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INHALE-1st: Afrezza® For Youth With Newly-Diagnosed Type 1 Diabetes

NCT07224321 · Mannkind Corporation
In plain English

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Official title
INHALE-1st: Technosphere Insulin (Afrezza®) In Combination With Basal Insulin For Youth With Newly-Diagnosed Type 1 Diabetes
About this study
INHALE-1st is a Phase 2, single-arm, multi-center, clinical study evaluating the safety and efficacy of Afrezza in combination with subcutaneously-injected basal insulin (BI) for youth 10 to \<18 years old with newly diagnosed stage 3 type 1 diabetes (T1D). The study will also evaluate the effect of an Afrezza plus BI reigmen on participant and parent/legally authorized representative satisfaction. Participants will be followed for 13 weeks during the main phase followed by an optional Extension Phase for participants continuing to use Afrezza in combination with BI for up to 26 weeks.
Eligibility criteria
Inclusion Criteria: * Age 10 to \<18 years of age * Clinical diagnosis of stage 3 T1D, per the investigator. Stage 3 is defined as hyperglycemia, meeting ADA glycemic and clinical diagnostic criteria * Able to start the Afrezza-BI regimen within 10 days following T1D diagnosis (day 1 is based on the first insulin injection) if not hospitalized with diabetic ketoacidosis (DKA) and within 10 days of hospital discharge if hospitalized with DKA * Forced Expiratory Volume in One Second (FEV1) \>80.0% of predicted Global Lung Function Initiative (GLI) value * Investigator believes that participant can be expected to follow the study protocol * No medical, psychiatric, psychosocial conditions, or medications being taken that in the investigator's judgment would be a safety concern for participation in the study Exclusion Criteria: * Prior insulin treatment for stage 2 T1D * History of chronic lung disease, such as asthma, or chronic obstructive pulmonary disease, lung cancer, or any other clinically important pulmonary disease (e.g., cystic fibrosis, bronchopulmonary dysplasia) in the judgment of the investigator * Allergy or known hypersensitivity to human regular insulin * Smoking (includes cigarettes, cigars, pipes, marijuana, and vaping devices) within 3 months prior to screening and/or positive cotinine test for smoking * Positive urine pregnancy test for female subjects of childbearing potential
Study design
Enrollment target: 100 participants
Allocation: na
Masking: none
Age groups: child
Timeline
Starts: 2026-02
Estimated completion: 2027-07
Last updated: 2026-03-23
Interventions
Drug: Technosphere InsulinDrug: Technosphere InsulinDrug: Basal insulin
Primary outcomes
  • Percentage of participants with Continuous Glucose Meter (CGM) measured time in range (TIR) ≥70% (13 weeks)
Sponsor
Mannkind Corporation · industry
With: Jaeb Center for Health Research
Contacts & investigators
ContactJennifer Pleitez · contact · jpleitez@mannkindcorp.com · 818-661-5032
All locations (2)
Barbara Davis Center for Diabetes Young Adult ClinicRecruiting
Aurora, Colorado, United States
Joslin Diabetes CenterRecruiting
Boston, Massachusetts, United States