long Beach, California, Stany Zjednoczone, 90806
- Pfizer Investigational Site
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Mission Viejo, California, Stany Zjednoczone, 92691
- Pfizer Investigational Site
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Pasadena, California, Stany Zjednoczone, 91105
- Pfizer Investigational Site
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San Diego, California, Stany Zjednoczone, 92120
- Pfizer Investigational Site
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San Diego, California, Stany Zjednoczone, 92128
- Pfizer Investigational Site
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San Luis Obispo, California, Stany Zjednoczone, 93401
- Pfizer Investigational Site
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Spring Valley, California, Stany Zjednoczone, 91978
- Pfizer Investigational Site
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Stockton, California, Stany Zjednoczone, 95204
- Pfizer Investigational Site
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Walnut Creek, California, Stany Zjednoczone, 94598
- Pfizer Investigational Site
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West Hills, California, Stany Zjednoczone, 91307
- Pfizer Investigational Site
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Colorado
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Golden, Colorado, Stany Zjednoczone, 80401
- Pfizer Investigational Site
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Connecticut
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Waterbury, Connecticut, Stany Zjednoczone, 06708
- Pfizer Investigational Site
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Delaware
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Newark, Delaware, Stany Zjednoczone, 19713
- Pfizer Investigational Site
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Florida
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Chiefland, Florida, Stany Zjednoczone, 32626
- Pfizer Investigational Site
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Clearwater, Florida, Stany Zjednoczone, 33765
- Pfizer Investigational Site
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Hollywood, Florida, Stany Zjednoczone, 33023
- Pfizer Investigational Site
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Kissimmee, Florida, Stany Zjednoczone, 34741
- Pfizer Investigational Site
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Miami, Florida, Stany Zjednoczone, 33156
- Pfizer Investigational Site
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Ocala, Florida, Stany Zjednoczone, 34471
- Pfizer Investigational Site
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Saint Cloud, Florida, Stany Zjednoczone, 34769
- Pfizer Investigational Site
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Winter Park, Florida, Stany Zjednoczone, 32789
- Pfizer Investigational Site
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Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30322
- Pfizer Investigational Site
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Lawrenceville, Georgia, Stany Zjednoczone, 30045
- Pfizer Investigational Site
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Lawrenceville, Georgia, Stany Zjednoczone, 30045-3388
- Pfizer Investigational Site
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Woodstock, Georgia, Stany Zjednoczone, 30189
- Pfizer Investigational Site
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Idaho
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Boise, Idaho, Stany Zjednoczone, 83702
- Pfizer Investigational Site
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Hayden Lake, Idaho, Stany Zjednoczone, 83835
- Pfizer Investigational Site
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Indiana
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Indianapolis, Indiana, Stany Zjednoczone, 46254
- Pfizer Investigational Site
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Kansas
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Overland Park, Kansas, Stany Zjednoczone, 66211
- Pfizer Investigational Site
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Topeka, Kansas, Stany Zjednoczone, 66606
- Pfizer Investigational Site
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Kentucky
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Lexington, Kentucky, Stany Zjednoczone, 40503
- Pfizer Investigational Site
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Louisville, Kentucky, Stany Zjednoczone, 40213
- Pfizer Investigational Site
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Louisiana
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Baton Rouge, Louisiana, Stany Zjednoczone, 70808
- Pfizer Investigational Site
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New Orleans, Louisiana, Stany Zjednoczone, 70121
- Pfizer Investigational Site
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Massachusetts
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Haverhill, Massachusetts, Stany Zjednoczone, 01830-6141
- Pfizer Investigational Site
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Missouri
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Springfield, Missouri, Stany Zjednoczone, 65807
- Pfizer Investigational Site
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Nebraska
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Omaha, Nebraska, Stany Zjednoczone, 68131
- Pfizer Investigational Site
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Nevada
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Las Vegas, Nevada, Stany Zjednoczone, 89104
- Pfizer Investigational Site
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New York
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Staten Island, New York, Stany Zjednoczone, 10301
- Pfizer Investigational Site
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North Carolina
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Charlotte, North Carolina, Stany Zjednoczone, 28209-3734
- Pfizer Investigational Site
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Statesville, North Carolina, Stany Zjednoczone, 28625
- Pfizer Investigational Site
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Winston-Salem, North Carolina, Stany Zjednoczone, 27103
- Pfizer Investigational Site
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Ohio
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Kettering, Ohio, Stany Zjednoczone, 45429
- Pfizer Investigational Site
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Maumee, Ohio, Stany Zjednoczone, 43537-9402
- Pfizer Investigational Site
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Toledo, Ohio, Stany Zjednoczone, 43606
- Pfizer Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, Stany Zjednoczone, 73103
- Pfizer Investigational Site
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Oregon
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Medford, Oregon, Stany Zjednoczone, 97504
- Pfizer Investigational Site
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Pennsylvania
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Melrose Park, Pennsylvania, Stany Zjednoczone, 19027
- Pfizer Investigational Site
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South Carolina
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Greenville, South Carolina, Stany Zjednoczone, 29615
- Pfizer Investigational Site
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Greer, South Carolina, Stany Zjednoczone, 29651
- Pfizer Investigational Site
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Spartanburg, South Carolina, Stany Zjednoczone, 29303
- Pfizer Investigational Site
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Tennessee
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Milan, Tennessee, Stany Zjednoczone, 38358
- Pfizer Investigational Site
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Texas
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Arlington, Texas, Stany Zjednoczone, 76014-2010
- Pfizer Investigational Site
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Beaumont, Texas, Stany Zjednoczone, 77701
- Pfizer Investigational Site
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Dallas, Texas, Stany Zjednoczone, 75231
- Pfizer Investigational Site
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Dallas, Texas, Stany Zjednoczone, 75230
- Pfizer Investigational Site
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Dallas, Texas, Stany Zjednoczone, 75246
- Pfizer Investigational Site
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El Paso, Texas, Stany Zjednoczone, 79935
- Pfizer Investigational Site
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Houston, Texas, Stany Zjednoczone, 77008
- Pfizer Investigational Site
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Houston, Texas, Stany Zjednoczone, 77083
- Pfizer Investigational Site
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San Antonio, Texas, Stany Zjednoczone, 78229
- Pfizer Investigational Site
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San Antonio, Texas, Stany Zjednoczone, 78229-3900
- Pfizer Investigational Site
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Vermont
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Bennington, Vermont, Stany Zjednoczone, 05201-5018
- Pfizer Investigational Site
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Virginia
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Richmond, Virginia, Stany Zjednoczone, 23249
- Pfizer Investigational Site
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Washington
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Federal Way, Washington, Stany Zjednoczone, 98003
- Pfizer Investigational Site
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Wisconsin
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Menomonee Falls, Wisconsin, Stany Zjednoczone, 53051
- Pfizer Investigational Site
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Opis
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 studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Aktywny 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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Eksperymentalny: 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 mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population
Ramy czasowe: 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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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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.
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Months 1 to 7
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Number of Total Hypoglycemic Events
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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.
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Months 1 to 7
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Change From Baseline in Body Weight at Week 26
Ramy czasowe: Baseline, Week 26
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Body weight value: Change = value at Week 26 minus value at Baseline.
|
Baseline, Week 26
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Change From Baseline in Body Mass Index (BMI) at Week 26
Ramy czasowe: Baseline, Week 26
|
BMI value (kg/m2): Change = value at Week 26 minus value at Baseline.
|
Baseline, Week 26
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Inne miary wyników
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS
Ramy czasowe: Baseline, Week 26
|
HbA1c lab value: Change = value at Week 26 minus value at Baseline.
|
Baseline, Week 26
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Dyrektor Studium: Pfizer CT.gov Call Center, Pfizer
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Rzeczywisty)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Szacowany)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby układu hormonalnego
- Choroby metaboliczne
- Zaburzenia metabolizmu glukozy
- Cukrzyca
- Choroby żywieniowe i metaboliczne
- Cukrzyca typu 2
- Hormony
- Hormony, substytuty hormonów i antagoniści hormonów
- Hormony peptydowe
- Peptydy
- Aminokwasy, peptydy i białka
- Insulina, długo działająca
- Insuliny
- Hormony trzustkowe
- Insulina glargine
- Exubera
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- A2171095
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