Type 1 diabetes

Inhaled Technosphere Insulin Plus Insulin Degludec for Adults with Type 1 Diabetes: The INHALE-3 Extension Study

Diabetes Technol TherPublished Extension study of a randomised controlled trial

Authors' conclusion

HbA1c levels were sustained over 30 weeks using a TI-degludec regimen after switching from AID or MDI.

Study context

Population
Adults with T1D switching from usual care (predominantly automated insulin delivery (AID) or MDI); prestudy 44% AID, 9% sensor-augmented pump without automation, 47% MDI45 continued into extension
Participants
123 adults
Comparison
Technosphere insulin (TI) plus degludec over 30 weeks
  • TI-degludecn = 62
Methodological detailsmulticenter, single-group extension, no scheduled visits before final visit at 30 weeks, 58 of 62 completed the 17-week visit; 45 continued into the extension phase
  • Multicenter
  • Single-group extension
  • No scheduled visits before final visit at 30 weeks
  • 58 of 62 completed the 17-week visit; 45 continued into the extension phase

Primary result

As reported in the abstract

HbA1c · 30 weeks

Mean HbA1c at baseline

7.6% ± 1.0%

Mean HbA1c at 17 weeks

7.6% ± 1.0%

Mean HbA1c at 30 weeks

7.4% ± 1.0%

Mean HbA1c change from 17 to 30 weeks

−0.21%

95% CI −0.33% to −0.09%P < 0.001

Further findings

Mean HbA1c over time · baseline, 17 weeks, 30 weeks

Baseline
7.6% ± 1.0%
17 weeks
7.6% ± 1.0%
30 weeks
7.4% ± 1.0%

HbA1c <7.0% · baseline, 17 weeks, 30 weeks

Baseline
21%
17 weeks
30%
30 weeks
42%

TIR 70-180 mg/dL · baseline, 17 weeks, 30 weeks

Baseline
52% ± 18%
17 weeks
53% ± 20%
30 weeks
54% ± 20%
  • Mean ± SD

Total daily insulin dose

Mean total daily TI dose at 30 weeks
53 ± 31 U/day
Total daily rapid-acting insulin analog dose at baseline
24 ± 12 U/day
  • TI dose about twice baseline rapid-acting analog dose

Safety

Time <54 mg/dL · baseline, 17 weeks, 30 weeks

Baseline
0.4% ± 0.6%
17 weeks
0.4% ± 0.8%
30 weeks
0.6% ± 1.0%
  • Mean ± SD

Original publication

Inhaled Technosphere Insulin Plus Insulin Degludec for Adults with Type 1 Diabetes: The INHALE-3 Extension Study. Diabetes Technol Ther. Published 1 March 2025. doi:10.1089/dia.2024.0582

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.