Title

Effects of Nasulin Versus Placebo on Blood Glucose Control in Patient Volunteers With Type 2 Diabetes Mellitus
Effects of Nasulin v.Placebo on Blood Glucose Control in Patients With Type 2 DM Treated With Basal Insulin & Oral Antidiabetic Meds, Excluding Secretagogues in Phase 2A, Randomized, Parallel, Double-Blind, Placebo-Controlled, Multi-Center Study
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    insulin human ...
  • Study Participants

    94
The purpose of this study is:

To assess the efficacy of Nasulin vs. placebo as indicated by time spent in euglycemia, assessed by continuous glucose monitoring data and serum fructosamine levels in patient volunteers with Type 2 Diabetes.
To asses the safety and tolerability of Nauslin at 50 IU and 100IU doses in patient volunteers with Type 2 Diabetes
This proof of concept trial has a randomized, parallel, double-blind, placebo-controlled design with a 4-week single-blind placebo and diet run-in period. Given a ratio of 1:1, patient volunteers will be randomized into one of two parallel treatment arms, Nasulin in a combination with insulin glargine or placebo in combination with insulin glargine. The randomization period will be 6 weeks in length. The total length of individual patient volunteer participation, including screening and follow-up will be approximately 13-14 weeks.
Study Started
Jan 31
2009
Primary Completion
Mar 31
2010
Study Completion
Mar 31
2010
Results Posted
May 15
2012
Estimate
Last Update
Dec 13
2013
Estimate

Other Placebo for Nasulin

Basal insulin (glargine) administered as a 1x daily injection in the morning and two placebo sprays administered three times daily just prior to meals for 6 weeks.

Drug Nasulin

Basal insulin (glargine) administered as a 1x daily injection in the morning and two (50 IU) or four (100 IU) sprays of Nasulin (intranasal insulin spray 1%) administered three times daily just prior to meals for 6 weeks.

  • Other names: Intranasal insulin spray 1%

Placebo for Nasulin Placebo Comparator

Placebo for Nasulin Spray

Nasulin Active Comparator

Nasulin (intranasal insulin spray 1%)

Criteria

Inclusion Criteria:

Adults with Type 2 diabetes (18 years of age or older)
Currently treated with basal insulin and OAD(s)
HbA1c range of 6.5 - 10.
BMI less than 41

Exclusion Criteria:

Multiple daily injections of mealtime insulin
Regular use of nasal sprays
Significant nasal pathology
Employed in a job which required irregular shift or night work

Summary

Placebo for Nasulin

Nasulin

All Events

Event Type Organ System Event Term Placebo for Nasulin Nasulin

Continuous Glucose Monitoring (CGM)

Continuous glucose monitoring (CGM) data from patients receiving either Nasulin or placebo were collected and compared at baseline and the last two weeks of the study, and changes (week 5-6 minus baseline) in the mean percentage of time spend in euglycemia (70 to 180 mg/dl blood glucose) (MPTEU) were assessed from baseline Week 0 to Week 5-6.

Placebo for Nasulin

-6.23
Percentage of day (24h) in euglycemia (Mean)
Standard Error: 3.295

Nasulin

-0.72
Percentage of day (24h) in euglycemia (Mean)
Standard Error: 3.361

Overall Glycemic Control

Continuous glucose monitoring (CGM) data from patients at the last weeks of study (week 5-6) were averaged for assessment of glycemic control under the treatment of either Nasulin or placebo.

Placebo for Nasulin

174.64
mg/dl (Mean)
Standard Error: 3.962

Nasulin

163.34
mg/dl (Mean)
Standard Error: 4.134

Total

94
Participants

Age, Continuous

56.3
years (Mean)
Standard Deviation: 9.50

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo for Nasulin

Nasulin