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Technosphere Insulin

Phase 3

Type 1 Diabetes Mellitus | Small molecule | Metabolic |MannKind Corporation|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment635
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01445951Clinical Trial Evaluating Technosphere® Insulin Versus Insulin Aspart in Subjects With Type 1 Diabetes Mellitus Over a 24-week Treatment PeriodPHASE3 COMPLETED 518Sep 1, 2011Jun 1, 2013Oct 22, 201490 United States, Brazil +2
NCT07224321INHALE-1st: Afrezza® For Youth With Newly-Diagnosed Type 1 DiabetesPHASE2 RECRUITING 100Feb 4, 2026Sep 1, 2027May 22, 202610 United States
NCT01544881Comparison of Technosphere Insulin Inhalation Powder & Subcutaneous Rapid-Acting Analog in Subjects With Type 1 DiabetesPHASE1 COMPLETED 17Mar 1, 2012Jan 1, 2013Jan 25, 20131 United States
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Study Endpoints
Primary Endpoints
Change From Baseline to Week 24 in HbA1c
Baseline to Week 24

Effect of treatment as measured by change from baseline in glycated hemoglobin (HbA1c). Primary treatment difference is TI-Gen2 vs. Insulin Aspart at Week 24

Percentage of participants with Continuous Glucose Meter (CGM) measured time in range (TIR) ≥70%
13 weeks

Percentage of participants with a CGM-measured TIR 70-180 mg/dL ≥70% during 14 days prior to 13-week visit

PK measures for TI Inhalation Powder (20U) as measured by area under the concentration-time curve (AUC 0-360) - timepoints: 0, 3, 6, 9, 12, 15, 20, 30, 40, 50, 60, 75, 90, 105, 120, 150, 180, 240, 300 and 360 minutes post-TI dosing
Crossover 1 time within 3 - 10 days
PK measures for RAA (8U) as measured by area under the concentration-time curve (AUC 0-360) - timepoints 0, 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 105, 120, 150, 180, 210, 240, 270, 300 and 360 minutes post-RAA dosing
Crossover 1 time within 3 - 10 days
Secondary Endpoints
FEV1 Change From Baseline to Week 24
Baseline to Week 24
FPG Change From Baseline to Week 24
Baseline to Week 24
Mean 7-point Glucose Baseline Values
Baseline
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Technosphere® Insulin with MedTone C InhalerEXPERIMENTALSubjects will receive TI with the MedToneC inhaler and remain on the basal insulin they were taking prior to study entry
Aspart GroupACTIVE_COMPARATORSubjects will receive insulin aspart and remain on the basal insulin they were taking prior to study entry
Technosphere ® Insulin-Gen2 GroupEXPERIMENTALSubject will receive Technosphere Insulin with Gen2 Inhaler and remain on the basal insulin they were taking prior to study entry
Afrezza (Technosphere Insulin) + Basal InsulinEXPERIMENTALIndividualized dose of Afrezza (Technosphere Insulin) and basal insulin for each patient before each meal (breakfast, lunch, and dinner) for 13 weeks.
TI Inhalation PowderEXPERIMENTALTechnosphere Insulin Inhalation Powder using the Gen2C inhaler
RAAACTIVE_COMPARATORRapid Acting Analog
Interventions
NameTypeDescription
Technosphere® Insulin with MedTone C InhalerDRUGInhalation Powder and injectable insulin
Technosphere ®Insulin with Gen2 InhalerDRUGInhalation Powder and injectable insulin
Insulin Aspart in combination with a basal insulinDRUGInjectable insulin
Technosphere InsulinDRUG2 unit
Basal insulinDRUGsubcutaneously-injected basal insulin
Technosphere Insulin Inhalation PowderDRUGInhalation Powder using the Gen2C inhaler
Rapid Acting AnalogDRUGSubcutaneous Injection
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites90

Inclusion Criteria: * Men and women = 18 years of age * Clinical diagnosis of type 1 diabetes mellitus for at least 12 months * Body mass index (BMI) = 38 kg/m2 * Stable dose of basal/bolus insulin therapy for at least 3 months with an FPG consistently \< 220 mg/dL: * HbA1c = 7.5% and = 10.0% * Fas...

Countries:United StatesBrazilRussiaUkraine
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT07224321primaryCompletionDate: changed
LOWMay 24, 2026NCT07224321studyFirstPostDate: changed