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Ciclesonide

Phase 3

Bronchial Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Feb 10, 2017

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment520

FDA Designations

No designations recorded

Clinical trial landscape

Ciclesonide · 14 trials · 7 indications

Phase 3 14
NCT02155881Efficacy and Safety of Ciclesonide Nasal Spray in Participants With Seasonal Allergic Rhinitis (SAR) in RussiaSeasonal Allergic Rhinitis
COMPLETED80 Analytics
NCT01455194Effect of High Dose Ciclesonide on Asthma ControlBronchial Asthma
COMPLETED520 Analytics
NCT00384475A Study of Ciclesonide Nasal Spray in Patients 18 Years and Older With Seasonal Allergic Rhinitis (BY9010/M1-413)Rhinitis, Allergic, Seasonal
COMPLETED500 Analytics
NCT00305487Safety and Efficacy of Ciclesonide in Pediatric Patients (6 to 11 Years of Age) With Seasonal Allergic Rhinitis (BY9010/M1-417)Hay Fever
COMPLETED660 Analytics
NCT00261287Safety and Tolerability of Ciclesonide Nasal Spray in Patients With Perennial Allergic Rhinitis (2-5 Years Old) (BY9010/M1-416)Hay Fever
COMPLETED102 Analytics
NCT00659503Study Using the Environmental Exposure Unit (EEU) to Assess the Onset of Action of Ciclesonide, Applied as a Nasal Spray in the Treatment of Seasonal Allergic Rhinitis (BY9010/M1-407)Rhinitis, Allergic, Seasonal
COMPLETED420 Analytics
NCT00163488Safety of Ciclesonide Nasal Spray Administered With Inhaled Fluticasone Dipropionate/Salmeterol in Adults With Perennial Allergic Rhinitis (BY9010/M1-409)Perennial Allergic Rhinitis
COMPLETED106 Analytics
NCT00659048Investigation of Potential Additive Inhibitory Effects on HPA-Axis of Ciclesonide Nasal Spray When Administered Concomitantly With Orally Inhaled Beclomethasone Dipropionate (HFA-BDP) in Patients With Perennial Allergic Rhinitis (PAR) (BY9010/M1-408)Rhinitis, Allergic, Perennial
COMPLETED106 Analytics
NCT00659594Study Using the Environmental Exposure Chamber (EEC) to Assess the Onset of Action of Ciclesonide, Applied as a Nasal Spray in Treatment of Seasonal Allergic Rhinitis (BY9010/M1-406)Rhinitis, Allergic, Seasonal
COMPLETED500 Analytics
NCT00658918To Assess the Safety of Ciclesonide, Applied as a Nasal Spray at Three Dose Levels, in the Treatment of Perennial Allergic Rhinitis in Pediatrics (BY9010/M1-405)Rhinitis, Allergic, Perennial
COMPLETED120 Analytics
PHASE3COMPLETED
Efficacy and Safety of Ciclesonide Nasal Spray in Participants With Seasonal Allergic Rhinitis (SAR) in Russia
Seasonal Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Effect of High Dose Ciclesonide on Asthma Control
Bronchial AsthmaUnlock trial analytics
PHASE3COMPLETED
A Study of Ciclesonide Nasal Spray in Patients 18 Years and Older With Seasonal Allergic Rhinitis (BY9010/M1-413)
Rhinitis, Allergic, SeasonalUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Ciclesonide in Pediatric Patients (6 to 11 Years of Age) With Seasonal Allergic Rhinitis (BY9010/M1-417)
Hay FeverUnlock trial analytics
PHASE3COMPLETED
Safety and Tolerability of Ciclesonide Nasal Spray in Patients With Perennial Allergic Rhinitis (2-5 Years Old) (BY9010/M1-416)
Hay FeverUnlock trial analytics
PHASE3COMPLETED
Study Using the Environmental Exposure Unit (EEU) to Assess the Onset of Action of Ciclesonide, Applied as a Nasal Spray in the Treatment of Seasonal Allergic Rhinitis (BY9010/M1-407)
Rhinitis, Allergic, SeasonalUnlock trial analytics
PHASE3COMPLETED
Safety of Ciclesonide Nasal Spray Administered With Inhaled Fluticasone Dipropionate/Salmeterol in Adults With Perennial Allergic Rhinitis (BY9010/M1-409)
Perennial Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Investigation of Potential Additive Inhibitory Effects on HPA-Axis of Ciclesonide Nasal Spray When Administered Concomitantly With Orally Inhaled Beclomethasone Dipropionate (HFA-BDP) in Patients With Perennial Allergic Rhinitis (PAR) (BY9010/M1-408)
Rhinitis, Allergic, PerennialUnlock trial analytics
PHASE3COMPLETED
Study Using the Environmental Exposure Chamber (EEC) to Assess the Onset of Action of Ciclesonide, Applied as a Nasal Spray in Treatment of Seasonal Allergic Rhinitis (BY9010/M1-406)
Rhinitis, Allergic, SeasonalUnlock trial analytics
PHASE3COMPLETED
To Assess the Safety of Ciclesonide, Applied as a Nasal Spray at Three Dose Levels, in the Treatment of Perennial Allergic Rhinitis in Pediatrics (BY9010/M1-405)
Rhinitis, Allergic, PerennialUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline Over 2 Weeks in Participant-Reported Morning and Evening Reflective Total Nasal Symptom Scores (TNSS)
Baseline and Week 1 up to Week 2 (entire treatment period)

The reflective TNSS is defined as the sum of the participant-rated reflective symptom scores for the 4 nasal symptoms of runny nose, itchy nose, sneezing, and nasal congestion over the past 12 hours. Each symptom was evaluated by the participant in an assessment diary, once in the morning (AM score) and after 12 hours in the evening (PM score) over 2 weeks of treatment period and was rated on a severity scale ranging from 0 to 3, where: 0 = absent, 1 = mild, 2 = moderate, and 3 = severe (symptom hard to tolerate, interferes with daily activities/sleeping). TNSS score ranges from 0-12 with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms. The baseline value was defined as the average score over the Day -6 to Day 0. Change from Baseline was thus calculated as the 2-week average score recorded from Day 1 up to Day 14 minus the Baseline score.

Asthma Control Questionnaire (ACQ) Score at Baseline
Baseline

The ACQ was developed to measure the adequacy of asthma control in clinical research and in clinical practice. It includes 5 questions about symptoms, 1 question about beta 2 -agonist use and 1 about lung function (FEV1% predicted). Participants recall their experiences during the previous 7 days and respond to each question using a 7-point scale. The items are equally weighted and the ACQ score is the mean of 7 items and ranges between 0 (well controlled) and 6 (extremely poorly controlled). Mean scores of =\<0.75 indicate well-controlled asthma, scores between 0.76 and \< 1.5 indicate partly controlled asthma, and a score \>= 1.5 indicates uncontrolled asthma.

Change From Baseline in ACQ Score to Tlast
Week 52

The ACQ was developed to measure the adequacy of asthma control in clinical research and in clinical practice. It includes 5 questions about symptoms, 1 question about beta 2 -agonist use and 1 about lung function (FEV1% predicted). Participants recall their experiences during the previous 7 days and respond to each question using a 7-point scale. The items are equally weighted and the ACQ score is the mean of 7 items and ranges between 0 (well controlled) and 6 (extremely poorly controlled). Mean scores of =\<0.75 indicate well-controlled asthma, scores between 0.76 and \< 1.5 indicate partly controlled asthma, and a score \>= 1.5 indicates uncontrolled asthma.

Onset of action, measured by change from baseline in Total Nasal Symptom Score.
Average of morning and evening parent/caregiver reported reflective total nasal symptoms score over the two weeks of treatment
Safety and tolerability of ciclesonide nasal spray
Time to onset of action, measured by a difference from placebo in the change from baseline in patient- assessed instantaneous TNSS following treatment
14 hours
safety.
24 h plasma cortisol profiles and urinary cortisol
53 days
Time to onset of action, measured by a difference from placebo in the change from baseline in patient -assessed instantaneous TNSS following treatment
14 hours
Spontaneous and elicited adverse events (AEs)
6 weeks
Vital signs
6 weeks
Cortisol (24-hour urine. AM plasma)
6 weeks
clinical laboratory parameters
6 weeks
Physical examination including ENT exam
6 weeks
Intraocular pressure (IOP) assessment
6 weeks
serum concentrations of ciclesonide and its active metabolite will be measured following 6 weeks treatment at three time points corresponding to presumed peak and trough exposure
6 weeks
changes in Total Nasal Symptom Score
change in Total Nasal Symptom Scores.
Average of AM and PM patient-reported reflective Total Nasal Symptom Score (TNSS) over 6 weeks of treatment.
6 weeks
Average of AM and PM patient-reported reflective Total Nasal Symptom Score (TNSS) over the first two weeks of treatment
4 weeks

Secondary Endpoints

Change From Baseline Over 2 Weeks in Participant-Reported Morning and Evening Instantaneous Total Nasal Symptom Scores
Baseline and Week 1 up to Week 2 (entire treatment period)
Change From Baseline Over 2 Weeks in Participant-Reported Morning and Evening Reflective Total Ocular Symptom Scores (TOSS)
Baseline and Week 1 up to Week 2 (entire treatment period)
Change From Baseline Over 2 Weeks in Participant-Reported Morning and Evening Instantaneous Total Ocular Symptom Scores
Baseline and Week 1 up to Week 2 (entire treatment period)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ciclesonide 200 mcgEXPERIMENTALCiclesonide 200 mcg nasal spray, 2 actuations (sprays) per nostril (50 mcg ciclesonide/actuation), daily, for 2 weeks.
PlaceboPLACEBO_COMPARATORCiclesonide placebo-matching nasal spray, 2 actuations (sprays) per nostril, daily, for 2 weeks.
CIC 160ACTIVE_COMPARATORTwo puffs of 40 mcg ciclesonide inhaled in the morning and the evening (corresponding to a total daily dose of 160 mcg)
CIC 320ACTIVE_COMPARATORTwo puffs of 80 mcg ciclesonide inhaled in the morning and the evening (corresponding to a total daily dose of 320 mcg)
CIC 640ACTIVE_COMPARATORTwo puffs of 160 mcg ciclesonide inhaled in the morning and the evening (corresponding to a total daily dose of 640 mcg)
1ACTIVE_COMPARATORCiclesonide 200µg
2PLACEBO_COMPARATORPlacebo
3ACTIVE_COMPARATORCiclesonide 25µg
4PLACEBO_COMPARATORPlacebo

Interventions

NameTypeDescription
CiclesonideDRUGCiclesonide nasal spray 50 mcg/actuation
Ciclesonide PlaceboDRUGCiclesonide placebo-matching nasal spray
Ciclesonide Nasal SprayDRUG -
PlaceboDRUGplacebo
Ciclesonide nasalDRUGsafety of Ciclesonide (200µg, 100µg, 25µg)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Informed consent signed by a participant for participation in the study. 2. SAR male and female participants aged greater than or equal to (\>=) 18 years (with a history of SAR of 2 years on longer). In the Investigator's judgment the SAR must have been of sufficient severity...

Countries:RussiaArgentinaBrazilGermanyIsraelCanadaUnited States
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Frequently asked questions about Ciclesonide

What is Ciclesonide used for?

Ciclesonide is an investigational small molecule in Phase 3 development for asthma, bronchial asthma, rhinitis, allergic, seasonal, seasonal allergic rhinitis, hay fever, and perennial allergic rhinitis. It is being studied in the respiratory therapeutic area. The drug has been evaluated in 19 completed clinical trials with a total enrollment of 6,995 participants.

Who makes Ciclesonide?

Ciclesonide is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company is conducting clinical research on this respiratory drug candidate for asthma and allergic rhinitis indications. AstraZeneca has completed 19 trials involving the drug, with all trials now closed.

What phase is Ciclesonide in?

Ciclesonide is in Phase 3 clinical development for respiratory conditions including asthma and allergic rhinitis. It is an investigational drug and has not been reported as FDA approved. All 19 clinical trials listed for Ciclesonide are completed, with no active trials currently enrolling patients.

What clinical trials is Ciclesonide in?

Ciclesonide has completed 19 clinical trials, including NCT00163345, NCT00163397, NCT00306163, and NCT00314509. These Phase 3 and Phase 2 studies evaluated the drug in asthma patients across countries such as the Netherlands, Malaysia, Taiwan, France, Germany, Hungary, and South Africa. The trials were randomized, double-blind, and active-controlled.

Is Ciclesonide the same as Alvesco?

Ciclesonide is the generic name for the drug also known by the brand name Alvesco. The data provided does not list alternative names, so this relationship is not confirmed in the available information. Ciclesonide is being studied for asthma and allergic rhinitis indications.