INHALE-1st: Afrezza® for Youth with Newly-Diagnosed Type 1 Diabetes

This study, called INHALE-1st, is looking at how well Afrezza (an inhaled insulin) works when combined with basal insulin (insulin injected under the skin) for young people aged 10 to 17 who have been recently diagnosed with Type 1 Diabetes. The study wants to see if this combination helps keep blood sugar levels in a healthy range (Time in Range, or TIR). You could join if you are 10 to 17 years old, have newly diagnosed Type 1 Diabetes, and meet certain lung function requirements. The study also wants to understand how satisfied participants and their parents are with this treatment. The study is currently unclear on its recruitment status.

Study design
This is a Phase 2 study with 100 planned participants. It is a single-arm study, meaning all participants will receive the same treatment combination.
What's involved
Participants will be followed for 13 weeks in the main part of the study, with an option to continue for up to 26 weeks.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 13 weeks during the main phase, with an optional extension phase for up to 26 weeks.

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NCT07224321

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

Recruiting
PHASE2Ages 6–17InterventionalTreatment
Mannkind Corporation
~100 participants
Updated 2026-08-13 on ClinicalTrials.gov
What's tested:Technosphere InsulinBasal insulin

At a glance

Recruiting sites
10 of 10 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Percentage of participants with Continuous Glucose Meter (CGM) measured time in range (TIR) ≥70%
Measured over 13 weeks
Type 1 Diabetes Mellitus
10 sites across 9 states
California2
Colorado1
Connecticut1
Florida1
Indiana1
Massachusetts1
Oklahoma1
Texas1

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Eligibility criteria

Inclusion

Age 6 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 21 days following T1D diagnosis (day 1 is based on the first insulin dose)
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

Prior insulin treatment for stage 2 T1D
In the judgment of the investigator, 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)
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
  • 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