FUSE: Follow-Up Study for Exubera

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00734591
Collaborator
(none)
7,439
321
41
23.2
0.6

Study Details

Study Description

Brief Summary

In studies of Exubera in persons with diabetes, lung cancer occurred in a few more people who were taking Exubera than in people who were taking other diabetes medicines. All subjects diagnosed with lung cancer had a history of smoking and the number of lung cancer cases observed fell within the expected range based on population-based data. There is currently not enough information to determine if any of the observed lung cancer cases were related to Exubera use, therefore, the study is being conducted to further investigate whether Exubera use makes the appearance of lung cancer more likely.

Condition or Disease Intervention/Treatment Phase

Detailed Description

Both retrospective and prospective components All subjects who participated in one of the 17 included Exubera clinical trials will be invited to participate in the current study.

Study Design

Study Type:
Observational
Actual Enrollment :
7439 participants
Observational Model:
Cohort
Official Title:
An Observational Follow-Up Study Of Patients Previously Enrolled In Exubera Controlled Clinical Trials
Study Start Date :
Aug 1, 2008
Actual Primary Completion Date :
Jan 1, 2012
Actual Study Completion Date :
Jan 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Previously treated with Exubera

Drug: Exubera
Subjects who had been treated with Exubera in a prior Exubera controlled trial. Following initial use of randomized treatment, physicians and subjects were free to change regimens and dosing based on subject response to assigned treatment (as consistent with routine practice).

Previously treated with comparator

Subjects who had been treated with a comparator (other diabetes treatment such as injected insulin) in a prior Exubera controlled trial.

Other: Randomized diabetes therapy
Subjects who had been treated with a comparator (other diabetes treatment including one or more of: subcutaneous insulin, sulfonylureas, biguanides, or thiazolinediones) in a prior Exubera controlled trial. Following initial use of randomized treatment, physicians and subjects were free to change regimens and dosing based on subject response to assigned treatment (as consistent with routine practice).

Outcome Measures

Primary Outcome Measures

  1. Rate of Primary Lung Cancer Mortality [Baseline from original trial up to Year 2 of this study]

    Reported deaths from primary lung cancer were adjudicated and classified into 4 categories: highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer); likely (some information may have been missing for definite diagnosis); unlikely; insufficient information. Highly likely and likely cases used to report rate and rate ratio of primary lung cancer mortality. Includes events from the start of the original trial to the end of FUSE.

Secondary Outcome Measures

  1. Rate of Primary Lung Cancer Mortality Among Former Smokers [Baseline from original trial up to Year 2 of this study]

    Reported deaths from primary lung cancer were adjudicated and classified into 4 categories: highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer); likely (some information may have been missing for definite diagnosis); unlikely; insufficient information. Highly likely and likely cases used to report rate and rate ratio of primary lung cancer mortality. Includes events from the start of the original trial to the end of FUSE.

  2. Rate of All-cause Mortality [Baseline from original trial up to Year 2 of this study]

    The rate and rate ratio of all-cause mortality that occurred anytime from the start of the original trial to the end of FUSE.

  3. Rate of Primary Lung Cancer Diagnosis [Baseline from original trial up to Year 2 of this study]

    The rate and rate ratio of lung cancer adjudicated as highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer) or likely (some information may have been missing for definite diagnosis) to be newly diagnosed primary lung cancer that occurred anytime from the start of the original trial to the end of FUSE.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Previously participated in an eligible Exubera clinical trial

  • Willing to provide study doctor with at least one alternate contact person

Exclusion Criteria:
  • Participated in an investigational study of an unapproved drug since completing the Exubera trial

  • Ever used an other (non-Exubera) inhaled insulin

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Bay Minette Alabama United States 36507
2 Pfizer Investigational Site Graysville Alabama United States 35073
3 Pfizer Investigational Site Pell City Alabama United States 35125
4 Pfizer Investigational Site Pell City Alabama United States 35128
5 Pfizer Investigational Site Glendale Arizona United States 85306
6 Pfizer Investigational Site Phoenix Arizona United States 85006
7 Pfizer Investigational Site Phoenix Arizona United States 85016
8 Pfizer Investigational Site Phoenix Arizona United States 85028
9 Pfizer Investigational Site Phoenix Arizona United States 85051
10 Pfizer Investigational Site Forrest City Arkansas United States 72335
11 Pfizer Investigational Site Berkeley California United States 94705
12 Pfizer Investigational Site Concord California United States 94520
13 Pfizer Investigational Site El Cajon California United States 92019
14 Pfizer Investigational Site Encino California United States 91436
15 Pfizer Investigational Site Fresno California United States 93720
16 Pfizer Investigational Site Fullerton California United States 92835
17 Pfizer Investigational Site Huntington Beach California United States 92648
18 Pfizer Investigational Site Long Beach California United States 90806
19 Pfizer Investigational Site Los Angeles California United States 90073
20 Pfizer Investigational Site Rolling Hills Estates California United States 90274
21 Pfizer Investigational Site San Diego California United States 92120
22 Pfizer Investigational Site San Diego California United States 92128
23 Pfizer Investigational Site San Jose California United States 95116
24 Pfizer Investigational Site Santa Ana California United States 92704
25 Pfizer Investigational Site Santa Barbara California United States 93105
26 Pfizer Investigational Site Tustin California United States 92780
27 Pfizer Investigational Site Denver Colorado United States 80206
28 Pfizer Investigational Site Denver Colorado United States 80209
29 Pfizer Investigational Site Denver Colorado United States 80220
30 Pfizer Investigational Site Golden Colorado United States 80401
31 Pfizer Investigational Site Longmont Colorado United States 80501
32 Pfizer Investigational Site Milford Connecticut United States 06460
33 Pfizer Investigational Site Newark Delaware United States 19713
34 Pfizer Investigational Site Washington District of Columbia United States 20010
35 Pfizer Investigational Site Washington District of Columbia United States 20307
36 Pfizer Investigational Site Boca Raton Florida United States 33433
37 Pfizer Investigational Site Chiefland Florida United States 32626
38 Pfizer Investigational Site Green Cove Springs Florida United States 32043
39 Pfizer Investigational Site Kissimmee Florida United States 34743
40 Pfizer Investigational Site Lake City Florida United States 32025
41 Pfizer Investigational Site Lake Mary Florida United States 32746
42 Pfizer Investigational Site Miami Florida United States 33136
43 Pfizer Investigational Site Opa Locka Florida United States 33054-3818
44 Pfizer Investigational Site St. Cloud Florida United States 34769
45 Pfizer Investigational Site Tampa Florida United States 33624
46 Pfizer Investigational Site West Palm Beach Florida United States 33401
47 Pfizer Investigational Site Atlanta Georgia United States 30318-2513
48 Pfizer Investigational Site Atlanta Georgia United States 30342
49 Pfizer Investigational Site Conyers Georgia United States 30013
50 Pfizer Investigational Site Decatur Georgia United States 30035
51 Pfizer Investigational Site Honolulu Hawaii United States 96813
52 Pfizer Investigational Site Honolulu Hawaii United States 96814
53 Pfizer Investigational Site Hayden Lake Idaho United States 83835
54 Pfizer Investigational Site Greenville Illinois United States 62246
55 Pfizer Investigational Site Normal Illinois United States 61761
56 Pfizer Investigational Site Olympia Fields Illinois United States 60461
57 Pfizer Investigational Site Springfield Illinois United States 62704
58 Pfizer Investigational Site Fishers Indiana United States 46038
59 Pfizer Investigational Site Indianapolis Indiana United States 46229
60 Pfizer Investigational Site Indianapolis Indiana United States 46254-5472
61 Pfizer Investigational Site Des Moines Iowa United States 50314
62 Pfizer Investigational Site Des Moines Iowa United States 50315
63 Pfizer Investigational Site Dubuque Iowa United States 52002
64 Pfizer Investigational Site Wichita Kansas United States 67203
65 Pfizer Investigational Site Louisville Kentucky United States 40213
66 Pfizer Investigational Site Louisville Kentucky United States 40258
67 Pfizer Investigational Site Mount Sterling Kentucky United States 40353
68 Pfizer Investigational Site Baltimore Maryland United States 21204
69 Pfizer Investigational Site Elkton Maryland United States 21921
70 Pfizer Investigational Site Glen Burnie Maryland United States 21061
71 Pfizer Investigational Site Wheaton Maryland United States 20902
72 Pfizer Investigational Site Boston Massachusetts United States 02114
73 Pfizer Investigational Site Springfield Massachusetts United States 01105
74 Pfizer Investigational Site Ann Arbor Michigan United States 48104
75 Pfizer Investigational Site Clinton Michigan United States 49236
76 Pfizer Investigational Site Flint Michigan United States 48532
77 Pfizer Investigational Site Muskegon Michigan United States 49444
78 Pfizer Investigational Site Saint Cloud Minnesota United States 56301
79 Pfizer Investigational Site Kansas City Missouri United States 64116
80 Pfizer Investigational Site Springfield Missouri United States 65807
81 Pfizer Investigational Site Incline Village Nevada United States 89452
82 Pfizer Investigational Site Las Vegas Nevada United States 89128
83 Pfizer Investigational Site Belvidere New Jersey United States 07823
84 Pfizer Investigational Site New Brunswick New Jersey United States 08901
85 Pfizer Investigational Site Albuquerque New Mexico United States 87106
86 Pfizer Investigational Site Albany New York United States 12208
87 Pfizer Investigational Site Babylon New York United States 11702
88 Pfizer Investigational Site Brooklyn New York United States 11224
89 Pfizer Investigational Site Minneola New York United States 11501
90 Pfizer Investigational Site New Hartford New York United States 13413
91 Pfizer Investigational Site Syracuse New York United States 13210
92 Pfizer Investigational Site Williamsville New York United States 14221
93 Pfizer Investigational Site Asheboro North Carolina United States 27203
94 Pfizer Investigational Site Charlotte North Carolina United States 28227
95 Pfizer Investigational Site Durham North Carolina United States 27713
96 Pfizer Investigational Site Morehead City North Carolina United States 28557-3126
97 Pfizer Investigational Site Raleigh North Carolina United States 27609
98 Pfizer Investigational Site Tabor City North Carolina United States 28463
99 Pfizer Investigational Site Winston-Salem North Carolina United States 27103
100 Pfizer Investigational Site Columbus Ohio United States 43207
101 Pfizer Investigational Site Dayton Ohio United States 45419
102 Pfizer Investigational Site Kettering Ohio United States 45429
103 Pfizer Investigational Site Marietta Ohio United States 45750
104 Pfizer Investigational Site Portland Oregon United States 97210
105 Pfizer Investigational Site Portland Oregon United States 97232
106 Pfizer Investigational Site Fogelsville Pennsylvania United States 18051
107 Pfizer Investigational Site Hanover Pennsylvania United States 17331
108 Pfizer Investigational Site Harrisburg Pennsylvania United States 17112
109 Pfizer Investigational Site Jeannette Pennsylvania United States 15644
110 Pfizer Investigational Site Jersey Shore Pennsylvania United States 17740
111 Pfizer Investigational Site Lansdale Pennsylvania United States 19446
112 Pfizer Investigational Site Melrose Park Pennsylvania United States 19027
113 Pfizer Investigational Site Philadelphia Pennsylvania United States 19153-2326
114 Pfizer Investigational Site Charleston South Carolina United States 29412
115 Pfizer Investigational Site North Myrtle Beach South Carolina United States 29582
116 Pfizer Investigational Site Beaumont Texas United States 77701
117 Pfizer Investigational Site Dallas Texas United States 75246
118 Pfizer Investigational Site Houston Texas United States 77008
119 Pfizer Investigational Site Houston Texas United States 77079
120 Pfizer Investigational Site Kaufman Texas United States 75142
121 Pfizer Investigational Site San Antonio Texas United States 78229
122 Pfizer Investigational Site San Marcos Texas United States 78666
123 Pfizer Investigational Site Stephenville Texas United States 76401
124 Pfizer Investigational Site Webster Texas United States 77598
125 Pfizer Investigational Site South Burlington Vermont United States 05403
126 Pfizer Investigational Site Richmond Virginia United States 23225-4017
127 Pfizer Investigational Site Richmond Virginia United States 23294
128 Pfizer Investigational Site Federal Way Washington United States 98003
129 Pfizer Investigational Site Spokane Washington United States 99204
130 Pfizer Investigational Site Spokane Washington United States 99207
131 Pfizer Investigational Site Burnsville West Virginia United States 26335
132 Pfizer Investigational Site Capital Federal Buenos Aires Argentina C1181ACH
133 Pfizer Investigational Site Buenos Aires Argentina C1426ABP
134 Pfizer Investigational Site Camperdown New South Wales Australia 2050
135 Pfizer Investigational Site Wollongong New South Wales Australia 2500
136 Pfizer Investigational Site Herston Queensland Australia 4029
137 Pfizer Investigational Site Box Hill Victoria Australia 3128
138 Pfizer Investigational Site Melbourne Victoria Australia 3004
139 Pfizer Investigational Site Vienna Austria A-1130
140 Pfizer Investigational Site Wien Austria A-1030
141 Pfizer Investigational Site Bornem Belgium 2880
142 Pfizer Investigational Site Brussels Belgium 1070
143 Pfizer Investigational Site Edegem Belgium 2650
144 Pfizer Investigational Site Genk Belgium 3600
145 Pfizer Investigational Site Leuven Belgium 3000
146 Pfizer Investigational Site Liège 1 Belgium 4000
147 Pfizer Investigational Site Belo Horizonte MG Brazil 30150-221
148 Pfizer Investigational Site Porto Alegre RS Brazil 90035-170
149 Pfizer Investigational Site Sao Paulo SP Brazil 01244-030
150 Pfizer Investigational Site Sao Paulo SP Brazil 04025-011
151 Pfizer Investigational Site Calgary Alberta Canada T2L 1K8
152 Pfizer Investigational Site Calgary Alberta Canada T2T 5C7
153 Pfizer Investigational Site Calgary Alberta Canada T3B 0M3
154 Pfizer Investigational Site Edmonton Alberta Canada T5J 3N4
155 Pfizer Investigational Site Edmonton Alberta Canada T6G 2C8
156 Pfizer Investigational Site Edmonton Alberta Canada T6G 2S2
157 Pfizer Investigational Site Red Deer Alberta Canada T6N 6V7
158 Pfizer Investigational Site Victoria British Columbia Canada V8R 1J8
159 Pfizer Investigational Site Winnipeg Manitoba Canada R3E 3P4
160 Pfizer Investigational Site St. John's Newfoundland and Labrador Canada A1A 2E2
161 Pfizer Investigational Site Halifax Nova Scotia Canada B3H 1V7
162 Pfizer Investigational Site Halifax Nova Scotia Canada B3H 2Y9
163 Pfizer Investigational Site Corunna Ontario Canada N0N 1G0
164 Pfizer Investigational Site London Ontario Canada N6A 4V2
165 Pfizer Investigational Site Mississauga Ontario Canada L5M 2V8
166 Pfizer Investigational Site Oakville Ontario Canada L6H 3P1
167 Pfizer Investigational Site Ottawa Ontario Canada K1H 1A2
168 Pfizer Investigational Site Smiths Falls Ontario Canada K7A 4W8
169 Pfizer Investigational Site Thornhill Ontario Canada L4J 8L7
170 Pfizer Investigational Site Toronto Ontario Canada M4N-3M5
171 Pfizer Investigational Site Toronto Ontario Canada M4R 2G4
172 Pfizer Investigational Site Chicoutimi Quebec Canada G7H 5H6
173 Pfizer Investigational Site Gatineau Quebec Canada J8Y 6S9
174 Pfizer Investigational Site Greenfield Park Quebec Canada J4V 2H1
175 Pfizer Investigational Site Laval Quebec Canada H7T 2P5
176 Pfizer Investigational Site Montreal Quebec Canada H3A 1A1
177 Pfizer Investigational Site Sherbrooke Quebec Canada J1H 5N4
178 Pfizer Investigational Site Trois Rivieres Quebec Canada G8T 7A1
179 Pfizer Investigational Site Zagreb Croatia 10 000
180 Pfizer Investigational Site Zagreb Croatia 10000
181 Pfizer Investigational Site Aarhus Denmark 8000
182 Pfizer Investigational Site Copenhagen Denmark 2400
183 Pfizer Investigational Site Herning Denmark 7400
184 Pfizer Investigational Site Viljandi Viljandi mk. Estonia 71024
185 Pfizer Investigational Site Pärnu Estonia 80018
186 Pfizer Investigational Site Tallinn Estonia 10318
187 Pfizer Investigational Site Tallinn Estonia 11625
188 Pfizer Investigational Site Tallinn Estonia 13415
189 Pfizer Investigational Site Kuopio Finland 70210
190 Pfizer Investigational Site Lahti Finland 15110
191 Pfizer Investigational Site Lohja Finland 08200
192 Pfizer Investigational Site Oulu Finland 90100
193 Pfizer Investigational Site Amiens cedex 1 France 80094
194 Pfizer Investigational Site Armentieres France 59427
195 Pfizer Investigational Site Besancon France 25030
196 Pfizer Investigational Site Bondy Cedex France 93143
197 Pfizer Investigational Site Brest CEDEX France 29609
198 Pfizer Investigational Site Chartres France 28000
199 Pfizer Investigational Site Corbeil-Essonnes France 91100
200 Pfizer Investigational Site Lorient Cedex France 56322
201 Pfizer Investigational Site Paris Cedex 10 France 75475
202 Pfizer Investigational Site Paris Cedex 18 France 75877
203 Pfizer Investigational Site Rennes Cedex 2 France 35203
204 Pfizer Investigational Site Altenburg Germany 04600
205 Pfizer Investigational Site Aschaffenburg Germany 63739
206 Pfizer Investigational Site Bad Doberan Germany 18209
207 Pfizer Investigational Site Berlin Germany 10115
208 Pfizer Investigational Site Berlin Germany 13355
209 Pfizer Investigational Site Bonn Germany 53179
210 Pfizer Investigational Site Chemnitz Germany 09130
211 Pfizer Investigational Site Datteln Germany 45711
212 Pfizer Investigational Site Dortmund Germany 44339
213 Pfizer Investigational Site Eisenach Germany 99817
214 Pfizer Investigational Site Emden Germany 26725
215 Pfizer Investigational Site Essen Germany 45329
216 Pfizer Investigational Site Falkensee Germany 14612
217 Pfizer Investigational Site Friedberg Germany 86316
218 Pfizer Investigational Site Fulda Germany 36037
219 Pfizer Investigational Site Hamburg Germany 21073
220 Pfizer Investigational Site Hohenmoelsen Germany 06679
221 Pfizer Investigational Site Leipzig Germany 04103
222 Pfizer Investigational Site Leverkusen Germany 51371
223 Pfizer Investigational Site Marl Germany 45770
224 Pfizer Investigational Site Meissen Germany 01662
225 Pfizer Investigational Site Mittweida Germany 09648
226 Pfizer Investigational Site Muenchen Germany D-80469
227 Pfizer Investigational Site Muenster Germany 48145
228 Pfizer Investigational Site Muenster Germany 48153
229 Pfizer Investigational Site Neuss Germany 41460
230 Pfizer Investigational Site Reinfeld Germany 23858
231 Pfizer Investigational Site Riesa Germany 01587
232 Pfizer Investigational Site Rossach Germany 96269
233 Pfizer Investigational Site Schluechtern Germany 36381
234 Pfizer Investigational Site Siegen Germany 57072
235 Pfizer Investigational Site Suhl Germany 98529
236 Pfizer Investigational Site Surwold Germany 26903
237 Pfizer Investigational Site Villingen-Schwenningen Germany 78054
238 Pfizer Investigational Site Wangen / Allgaeu Germany 88239
239 Pfizer Investigational Site Wangen Germany 88239
240 Pfizer Investigational Site Warburg Germany 34414
241 Pfizer Investigational Site Wiesbaden Germany 65191
242 Pfizer Investigational Site Athens Greece 11527
243 Pfizer Investigational Site Athens Greece 15123
244 Pfizer Investigational Site Thessaloniki Greece 546 36
245 Pfizer Investigational Site Catania Italy 95122
246 Pfizer Investigational Site Genova Italy 16132
247 Pfizer Investigational Site Milano Italy 20132
248 Pfizer Investigational Site Napoli Italy 80131
249 Pfizer Investigational Site Padova Italy 35128
250 Pfizer Investigational Site Palermo Italy 90127
251 Pfizer Investigational Site Roma Italy 00133
252 Pfizer Investigational Site Udine Italy 33100
253 Pfizer Investigational Site Guadalajara Jalisco Mexico 44340
254 Pfizer Investigational Site Monterrey Nuevo Leon Mexico 64460
255 Pfizer Investigational Site 's Hertogenbosch Netherlands 5211 RW
256 Pfizer Investigational Site Amsterdam Netherlands 1105 AZ
257 Pfizer Investigational Site Beek Netherlands 6191 JW
258 Pfizer Investigational Site Eindhoven Netherlands 5631 BM
259 Pfizer Investigational Site Venlo Netherlands 5912 BL
260 Pfizer Investigational Site Fornebu Norway 1364
261 Pfizer Investigational Site Honefoss Norway 3515
262 Pfizer Investigational Site Skedsmokorset Norway N-2020
263 Pfizer Investigational Site Stavanger Norway 4068
264 Pfizer Investigational Site Lask Poland 98-100
265 Pfizer Investigational Site Lodz Poland 93-338
266 Pfizer Investigational Site Lublin Poland 20-536
267 Pfizer Investigational Site Warszawa Poland 02-097
268 Pfizer Investigational Site Aveiro Portugal 3814-096
269 Pfizer Investigational Site Lisboa Portugal 1250-203
270 Pfizer Investigational Site Lisboa Portugal 1349-019
271 Pfizer Investigational Site Porto Portugal 4099-001
272 Pfizer Investigational Site Torres Vedras Portugal 2560-324
273 Pfizer Investigational Site Banska Bystrica Slovakia 975 17
274 Pfizer Investigational Site Bratislava Slovakia 811 08
275 Pfizer Investigational Site Martin Slovakia 036 01
276 Pfizer Investigational Site Houghton Gauteng South Africa 2198
277 Pfizer Investigational Site Umhlanga Rocks KwaZulu Natal South Africa 4320
278 Pfizer Investigational Site Santiago de Compostela A Coruña Spain 15706
279 Pfizer Investigational Site Badalona Barcelona Spain 08916
280 Pfizer Investigational Site Las Palmas Las Palmas de Gran Canaria Spain 35016
281 Pfizer Investigational Site La Laguna Santa Cruz de Tenerife Spain 38320
282 Pfizer Investigational Site Alzira Valencia Spain 46600
283 Pfizer Investigational Site Bilbao Vizcaya Spain 48013
284 Pfizer Investigational Site Barcelona Spain 08036
285 Pfizer Investigational Site Granada Spain 18012
286 Pfizer Investigational Site Madrid Spain 28935
287 Pfizer Investigational Site Malaga Spain 07300
288 Pfizer Investigational Site Sevilla Spain 41014
289 Pfizer Investigational Site Valencia Spain 46015
290 Pfizer Investigational Site Boras Sweden 503 30
291 Pfizer Investigational Site Forshaga Sweden 667 32
292 Pfizer Investigational Site Goteborg Sweden 412 55
293 Pfizer Investigational Site Goteborg Sweden 41665
294 Pfizer Investigational Site Göteborg Sweden 417 17
295 Pfizer Investigational Site Harnosand Sweden 871 82
296 Pfizer Investigational Site Helsingborg Sweden 251 87
297 Pfizer Investigational Site Linkoping Sweden 581 85
298 Pfizer Investigational Site Malmo Sweden 211 52
299 Pfizer Investigational Site Stockholm Sweden 171 76
300 Pfizer Investigational Site Vaxjo Sweden 351 85
301 Pfizer Investigational Site Penzance Cornwall United Kingdom TR18 4JH
302 Pfizer Investigational Site St. Austell Cornwall United Kingdom PL26 7RL
303 Pfizer Investigational Site Plymouth Devon United Kingdom PL6 8BX
304 Pfizer Investigational Site Letchworth Hertfordshire United Kingdom SG6 4UB
305 Pfizer Investigational Site Ashford Middlesex United Kingdom TW15 3EA
306 Pfizer Investigational Site Headington Oxford United Kingdom OX3 7LJ
307 Pfizer Investigational Site Weybridge Surrey United Kingdom KT15 2BH
308 Pfizer Investigational Site Woking Surrey United Kingdom GU22 7EY
309 Pfizer Investigational Site Rugby Warwickshire United Kingdom CV22 5PX
310 Pfizer Investigational Site Warminster Wiltshire United Kingdom BA12 9AA
311 Pfizer Investigational Site Sheffield Yorkshire United Kingdom S7 2DW
312 Pfizer Investigational Site Bath United Kingdom BA2 3HT
313 Pfizer Investigational Site Bath United Kingdom BA2 4BY
314 Pfizer Investigational Site Birmingham United Kingdom B37 7TR
315 Pfizer Investigational Site Birmingham United Kingdom B9 5SS
316 Pfizer Investigational Site Bolton United Kingdom BL3 6TL
317 Pfizer Investigational Site Canterbury United Kingdom CT1 3HX
318 Pfizer Investigational Site Leicester United Kingdom LE1 5WW
319 Pfizer Investigational Site Newcastle-upon-Tyne United Kingdom NE15 6TQ
320 Pfizer Investigational Site Salford United Kingdom M6 8HD
321 Pfizer Investigational Site Westbury United Kingdom BA13 3JD

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00734591
Other Study ID Numbers:
  • A2171121
First Posted:
Aug 14, 2008
Last Update Posted:
Oct 23, 2012
Last Verified:
Sep 1, 2012
Keywords provided by Pfizer

Study Results

Participant Flow

Recruitment Details This study had retrospective and prospective components. Individuals who participated in Exubera-controlled trials that were still active in 2003 or later participated in the retrospective part of this study (Follow-Up Study for Exubera; FUSE). Individuals from sites participating in the prospective part of FUSE were eligible.
Pre-assignment Detail
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
Period Title: Retrospective Period
STARTED 3875 3564
COMPLETED 3875 3564
NOT COMPLETED 0 0
Period Title: Retrospective Period
STARTED 3875 3564
COMPLETED 1358 1273
NOT COMPLETED 2517 2291
Period Title: Retrospective Period
STARTED 1358 1273
COMPLETED 1307 1229
NOT COMPLETED 51 44

Baseline Characteristics

Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator Total
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Total of all reporting groups
Overall Participants 3875 3564 7439
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
54.8
(12.1)
54.7
(12.6)
54.8
(12.4)
Sex: Female, Male (Count of Participants)
Female
1677
43.3%
1557
43.7%
3234
43.5%
Male
2198
56.7%
2007
56.3%
4205
56.5%
Smoking status (participants) [Number]
Never-smoker
2194
56.6%
2031
57%
4225
56.8%
Ever-smoker
1681
43.4%
1533
43%
3214
43.2%

Outcome Measures

1. Primary Outcome
Title Rate of Primary Lung Cancer Mortality
Description Reported deaths from primary lung cancer were adjudicated and classified into 4 categories: highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer); likely (some information may have been missing for definite diagnosis); unlikely; insufficient information. Highly likely and likely cases used to report rate and rate ratio of primary lung cancer mortality. Includes events from the start of the original trial to the end of FUSE.
Time Frame Baseline from original trial up to Year 2 of this study

Outcome Measure Data

Analysis Population Description
Entire study population: all randomized participants (retrospective).
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
Measure Participants 3875 3654
Number (95% Confidence Interval) [Deaths per 1000 patient years (PY)]
0.48
0.17
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Previously Randomized to Exubera, Previously Randomized to Comparator
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Exact method
Estimated Value 2.81
Confidence Interval (2-Sided) 95%
0.50 to 28.46
Parameter Dispersion Type:
Value:
Estimation Comments Incidence density ratio confidence interval derived from exact methods utilizing exact binomial limits and ratio of exposures.
2. Secondary Outcome
Title Rate of Primary Lung Cancer Mortality Among Former Smokers
Description Reported deaths from primary lung cancer were adjudicated and classified into 4 categories: highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer); likely (some information may have been missing for definite diagnosis); unlikely; insufficient information. Highly likely and likely cases used to report rate and rate ratio of primary lung cancer mortality. Includes events from the start of the original trial to the end of FUSE.
Time Frame Baseline from original trial up to Year 2 of this study

Outcome Measure Data

Analysis Population Description
Subset of the entire study population who were former smokers.
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
Measure Participants 1681 1533
Number (95% Confidence Interval) [Deaths per 1000 PY]
0.94
0.41
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Previously Randomized to Exubera, Previously Randomized to Comparator
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Exact method
Estimated Value 2.29
Confidence Interval (2-Sided) 95%
0.37 to 24.01
Parameter Dispersion Type:
Value:
Estimation Comments Incidence density ratio confidence interval derived from exact methods utilizing exact binomial limits and ratio of exposures.
3. Secondary Outcome
Title Rate of All-cause Mortality
Description The rate and rate ratio of all-cause mortality that occurred anytime from the start of the original trial to the end of FUSE.
Time Frame Baseline from original trial up to Year 2 of this study

Outcome Measure Data

Analysis Population Description
Entire study population
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
Measure Participants 3875 3564
Number (95% Confidence Interval) [Deaths per 1000 PY]
6.03
7.37
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Previously Randomized to Exubera, Previously Randomized to Comparator
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Cox Proportional Hazard
Estimated Value 0.81
Confidence Interval (2-Sided) 95%
0.60 to 1.10
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title Rate of Primary Lung Cancer Diagnosis
Description The rate and rate ratio of lung cancer adjudicated as highly likely (clinical, radiographic, and/or histological data consistent with primary lung cancer) or likely (some information may have been missing for definite diagnosis) to be newly diagnosed primary lung cancer that occurred anytime from the start of the original trial to the end of FUSE.
Time Frame Baseline from original trial up to Year 2 of this study

Outcome Measure Data

Analysis Population Description
Entire study population
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
Measure Participants 3875 3564
Number (95% Confidence Interval) [Lung Cancer per 1000 PY]
1.07
0.29
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Previously Randomized to Exubera, Previously Randomized to Comparator
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Exact method
Estimated Value 3.75
Confidence Interval (2-Sided) 95%
1.01 to 20.68
Parameter Dispersion Type:
Value:
Estimation Comments Incidence density ratio confidence interval derived from exact methods utilizing exact binomial limits and ratio of exposures.

Adverse Events

Time Frame
Adverse Event Reporting Description Adverse events were not collected.
Arm/Group Title Previously Randomized to Exubera Previously Randomized to Comparator
Arm/Group Description Participants randomized to Exubera® (inhalable form of recombinant human [rh] insulin) per protocol in a prior Exubera-controlled clinical trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice. Participants randomized to comparator (Type 1 or Type 2 diabetes mellitus treatments such as injected insulin or oral agent therapy) in a prior Exubera-controlled trial. There was no active study medication used in FUSE. During prospective follow-up all participants received treatment for diabetes mellitus per routine clinical practice.
All Cause Mortality
Previously Randomized to Exubera Previously Randomized to Comparator
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Previously Randomized to Exubera Previously Randomized to Comparator
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/0 (NaN) 0/0 (NaN)
Other (Not Including Serious) Adverse Events
Previously Randomized to Exubera Previously Randomized to Comparator
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/0 (NaN) 0/0 (NaN)

Limitations/Caveats

Detection and/or reporting bias possible in continuous analysis (presented here) of lung cancer mortality and lung cancer incidence endpoints. Study had insufficient power to draw clear statistical conclusions due to small number of events.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00734591
Other Study ID Numbers:
  • A2171121
First Posted:
Aug 14, 2008
Last Update Posted:
Oct 23, 2012
Last Verified:
Sep 1, 2012