About this trial
INHALE-1st is a Phase 2, single-arm, multi-center, clinical study evaluating the safety and efficacy of Afrezza in combination with subcutaneously-injected basal insulin (BI) for youth 6 to \<18 years old with newly diagnosed stage 3 type 1 diabetes (T1D). The study will also evaluate the effect of an Afrezza plus BI reigmen on participant and parent/legally authorized representative satisfaction. Participants will be followed for 13 weeks during the main phase followed by an optional Extension Phase for participants continuing to use Afrezza in combination with BI for up to 26 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 6 to <18 years of age
Clinical diagnosis of stage 3 T1D, per the investigator. Stage 3 is defined as hyperglycemia, meeting ADA glycemic and clinical diagnostic criteria
Able to start the Afrezza-BI regimen within 21 days following T1D diagnosis (day 1 is based on the first insulin dose)
Forced Expiratory Volume in One Second (FEV1) >80.0% of predicted Global Lung Function Initiative (GLI) value
Disqualifiers
Prior insulin treatment for stage 2 T1D
In the judgment of the investigator, history of chronic lung disease, such as asthma, or chronic obstructive pulmonary disease, lung cancer, or any other clinically important pulmonary disease (e.g., cystic fibrosis, bronchopulmonary dysplasia)
Allergy or known hypersensitivity to human regular insulin
Smoking (includes cigarettes, cigars, pipes, marijuana, and vaping devices) within 3 months prior to screening and/or positive cotinine test for smoking
Trial design
Single group
Treatments tested in this trial
Technosphere Insulin
Drug2 unit
Technosphere Insulin
Drug4, 8, 12 units
Basal insulin
Drugsubcutaneously-injected basal insulin
Treatment groups
Trial outcomes
Primary outcomes
Percentage of participants with Continuous Glucose Meter (CGM) measured time in range (TIR) ≥70%
Percentage of participants with a CGM-measured TIR 70-180 mg/dL ≥70% during 14 days prior to 13-week visit
Secondary outcomes
Mean Continuous Glucose Monitoring (CGM) glucose
Mean CGM glucose from baseline to 13 weeks
Continuous Glucose Monitoring (CGM) measured time-in-tight-range 70-140 mg/dL
Continuous Glucose Monitoring (CGM) measured time-in-tight-range 70-140 mg/dL from baseline to 13 weeks
Continuous Glucose Monitoring (CGM) measured percent time with glucose greater than 180 mg/dL
CGM-measured percent time with glucose \> 180 mg/dL from baseline to 13 weeks
Continuous Glucose Monitoring (CGM) measured time with glucose greater than 250 mg/dL
Continuous Glucose Monitoring (CGM) measured time with glucose greater than 250 mg/dL from baseline to 13 weeks
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Mannkind Corporation
Lead sponsor
Jaeb Center for Health Research
Collaborator