Evidence map›Paper›PMID 39641970›Full record

Trial reportDiabetes care2025

A Randomized Trial Comparing Inhaled Insulin Plus Basal Insulin Versus Usual Care in Adults With Type 1 Diabetes.

Irl B Hirsch, Roy W Beck, Martin C Marak, Yogish Kudva, Halis K Akturk, Anuj Bhargava, Kevin Codorniz, Jamie Diner, Grazia Aleppo, Thomas Blevins and 31 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Revolutionizing Diabetes Care: From Tech to Therapeutics.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors.

Irl B HirschUniversity of Washington, Seattle, WA.ORCID 0000-0003-1675-8417
Roy W BeckJAEB Center for Health Research, Tampa, FL.ORCID 0000-0002-5194-8446
Martin C MarakJAEB Center for Health Research, Tampa, FL.
Yogish KudvaMayo Clinic, Rochester, MN.ORCID 0000-0003-0285-6622
Halis K AkturkBarbara Davis Center for Diabetes, Denver, CO.ORCID 0000-0003-4518-5179
Anuj BhargavaIowa Diabetes and Endocrinology Research Center, West Des Moines, IA.
Kevin CodornizLoma Linda University, Loma Linda, CA.
Jamie DinerThe University of North Carolina at Chapel Hill, Chapel Hill, NC.
Grazia AleppoNorthwestern University, Chicago, IL.ORCID 0000-0003-1644-5947
Thomas BlevinsTexas Diabetes & Endocrinology, Austin, TX.
Carol J LevyIcahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0002-3492-2578
Philip RaskinUniversity of Texas Southwestern Medical Center, Dallas, TX.
Kristin CastorinoSansum Diabetes Research Institute, Santa Barbara, CA.ORCID 0000-0001-6386-9203
Anastasios ManessisNYC Research Inc., Long Island, NY.
David PickeringMountain State Diabetes, Parkersburg, WV.
Devin W SteenkampBoston Medical Center, Boston, MA.ORCID 0000-0001-7132-3657
Ruth S WeinstockSUNY Upstate Medical University, Syracuse, NY.ORCID 0000-0001-5859-5666
Bruce W BodeAtlanta Diabetes Associates, Atlanta, GA.
Osama HamdyJoslin Diabetes Center, Boston, MA.ORCID 0000-0002-1919-0268
Quang T NguyenLas Vegas Endocrinology, Henderson, NV.
Mark KipnesDiabetes & Glandular Disease Clinic, San Antonio, TX.
Katrina J RuedyJAEB Center for Health Research, Tampa, FL.
Donna DesjardinsMayo Clinic, Rochester, MN.
Zehra HaiderBarbara Davis Center for Diabetes, Denver, CO.
Christopher JacobsonLoma Linda University, Loma Linda, CA.
Scott LeeLoma Linda University, Loma Linda, CA.
John B BuseThe University of North Carolina at Chapel Hill, Chapel Hill, NC.
Klara Rachel KleinThe University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-5894-9054
Grenye O'MalleyIcahn School of Medicine at Mount Sinai, New York, NY.
Mei Mei ChurchSansum Diabetes Research Institute, Santa Barbara, CA.ORCID 0000-0003-3393-2042
Adham MottalibJoslin Diabetes Center, Boston, MA.ORCID 0000-0002-8573-6329
Jesica D BaranUniversity of Washington, Seattle, WA.
Corey KurekMayo Clinic, Rochester, MN.
Shafaq RizviMayo Clinic, Rochester, MN.
Cassandra DonahueThe University of North Carolina at Chapel Hill, Chapel Hill, NC.
Denisa TamarezIcahn School of Medicine at Mount Sinai, New York, NY.
Astrid Atakov CastilloBoston Medical Center, Boston, MA.
Sarah BorgmanJAEB Center for Health Research, Tampa, FL.
Sarah FreyJAEB Center for Health Research, Tampa, FL.
Peter CalhounJAEB Center for Health Research, Tampa, FL.ORCID 0000-0003-3688-578X
INHALE-3 Study Group

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
Jaeb Center for Health ResearchMannKindMannKind, Inc.NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveTo evaluate a regimen of inhaled Technosphere insulin (TI) plus insulin degludec in adults with type 1 diabetes, who prestudy were predominately using either an automated insulin delivery (AID) system or multiple daily insulin injections (MDI) with continuous glucose monitoring. RESEARCH DESIGN AND

methodsAt 19 sites, adults with type 1 diabetes were randomly assigned to TI plus insulin degludec (N = 62) or usual care (UC) with continuation of prestudy insulin delivery method (N = 61) for 17 weeks.

resultsPrestudy, AID was used by 48% and MDI by 45%. Mean ± SD HbA1c was 7.57% ± 0.97% at baseline and 7.62% ± 1.06% at 17 weeks in the TI group and 7.59% ± 0.80% and 7.54% ± 0.77%, respectively, in the UC group (adjusted difference 0.11%, 95% CI -0.10 to 0.33, P value for noninferiority = 0.01). HbA1c improved from baseline to 17 weeks by >0.5% (5.5 mmol/mol) in 12 (21%) in the TI group and in 3 (5%) in the UC group and worsened by >0.5% (5.5 mmol/mol) in 15 (26%) in the TI group and in 2 (3%) in the UC group. The most common TI side effect was a brief cough; eight participants discontinued TI due to side effects.

conclusionsIn adults with type 1 diabetes, HbA1c after 17 weeks with a regimen of TI and degludec was noninferior to UC, which consisted predominately of either AID or MDI. TI should be considered an option for people with type 1 diabetes, particularly those who are motivated to further reduce postprandial hyperglycemia.

Indexed as

Diabetes Mellitus, Type 1Hypoglycemic AgentsInsulinInsulin, Long-ActingAdministration, InhalationAdultBlood GlucoseFemaleGlycated HemoglobinHumansMaleMiddle AgedBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulininsulin degludecInsulin, Long-Acting

Identifiers

PMID39641970
PMCPMC11870290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.