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Inhaled Technosphere Insulin in Subjects With Diabetes Mellitus and Asthma

Phase 3
Terminated
Conditions
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Asthma
Registration Number
NCT00332826
Lead Sponsor
Mannkind Corporation
Brief Summary

The clinical trial is designed to evaluate the safety of inhaled Technosphere/Insulin compared with non-inhaled anti-diabetic therapies in subjects with type 1 or type 2 diabetes mellitus and concurrent asthma.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
3
Inclusion Criteria
  • A clinical diagnosis of Step 1 to 3 asthma as per the NAEPP guidelines
  • Clinical diagnosis of Type 1 or Type 2 diabetes mellitus for at least 1 year
  • Current stable anti-diabetic regimen (insulin alone or in combination with oral anti-hyperglycemic agents)
  • Subjects must exhibit <30% variability in PEF measurements during the 2 week run in period.
  • Subjects must not meet any criteria for exacerbations of asthma during the 2 week run in period
  • Body mass index (BMI) < 40kg/m2
  • HbA1c >6.0% to <11.5%
Exclusion Criteria
  • Severe complications of diabetes in the opinion of the investigator
  • Seizure disorder
  • Significant cardiovascular dysfunction and/or history within 3 months of screening
  • Hypertension with systolic blood pressure of !80 mm Hg and/or diastolic blood pressure >110 mm HG at screening despite pharmacologic therapy.
  • Clinical nephrotic syndrome or renal dysfunction or disease
  • Total daily insulin requirement of >1.4 U/kg body weight
  • Clinical diagnosis of Step 4 asthma
  • Use of >6 puffs/day of fast acting bronchodilator
  • Currently using an insulin delivery pump
  • Use of Pramlintide acetate or any incretins must be discontinued 8 weeks prior to screening
  • Two or more severe hypoglycemic episodes within the past 6 months.
  • Any hospitalization or emergency room visit due to poor diabetic control with 6 months of screening.
  • Current use of systemic steroids
  • Subjects who currently smoke tobacco or who have smoked within the past 6 months
  • Urine cotinine test of > 100ng/ml
  • Current drug or alcohol abuse
  • Clinically significant abnormalities on screening laboratory evaluation
  • Cancer within the past 5 years or any history of lung neoplasms
  • History of active and/or cirrhotic hepatic disease and/or abnormal liver enzymes.
  • Active infection or history of severe infection with 30 days of screening.
  • Anemia
  • History of anaphylaxis and/or angioneurotic edema
  • Diagnosis of chronic obstructive pulmonary disease (COPE)
  • Previous exposure to any inhaled insulin product

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The primary safety outcome will be measurements of post bronchodilator FEV1 throughout the treatment period
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (77)

Arizona Research Center

🇺🇸

Phoenix, Arizona, United States

Northwest Medical Center

🇺🇸

Phoenix, Arizona, United States

Premiere Pharmaceutical Research LLC

🇺🇸

Tempe, Arizona, United States

Canyon Internal Medicine

🇺🇸

Tucson, Arizona, United States

Associated Pharmaceutical Research Center Inc

🇺🇸

Buena Park, California, United States

Family Medical Center

🇺🇸

Foothill Ranch, California, United States

Health Care Partners Medical Group

🇺🇸

Long Beach, California, United States

Golden Pine Clinical Research

🇺🇸

Long Beach, California, United States

Keck USC School of Medicine

🇺🇸

Los Angeles, California, United States

Pinaccle Trials Inc (SMO)

🇺🇸

Atlanta, Georgia, United States

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Arizona Research Center
🇺🇸Phoenix, Arizona, United States

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