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

RecruitingPhase 2

INHALE-1st: Technosphere Insulin (Afrezza®) In Combination With Basal Insulin For Youth With Newly-Diagnosed Type 1 Diabetes

Who can join

Ages 6 to 17 · All sexes

Full eligibility criteria
Inclusion Criteria:

* 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 Criteria:

* 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

About the 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 6 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.

What is being tested

Sponsor: Mannkind Corporation · Participants: 100 · Started: Feb 4, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07224321

Locations in the U.S.

CaliforniaChildren's Hospital Los Angeles, Los Angeles
University of California San Francisco, San Francisco
ColoradoBarbara Davis Center for Diabetes Young Adult Clinic, Aurora
ConnecticutYale University, New Haven
FloridaUniversity of Florida, Gainsville
IndianaIndiana University, Indianapolis
MassachusettsJoslin Diabetes Center, Boston
OklahomaUniversity of Oklahoma Health Sciences Center, Oklahoma City
TexasBaylor College of Medicine, Houston
VirginiaUniversity of Virginia, Charlottesville

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.