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Human Insulin

Phase 3

Diabetes Mellitus | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: Sep 17, 2019

Target and mechanism

ModalitySmall molecule

Also known as Human Insulin Inhalation Powder, human insulin inhalation powder (HIIP)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment299

FDA Designations

No designations recorded

Clinical trial landscape

Human Insulin · 9 trials · 5 indications

Phase 3 7Phase 2 2
NCT00437112Evaluate the Efficacy and Safety of Insulin Compared to Glargine in Patients With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED142 Analytics
NCT00355849Evaluate the Efficacy and Safety of Insulin in Patients With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED555 Analytics
NCT00356109Evaluate the Efficacy of Insulin Patients With Type 1 DiabetesDiabetes Mellitus, Type 1
COMPLETED494 Analytics
NCT00330473A Concordance Study Comparing Insulin Treatments in Patients With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED1,019 Analytics
NCT00325364Study of Human Insulin Inhalation Powder in Patients With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED415 Analytics
NCT00157339Safety and Efficacy of Inhaled Insulin in Patients With Diabetes and Asthma or COPDDiabetes Mellitus
COMPLETED299 Analytics
NCT00127634Study of Human Insulin Inhalation Powder in Patients With Type 1 DiabetesDiabetes Mellitus, Type 1
COMPLETED385 Analytics
PHASE3COMPLETED
Evaluate the Efficacy and Safety of Insulin Compared to Glargine in Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Evaluate the Efficacy and Safety of Insulin in Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Evaluate the Efficacy of Insulin Patients With Type 1 Diabetes
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE3COMPLETED
A Concordance Study Comparing Insulin Treatments in Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Study of Human Insulin Inhalation Powder in Patients With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Inhaled Insulin in Patients With Diabetes and Asthma or COPD
Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Study of Human Insulin Inhalation Powder in Patients With Type 1 Diabetes
Diabetes Mellitus, Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Compare, in insulin-naive patients with type 2 diabetes on one or more oral antihyperglycemic medications, a regimen adding mealtime HIIP versus a regimen adding insulin glargine with respect to change in HbA1c from baseline to endpoint.
56 weeks
To compare in patients who at study entry have type 2 diabetes not optimally controlled by one or more oral antihyperglycemic medications plus once daily insulin glargine, a regimen that may include mealtime AIR Insulin.
24 weeks
To test that preprandial AIR Insulin is non-inferior to preprandial injectable insulin (insulin lispro) with respect to mean change in HbA1c from baseline to endpoint.
6 months
To assess acceptance of insulin therapy
9 months
To assess blood sugar control as measured by HbA1c
baseline, 1,3,5,7,9 months
To assess the change in baseline to endpoint in HbA1c in Type II diabetic patients comparing inhaled human insulin to injectable insulin
6 months
To test the hypothesis that the glycemic control achieved with preprandial Human Insulin Inhalation Powder is noninferior to that achieved with injectable insulin, as measured by mean change from baseline to endpoint in HbA1c.
12 months
To assess change in baseline to endpoint in HbA1c in type 1 diabetic patients.
24 months
Mean change in Hemoglobin A1c (HbA1c) from baseline to the end of each treatment period of Primary Phase
24, 48 and 76 weeks after Randomization
test the hypothesis that preprandial HIIP plus insulin glargine is noninferior to preprandial injectable insulin (regular human insulin or insulin lispro) plus insulin glargine with respect to HbA1c
12 weeks per therapy

Secondary Endpoints

Mean change in HbA1c from baseline to various timepoints
56 weeks
Insulin dose requirements
56 weeks
Patient-reported outcomes of W-BQ12
screening,baseline, week 12,24, and 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL4 week pretreatment phase consists of continuation of usual OAM therapy 24 week treatment period with insulin glargine and OAM continuation followed by 24 week treatment period with HIIP and OAM continuation 8 week follow up period
2EXPERIMENTAL4 week pretreatment phase consists of continuation of usual OAM therapy 24 week treatment period with HIIP and OAM continuation followed by 24 week treatment period with insulin glargine and OAM continuation 8 week follow up period
3EXPERIMENTALIntensified Glargine plus HIIP
AEXPERIMENTAL -
BACTIVE_COMPARATOR -

Interventions

NameTypeDescription
Human Insulin Inhalation PowderDRUGpatient specific dose, inhaled, before meals, 24 weeks
Insulin GlargineDRUGpatient specific dose, injectable, before meals, 24 weeks
Injectable insulinDRUGpatient specific dose, injected, before meals, 6 months
InsulinDRUGpatient specific dose, oral or injectable, before meals and/or as needed, 9 months. ( patients and investigator determine standard option therapy)
injected insulinDRUGpatient specific dose, injected, before meals, 12 months.
Neutral protamine hagedorn insulinDRUGpatient specific dose, injected, daily, 76 weeks
human insulin inhalation powder (HIIP)DRUG* Administer HIIP within 15 minutes before meals. * Administer doses in one-capsule increments equivalent to approximately 2 IU or 6 IU of subcutaneous insulin. * Target treatment goals during the treatment sequence are the same as for patients using preprandial injectable insulin
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Type 2 Diabetes Mellitus * Insulin naive * One or more oral antihyperglycemic medications * HbA1c greater than or equal to 8.0% and less than or equal to 10.5% * Non-smoker Exclusion Criteria: * Taking a TZD dose greater than what is indicated * Have not taken insulin within...

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