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
About this trial
This is an interventional treatment trial for Asthma focused on measuring Asthma, Ciclesonide
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
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
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
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Ciclesonide for the Treatment of Airway Hyperresponsiveness
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