| Primary | Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the Per Protocol (PP) Population | HbA1c lab value: Change = value at Week 26 minus value at Baseline. | Per protocol (PP)=Full Analysis Set (FAS) subjects (i.e., had >=1 study drug dose and >=1 post-baseline measurement) with >=12 weeks treatment and no major protocol violation. LOCF imputed missing data with any post-baseline visit. Number of subjects with HbA1c values at Baseline and Week 26: inhaled human insulin n=154, insulin glargine n=157. | Posted | | Mean | Standard Deviation | percent | | Baseline, Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
| | | Title | Denominators | Categories |
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| | | Title | Measurements |
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| - OG000-2.01± 1.39
- OG001-1.75± 1.40
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| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
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| The null hypothesis was that the inhaled human insulin group was inferior to the insulin glargine group with respect to 26-week change from baseline in HbA1c, while the alternate hypothesis is that the inhaled human insulin group was not inferior to the insulin glargine group with respect to 26-week change from baseline in HbA1c, given the predetermined non-inferiority margin of 0.4%. | ANCOVA | | <0.0001 | | Mean Difference (Final Values) | -0.19 | | | | 95 | -0.38 | 0 | | | A confidence interval (CI) approach was presented with a two-sided 95% CI of the difference between treatment and control. | | Non-Inferiority or Equivalence |
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| Secondary | Percentage of Subjects Achieving Glycemic Control (HbA1c < 6.5%) at Week 26 | Percentage of subjects with glycosylated hemoglobin A1c lab value less than 6.5%. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with HbA1c < 6.5% at Week 26: inhaled human insulin n=72, insulin glargine n=42. | Posted | | Number | | percentage of participants | | Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Percentage of Subjects Achieving Glycemic Control (HbA1c < 7.0%) at Week 26 | Percentage of subjects with glycosylated hemoglobin A1c lab value less than 7.0%. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with HbA1c < 7.0% at Week 26: inhaled human insulin n=127, insulin glargine n=90. | Posted | | Number | | percentage of participants | | Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Percentage of Subjects Achieving Glycemic Control (HbA1c < 8.0%) at Week 26 | Number of subjects with glycosylated hemoglobin A1c lab value less than 8.0%. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with HbA1c < 8.0% at Week 26: inhaled human insulin n=162, insulin glargine n=158. | Posted | | Number | | percentage of participants | | Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Fasting Plasma Glucose at Week 26 | Fasting plasma glucose lab value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with fasting plasma glucose at Baseline and Week 26: inhaled human insulin n=202, insulin glargine n=189. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Fasting and Postprandial Blood Glucose as Determined by Standardized Meal Tolerance Tests at Week 26 | Postprandial blood glucose lab value (Time 0 min [fasting], Time 30 min, Time 60 min, Time 90 min, Time 120 min, Time 180 min): Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with fasting and postprandial blood glucose measurements determined by standardized meal tolerance tests at Baseline and Week 26: n=inhaled human insulin, insulin glargine. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Postprandial Blood Glucose as Measured by 8-Point Profiles at Week 26 | Post-prandial=after a meal. 8-point scale: (1 = before breakfast, 2 = 2 hours post breakfast, 3 = before lunch, 4 = 2 hours post lunch, 5 = before dinner, 6 = 2 hours post dinner, 7 = at bedtime, 8 = overnight [between 2 and 4 am]). Postprandial blood glucose lab value: Change = value at Week 26 minus value at Baseline. | FAS = all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with postprandial blood glucose measurements as measured by 8-point profiles at Baseline and Week 26: n=inhaled human insulin, insulin glargine. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Lipids at Week 26 | Lipid (total cholesterol, high density lipoprotein cholesterol [HDL-c], low density lipoprotein cholesterol [LDL-c], triglycerides) lab value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with lipids data at Baseline and Week 26: n=inhaled human insulin, insulin glargine. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Cardiovascular (CV) Biomarkers High Sensitivity C-reactive Protein (Hs-CRP), Leptin, and Spot Urine Microalbumin at Week 26 | CV biomarker (hs-CRP, Leptin, and Spot Urine Microalbumin) lab value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with CV biomarker data (hs-CRP, leptin, and spot urine microalbumin) at Baseline and Week 26: n=inhaled human insulin, insulin glargine. | Posted | | Mean | Standard Deviation | mg/L | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in CV Biomarkers Adiponectin and Apolipoprotein B (ApoB) at Week 26 | CV biomarker (adiponectin and ApoB) lab value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with CV biomarker data (adiponectin and ApoB) at Baseline and Week 26: n=inhaled human insulin, insulin glargine. | Posted | | Mean | Standard Deviation | mg/mL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in 24-Hour Continuous Glucose Monitoring System (CGMS) Glucose Values at Week 26 | 24-Hour CGMS glucose lab value was obtained using the Medtronic MiniMed CGMS. Not all subjects were offered the opportunity to participate in this assessment. Change = value at Week 26 minus value at Baseline. | FAS-CGMS=all subjects with at least 1 study drug dose, at least 1 post-baseline measurement, and who participated in a 24-hour CGMS substudy. LOCF imputed missing data with any post-baseline visit. Number of subjects who participated in the substudy with 24-hour CGMS values at Baseline and Week 26: inhaled human insulin n=2, insulin glargine n=8. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Mean Standard Deviation (SD) of 24-Hour Glucose Values Measured by CGMS at Week 26 | SD of 24-Hour CGMS glucose lab value obtained using the Medtronic MiniMed CGMS. Not all subjects were offered the opportunity to participate in this assessment. Change = value at Week 26 minus value at Baseline. | FAS-CGMS=all subjects with at least 1 study drug dose, at least 1 post-baseline measurement, and who participated in a 24-hour CGMS substudy. LOCF imputed missing data with any post-baseline visit. Number of subjects who participated in the substudy with 24-hour CGMS values at Baseline and Week 26: inhaled human insulin n=2, insulin glargine n=8. | Posted | | Mean | Standard Deviation | mg/dL | | Baseline, Week 26 | | | | ID | Title | Description |
|---|
| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Number of Subjects With Hypoglycemic Events | A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. An event was severe if the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. | Safety population=all subjects who took at least 1 dose of study drug. Number of subjects with at least 1 hypoglycemic event during the course of the study that were evaluable at the specified month: n=inhaled human insulin, insulin glargine. | Posted | | Number | | participants | | Months 1 to 7 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Number of Total Hypoglycemic Events | A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. Total=events during the study. | Safety population=all subjects who took at least 1 dose of study drug. Number of subjects with at least 1 hypoglycemic event during the course of the study that were evaluable at the specified month: n=inhaled human insulin, insulin glargine. | Posted | | Number | | events | | Months 1 to 7 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Number of Total Subject Months of Treatment | Number of total subject months of treatment. Subject months = number of days from start of treatment to the last day of active treatment + 1 day lag, including off-drug time)/30.44. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. | Safety population=all subjects who took at least 1 dose of study drug. Number of subjects with at least 1 hypoglycemic event during the course of the study that were evaluable at the specified month: n=inhaled human insulin, insulin glargine. | Posted | | Number | | subject months | | Months 1 to 7 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Crude Hypoglycemic Event Rate | crude event rate=(events)/(subject-months). Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Overall=mild, moderate, and severe. | Safety population=all subjects who took at least 1 dose of study drug. Number of subjects with at least 1 hypoglycemic event during the course of the study that were evaluable at the specified month: n=inhaled human insulin, insulin glargine. | Posted | | Number | | events / subject-months | | Months 1 to 7 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Number of Nocturnal Hypoglycemic Events | A hypoglycemic event was identified by characteristic symptoms or blood glucose levels. Severe=the subject was unable to treat him/herself; had at least 1 neurological symptom; or blood glucose of < = 49 mg/dL. Events not meeting all 3 criteria were considered mild-moderate. Nocturnal hypoglycemia=event occuring from midnight to 5:59 am. | Safety population=all subjects who took at least 1 dose of study drug. | Posted | | Number | | events | | Months 1 to 7 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Body Weight at Week 26 | Body weight value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with body weight measurements at Baseline and Week 26: inhaled human insulin n=192, insulin glargine n=183. | Posted | | Mean | Standard Deviation | kg | | Baseline, Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Body Mass Index (BMI) at Week 26 | BMI value (kg/m2): Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Number of subjects with BMI measurements at Baseline and Week 26: inhaled human insulin n=192, insulin glargine n=183. | Posted | | Mean | Standard Deviation | kg/m2 | | Baseline, Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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| Secondary | Change From Baseline in Diabetes Treatment Satisfaction Questionnaire-Status, Diabetes Treatment Satisfaction Questionnaire-Change, Diabetes-39, Mental Health Inventory-17, and SF-36 Vitality Domain Questionnaire | Due to cancellation of the EXUBERA program, the collected Patient Reported Outcome (PRO) data, including the Diabetes Treatment Satisfaction Questionnaire-Status, Diabetes Treatment Satisfaction Questionnaire-Change, Diabetes-39, Mental Health Inventory-17, and SF-36 vitality domain questionnaire were not summarized, and no statistical analyses were performed. | | Not Posted | | | | | | Baseline, Week 26 | | Participants | | | | |
| Other Pre-specified | Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) at Week 26 for the FAS | HbA1c lab value: Change = value at Week 26 minus value at Baseline. | FAS=all subjects who took at least 1 dose of study drug and had at least 1 post-baseline measurement. LOCF imputed missing data with any post-baseline visit. Using the FAS yielded supplemental analyses for the primary efficacy endpoint. | Posted | | Mean | Standard Deviation | percent | | Baseline, Week 26 | | | | ID | Title | Description |
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| OG000 | Inhaled Human Insulin | Initiation dose of 1 milligram per meal, and individually adjusted doses, per subject's blood glucose, over the 6 month study, in addition to oral agents. | | OG001 | Insulin Glargine | Insulin glargine, label instruction initiation dose (10 units), and individually adjusted doses, per subject's blood glucose, over the six months study, in addition to oral agents. |
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