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Afrezza

Phase 4FDA approved 2014

Type 1 Diabetes Mellitus | Monoclonal antibody | Metabolic |MannKind Corporation|Trials Updated: May 6, 2025

Afrezza development status

FDA approval Jun 27, 2014
Approval holderMannkind
ApplicationBLA022472
Highest phase Phase 4 (NCT05904743)
Phase scored for MNKDPhase 3
Registered trials 3 across 1 sponsor since Aug 2015

Label indication AFREZZA ® is indicated to improve glycemic control in adult and pediatric patients 6 years of age and older with diabetes mellitus. AFREZZA ® is a rapid acting inhaled human insulin indicated to improve glycemic control in adult and pediatric patients 6 years of age and older with diabetes mellitus. FDA label

Afrezza target and mechanism

ModalityMonoclonal antibody

Also known as Technosphere Insulin

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment349

FDA Designations

No designations recorded

Afrezza clinical trials

Afrezza · 2 trials · 3 indications

Phase 3 1Phase 2 1
NCT04974528Afrezza® INHALE-1 Study in PediatricsDiabetes Mellitus, Type 1
COMPLETED319 Analytics
PHASE3COMPLETED
Afrezza® INHALE-1 Study in Pediatrics
Diabetes Mellitus, Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Change in HbA1c
26 weeks

Change in HbA1c from baseline to Week 26, for noninferiority assessment

Insulin Maximum Observed Concentration (Cmax)
250 minutes post-dose

Insulin Cmax after a dose of Afrezza

Secondary Endpoints

Change in Fasting Plasma Glucose (FPG)
26 weeks
Event rate of pooled level 2 and level 3 hypoglycemia
26 weeks
Change in HbA1c
26 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Afrezza (Technosphere Insulin) + Basal InsulinEXPERIMENTALIndividualized 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.
RAA Injection + Basal InsulinACTIVE_COMPARATORIndividualized 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.
Afrezza (Technosphere Insulin)EXPERIMENTALIndividualized dose of Afrezza (Technosphere Insulin) for each patient at each meal (breakfast, lunch, and dinner) for 30 days. During the trial, all patients will receive multiple injections of basal long acting insulin, in general at bedtime every day.

Interventions

NameTypeDescription
AfrezzaBIOLOGICALPharmaceutical form: powder Route of administration: inhalation
Rapid-acting Insulin AnalogBIOLOGICALPharmaceutical form: clear and colorless solution for injection Route of administration: subcutaneous
Basal InsulinBIOLOGICALPharmaceutical form: solution for injection Route of administration: subcutaneous
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Eligibility Criteria

Age Range4 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: * Assent from the pediatric subject, as appropriate, and fully informed consent from the parent(s) or legal guardian, as required by both state and federal laws and the local Institutional Review Board (IRB) * Subjects ≥4 and \<18 years of age * Clinical diagnosis of type 1 diab...

Countries:United States
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Frequently asked questions about Afrezza

What is Afrezza used for in Type 1 Diabetes Mellitus?

Afrezza is an inhaled insulin product developed by MannKind Corporation for the treatment of Type 1 Diabetes Mellitus. It is being studied in pediatric patients with Type 1 and Type 2 diabetes, including a Phase 3 trial in children as young as 4 years old.

Who makes Afrezza?

Afrezza is made by MannKind Corporation, which trades on the Nasdaq under the ticker MNKD. MannKind is the developer responsible for the Afrezza program, including the pediatric clinical studies conducted in the United States.

What phase is Afrezza in?

Afrezza has been evaluated in a Phase 3 pediatric study, the INHALE-1 trial, and an earlier Phase 2 safety and pharmacokinetics study in pediatric patients. Both trials are listed as completed, and no Afrezza trials are currently active.

What clinical trials is Afrezza in?

Afrezza has been studied in two completed trials. NCT04974528, the Phase 3 INHALE-1 pediatric study, enrolled 319 participants with Type 1 or Type 2 diabetes. NCT02527265, a Phase 2 safety and pharmacokinetics study, enrolled 30 pediatric patients with Type 1 Diabetes Mellitus.

How many patients were enrolled in Afrezza trials?

The two completed Afrezza trials together enrolled 349 participants. The Phase 3 INHALE-1 study contributed 319 of those participants, and the Phase 2 pediatric safety and pharmacokinetics study contributed 30. Both studies enrolled patients aged 4 years and older in the United States.

Were the Afrezza trials randomized and controlled?

Yes. The Afrezza trials were randomized and used an active-controlled design, meaning participants received a comparator treatment rather than a placebo. The studies were not double-blind, and enrollment was not restricted to patients selected by a biomarker.