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news.Cpex Pharmaceuticals (Cpex) has reported preliminary results related to Phase 2a trial of its nasal insulin product Nasulin. The study was designed to evaluate the efficacy and safety of Nasulin versus placebo over a 6-week treatment period in subjects with Type 2 diabetes who were being treated with basal insulin and oral anti-diabetes agents.
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The primary objective was to demonstrate that subjects receiving Nasulin would achieve a larger increase from baseline in the mean proportion of time spent with normal glucose levels (or in euglycemia) than those receiving placebo, as assessed by continuous glucose monitoring.
Although subjects in the placebo group spent less time in euglycemia at the end of the study compared to subjects in the Nasulin group, the difference between the two groups was not statistically significant. The secondary efficacy measurements of change from baseline in average glucose as measured by continuous glucose monitoring and the change from baseline in serum fructosamine were consistent with the primary endpoint analysis.
Reportedly, at the end of the trial, the company conducted a meal challenge which demonstrated reductions in the maximum concentrations of serum glucose in the Nasulin group versus placebo, as well as reductions in the overall glucose load during 60, 90 and 240 minutes after dosing. These findings support the pharmacodynamic data demonstrated in previous Phase 1 clinical studies.
The Phase 2a, double-blind, multi-center, placebo-controlled trial was initiated in the US in February 2009 and randomised 94 subjects. Efficacy, as measured by the proportion of time spent with normal glucose levels, was assessed using continuous glucose monitoring. Subjects were administered either Nasulin or placebo at the start of each meal and were treated for 6 weeks during the double-blind period of the study.
Cpex plans to conduct additional analyses on the data from this trial and together with all other Nasulin data will determine the appropriate next steps for the Nasulin program. In the interim the company will not commence its planned Phase 2b trial or other Nasulin development initiatives. The company also intends to present the results of the study at the AACE 19th Annual Meeting and Clinical Congress, April 21-25, 2010.