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Ciclesonide for the Treatment of Airway Hyperresponsiveness

Primary Purpose

Asthma

Status
Completed
Phase
Phase 4
Locations
Switzerland
Study Type
Interventional
Intervention
Ciclesonide
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma, Ciclesonide

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Referred to the pulmonology department of the university hospital Basel because of suspected asthma defined as respiratory symptoms like wheezing or cough or chest tightness.
  2. Asthma symptoms partly controlled according to GINA (October 2006) 1 week prior to randomization
  3. FEV1 ≥ 70% predicted
  4. 18 - 70 years old

Exclusion Criteria:

  1. Smoker and ex-smoker with >10 pack years
  2. COPD
  3. Upper respiratory tract infection within the past 4 weeks.
  4. ICS or oral steroids during the previous month before inclusion
  5. b-blockers within the past 4 weeks
  6. Current treatment with medication as defined in section concomitant medication (ICS other than study medication, ß-blockers)
  7. Pregnancy
  8. Known malignancy

Sites / Locations

  • Nycomed

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

1

2

Arm Description

Ciclesonide 320µg

Placebo

Outcomes

Primary Outcome Measures

Change of hyper-responsiveness to mannitol assessed by PD15FEV1 after 4 weeks of treatment with ciclesonide vs Placebo

Secondary Outcome Measures

RDR mannitol (response-dose-ratio = %fall in FEV1 / provocation dose given)
Responsiveness to methacholine (PD20FEV1 ) and RDR methacholine after 4 weeks of treatment
Level of exhaled nitric oxide after 4 weeks of treatment
mean improvement of FEV1 and PEF, mean change of the asthma control questionnaire ACQ (Juniper)
Mean change of ACQ after 4 weeks of treatment
Mean change of AQLQ after 4 weeks of treatment
Mean change of symptoms, rescue medication use, nocturnal awakening according to GINA after 4 weeks of treatment
Exacerbation rates during the 4 weeks of treatment

Full Information

First Posted
January 21, 2009
Last Updated
December 1, 2016
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT00826969
Brief Title
Ciclesonide for the Treatment of Airway Hyperresponsiveness
Official Title
Ciclesonide for the Treatment of Airway Hyperresponsiveness. The Mannitol-Asthma-Ciclesonide Study (MACS). A Double-blind, Randomized, Parallel Group Study.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Completed
Study Start Date
September 2008 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study objective is to investigate in a placebo-controlled, double-blind manner the effect of inhaled corticosteroid (ciclesonide) on airway hyperresponsiveness measured as having PD15 mannitol. Treatment medication will be administered as follows: 320 microgram ciclesonide or placebo will be inhaled once daily. The study duration consists of a treatment period of 4 weeks. The study will provide further data on safety of ciclesonide.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma, Ciclesonide

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Ciclesonide 320µg
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Ciclesonide
Intervention Description
320µg Ciclesonide versus Placebo
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Change of hyper-responsiveness to mannitol assessed by PD15FEV1 after 4 weeks of treatment with ciclesonide vs Placebo
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
RDR mannitol (response-dose-ratio = %fall in FEV1 / provocation dose given)
Time Frame
4 weeks
Title
Responsiveness to methacholine (PD20FEV1 ) and RDR methacholine after 4 weeks of treatment
Time Frame
4 weeks
Title
Level of exhaled nitric oxide after 4 weeks of treatment
Time Frame
4 weeks
Title
mean improvement of FEV1 and PEF, mean change of the asthma control questionnaire ACQ (Juniper)
Time Frame
4 weeks
Title
Mean change of ACQ after 4 weeks of treatment
Time Frame
4 weeks
Title
Mean change of AQLQ after 4 weeks of treatment
Time Frame
4 weeks
Title
Mean change of symptoms, rescue medication use, nocturnal awakening according to GINA after 4 weeks of treatment
Time Frame
4 weeks
Title
Exacerbation rates during the 4 weeks of treatment
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Referred to the pulmonology department of the university hospital Basel because of suspected asthma defined as respiratory symptoms like wheezing or cough or chest tightness. Asthma symptoms partly controlled according to GINA (October 2006) 1 week prior to randomization FEV1 ≥ 70% predicted 18 - 70 years old Exclusion Criteria: Smoker and ex-smoker with >10 pack years COPD Upper respiratory tract infection within the past 4 weeks. ICS or oral steroids during the previous month before inclusion b-blockers within the past 4 weeks Current treatment with medication as defined in section concomitant medication (ICS other than study medication, ß-blockers) Pregnancy Known malignancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
AstraZeneca AstraZeneca
Organizational Affiliation
AstraZeneca
Official's Role
Study Director
Facility Information:
Facility Name
Nycomed
City
Basel
ZIP/Postal Code
4031
Country
Switzerland

12. IPD Sharing Statement

Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4509&filename=BY9010-CH-101-RDS-2012-10-29.pdf
Description
BY9010-CH-101-RDS-2012-10-29.pdf

Learn more about this trial

Ciclesonide for the Treatment of Airway Hyperresponsiveness

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