Efficacy and Safety of Inhaled Insulin Compared to Metformin and Glimepiride in Type 2 Diabetes

Overview[ - collapse ][ - ]

Purpose This trial is conducted in Europe, Asia, North America and South America. The aim of this research trial is to compare the efficacy of inhaled insulin to glimepiride and metformin combination therapy in treatment of subjects with type 2 diabetes and to verify the safety of use (hypoglycaemia, pulmonary function, body weight, insulin antibodies and side effects).
ConditionDiabetes
Diabetes Mellitus, Type 2
InterventionDrug: inhaled human insulin
Drug: metformin
Drug: glimepiride
Drug: inhaled human insulin
PhasePhase 3
SponsorNovo Nordisk A/S
Responsible PartyNovo Nordisk A/S
ClinicalTrials.gov IdentifierNCT00469586
First ReceivedMay 3, 2007
Last UpdatedJuly 9, 2012
Last verifiedJuly 2012

Tracking Information[ + expand ][ + ]

First Received DateMay 3, 2007
Last Updated DateJuly 9, 2012
Start DateApril 2007
Estimated Primary Completion DateApril 2008
Current Primary Outcome MeasuresHbA1c change from baseline [Time Frame: After 18 weeks of treatment] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Adverse events [Time Frame: For the duration of the trial] [Designated as safety issue: No]
  • Body weight [Time Frame: after 18 weeks of treatment] [Designated as safety issue: No]
  • Lung function [Time Frame: after 18 weeks of treatment] [Designated as safety issue: No]
  • Blood glucose [Time Frame: after 18 weeks of treatment] [Designated as safety issue: No]
  • Hypoglycaemia [Time Frame: after 18 weeks of treatment] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleEfficacy and Safety of Inhaled Insulin Compared to Metformin and Glimepiride in Type 2 Diabetes
Official TitleEfficacy and Safety of Inhaled Prandial Insulin Compared to Metformin Plus Glimepiride in Type 2 Diabetes
Brief Summary
This trial is conducted in Europe, Asia, North America and South America. The aim of this
research trial is to compare the efficacy of inhaled insulin to glimepiride and metformin
combination therapy in treatment of subjects with type 2 diabetes and to verify the safety
of use (hypoglycaemia, pulmonary function, body weight, insulin antibodies and side
effects).
Detailed Description
The decision to discontinue the development of AERx® is not due to any safety concerns. An
analysis concluded that fast-acting inhaled insulin in the form it is known today, is
unlikely to offer significant clinical or convenience benefits over injections of modern
insulin with pen devices.
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Diabetes
  • Diabetes Mellitus, Type 2
InterventionDrug: inhaled human insulin
Treat-to-target dose titration scheme, pre-prandial, inhalation.
Other Names:
NN1998Drug: metformin
Tablets, 2000 mg/day.
Drug: glimepiride
Tablets, 4 mg/day.
Drug: inhaled human insulin
Treat-to-target dose titration scheme, post-prandial, inhalation.
Other Names:
NN1998
Study Arm (s)
  • Experimental: A
  • Experimental: B
  • Active Comparator: C

Recruitment Information[ + expand ][ + ]

Recruitment StatusTerminated
Estimated Enrollment174
Estimated Completion DateApril 2008
Estimated Primary Completion DateApril 2008
Eligibility Criteria
Inclusion Criteria:

- Type 2 diabetes

- Treated with OADs for more than or equal to 3 months

- HbA1c greater than or equal to 8.0% and less than or equal to 11.0%

- Body Mass Index (BMI) less than or equal to 40.0 kg/m2

Exclusion Criteria:

- Recurrent major hypoglycaemia

- Current smoking or smoking within the last 6 months

- Impaired hepatic or renal function

- Cardiac problems

- Uncontrolled hypertension

- Proliferative retinopathy or maculopathy
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesArgentina, Austria, Belgium, Bulgaria, Canada, France, India, Israel, Mexico, Poland, Turkey

Administrative Information[ + expand ][ + ]

NCT Number NCT00469586
Other Study ID NumbersNN1998-1787
Has Data Monitoring CommitteeNo
Information Provided ByNovo Nordisk A/S
Study SponsorNovo Nordisk A/S
CollaboratorsNot Provided
Investigators Study Director: Dorthe Lyngsoe Vuylsteke Novo Nordisk A/S
Verification DateJuly 2012

Locations[ + expand ][ + ]

Argentina
Buenos Aires, Argentina
Austria
Vienna, Austria
Belgium
Leuven, Belgium
Bulgaria
Sofia, Bulgaria
Canada
Edmonton, Canada
France
Narbonne, France
India
Hyderabad, India
Israel
Beer Sheva, Israel
Mexico
Mexico City, Mexico
Poland
Gdansk, Poland
Turkey
Istanbul, Turkey