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Insulin

Inhaled Insulin for Diabetes in Children (INHALE-1 Trial)

Phase 3
Waitlist Available
Research Sponsored by Mannkind Corporation
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Clinical diagnosis of type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) per the Investigator and have been using insulin for at least 6 months for T1DM, or at least 3 months for T2DM
Basal insulins are restricted to insulin glargine, insulin degludec or insulin detemir, including biosimilar products
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 56 weeks
Awards & highlights

INHALE-1 Trial Summary

This trial is testing the efficacy and safety of Afrezza, a inhaled insulin, in children with type 1 or 2 diabetes. The trial has a screening and run-in period of up to 5 weeks, followed by a 26-week randomized treatment period, during which subjects will receive either Afrezza or a rapid-acting insulin injection. All subjects will then enter a 26-week treatment extension, during which they will receive Afrezza. The trial will conclude with a 4-week follow-up period.

Who is the study for?
This trial is for kids aged 4-17 with type 1 or type 2 diabetes who have been on insulin therapy and use a continuous glucose monitor (CGM) regularly. They need an HbA1c between 7% and 11%, take at least 2 units of insulin per meal, and have stable internet. Kids can't join if they've had severe hypoglycemia recently, uncontrolled eating disorders, significant lung problems, recent drug/alcohol abuse, or are pregnant.Check my eligibility
What is being tested?
The INHALE-1 study tests Afrezza inhaled insulin combined with long-lasting basal insulin against standard rapid-acting injected insulins plus basal insulin in children. After a six-month comparison phase, all participants will switch to Afrezza for another six months to check its longer-term safety and effectiveness.See study design
What are the potential side effects?
Afrezza may cause coughing, throat pain or irritation when inhaled. Both Afrezza and injected insulins can lead to low blood sugar levels (hypoglycemia), which might be serious. Other possible side effects include weight gain and allergic reactions.

INHALE-1 Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have diabetes and have been using insulin for the required time.
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I am using insulin glargine, degludec, or detemir for my diabetes.
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I am between 4 and 17 years old.
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I have been on a basal-bolus insulin regimen with multiple daily injections for at least 2 weeks.
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I only use rapid-acting insulins like lispro, aspart, or glulisine.
Select...
I take 2 or more units of insulin with each meal.

INHALE-1 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~56 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 56 weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Secondary outcome measures
Change in Fasting Plasma Glucose (FPG)
Event rate of pooled level 2 and level 3 hypoglycemia
Other outcome measures
Change in FPG
Change in HbA1c
Change in percent Time Above Range (glucose >180 mg/dL)
+19 more

Side effects data

From 2020 Phase 2 trial • 30 Patients • NCT02527265
67%
Hypoglycemia
47%
Cough
13%
Dysmenorrhea
7%
Throat irritation
7%
Gastroenteritis
7%
Diabetic ketoacidosis
7%
Constipation
7%
Upper respiratory tract infection
7%
Urine cotinine test positive
7%
Diarrhoea
7%
Arthralgia
7%
Headache
7%
Urinary tract infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Afrezza Cohort 1 (Ages 13-17)
Afrezza Cohort 2 (Ages 8-12)

INHALE-1 Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Afrezza (Technosphere Insulin) + Basal InsulinExperimental Treatment2 Interventions
Individualized dose of Afrezza (Technosphere Insulin) for each patient before each meal (breakfast, lunch, and dinner) for 26 weeks. Individualized basal insulin (insulin degludec, insulin glargine or insulin detemir) for each patient.
Group II: RAA Injection + Basal InsulinActive Control2 Interventions
Individualized dose of RAA injection (insulin aspart, insulin lispro or insulin glulisine) for each patient for 26 weeks. Individualized basal insulin (insulin degludec, insulin glargine or insulin detemir) for each patient.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Basal Insulin
2013
Completed Phase 3
~1500
Afrezza
2017
Completed Phase 2
~30

Find a Location

Who is running the clinical trial?

Mannkind CorporationLead Sponsor
56 Previous Clinical Trials
7,761 Total Patients Enrolled
Jaeb Center for Health ResearchOTHER
152 Previous Clinical Trials
34,415 Total Patients Enrolled
Kevin KaisermanStudy DirectorMannkind Corporation

Media Library

Afrezza (Insulin) Clinical Trial Eligibility Overview. Trial Name: NCT04974528 — Phase 3
Type 1 Diabetes Research Study Groups: Afrezza (Technosphere Insulin) + Basal Insulin, RAA Injection + Basal Insulin
Type 1 Diabetes Clinical Trial 2023: Afrezza Highlights & Side Effects. Trial Name: NCT04974528 — Phase 3
Afrezza (Insulin) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04974528 — Phase 3
Type 1 Diabetes Patient Testimony for trial: Trial Name: NCT04974528 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any other ongoing trials that are testing Afrezza's effects?

"According to our research, 114 clinical trials involving Afrezza are currently ongoing with 26 of them in Phase 3. Tustin, California appears to be a hub for this medication with 801 total locations running trials."

Answered by AI

Are there any harmful side effects associated with Afrezza?

"Our team at Power estimates that Afrezza is safe to use, scoring it a 3 on our safety scale. This is because Afrezza is a Phase 3 trial drug, meaning that there is some data supporting its efficacy and multiple rounds of data supporting its safety."

Answered by AI

Is this a fully enrolled clinical trial or are there still opportunities for people to participate?

"The trial is currently ongoing and searching for participants. The study was first posted on September 29th, 2021 with the most recent update occurring on November 4th, 2022."

Answered by AI

Are there numerous sites within the US conducting this research?

"There are a total of 32 sites where this clinical trial is being offered, with locations such as Hassenfeld Children's Hospital at NYU Langone in New york, Cincinnati Children's Hospital in Cincinnati, and the University of Louisville Research Foundation/KCPCRU in Louisville."

Answered by AI

Can people who are younger than 40 years old participate in this experiment?

"The age bracket that this clinical trial is recruiting people from is 4 years old up to 17 years old."

Answered by AI

For what reasons is Afrezza most commonly recommended?

"Afrezza can be used as an effective treatment for communicable diseases, liraglutide, and exercise."

Answered by AI

How many patients are being given this new medication to test its effects?

"In order to initiate this clinical trial, 264 willing and eligible patients are required. These participants can be sourced from various locations, such as the University of Louisville Research Foundation/KCPCRU in Louisville, Kentucky or Cincinnati Children's Hospital in Cincinnati, Ohio."

Answered by AI

How can I sign up to help with this research?

"This trial is currently recruiting 264 participants aged 4-17 with type 2 diabetes mellitus. Key inclusion criteria are as follows: must have assent from the pediatric subject (if appropriate) and informed consent from parent or legal guardian, be diagnosed with T1DM or T2DM, have been using insulin for at least 6 months (T1DM) or 3 months (T2DM), be on basal-bolus insulin therapy delivered by multiple daily injections for at least 2 weeks, use bolus insulins lispro/aspart/glulisine or biosimilar products and basal insulins glargine/deg"

Answered by AI

Who else is applying?

What state do they live in?
Texas
Other
Pennsylvania
Maryland
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
2
3+
0
What site did they apply to?
Children's Hospital Los Angeles
Children's Hospital of Philadelphia
Center of Excellence in Diabetes and Endocrinology, CEDE
Other

Why did patients apply to this trial?

To help with trial medicine. To reduce my diabetic medications. I'm trying to control my blood sugar.
PatientReceived no prior treatments
Ive tried three other drugs, and now im hoping this clinical trial helps.
PatientReceived 2+ prior treatments
~36 spots leftby Sep 2024