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Efficacy of Ciclesonide and Fluticasone Propionate in Adult Patients With Moderate and Severe Persistent Asthma (18 to 75 y) (BY9010/IT-101)

Information source: ALTANA Pharma
Information obtained from ClinicalTrials.gov on December 31, 2007
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Asthma

Intervention: Ciclesonide (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: ALTANA Pharma

Official(s) and/or principal investigator(s):
Daniel Dusser, MD, PhD, Principal Investigator, Affiliation: Hospital COCHIN, Paris, France

Summary

The aim of the study is to compare the safety and efficacy of ciclesonide versus fluticasone propionate on the lung function, symptoms, use of rescue medication, and occurrence of side effects (such as candidiasis, hoarseness) in adults with persistent asthma. Ciclesonide will be inhaled twice daily at one dose level; fluticasone propionate will be inhaled twice daily at one dose level. The study duration consists of a baseline period (2 weeks) and a treatment period (24 weeks). The study will provide further data on safety and tolerability of ciclesonide.

Clinical Details

Official title: Comparison of Inhaled Ciclesonide (640 Mcg/Day) and Fluticasone Propionate (1000 Mcg/Day) in Patients With Moderate and Severe Persistent Asthma

Study design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: number of patients with candidiasis of the oropharynx or hoarseness.

Secondary outcome:

inhaled Corticosteroids Questionnaire (ICQ)

proportion of cases of candidiasis of the oropharynx or

hoarseness at each visit Secondary variables

FEV1, FVC, PEF from spirometry

morning and evening PEF from diaries

diurnal PEF fluctuation

onset of treatment effect

percent days on which patient perceived asthma control

percent of nocturnal awakening-free days

percent of rescue medication free days

percent symptom free days

asthma symptom score

use of rescue medication

time to first asthma exacerbation

number of patients with an asthma exacerbation

AQLQ

number of patients with candidiasis of the oropharynx or hoarseness by severity

physical examination, ECG

vital sings

adverse events

standard laboratory work-up

morning serum cortisol

skin bruising.

Eligibility

Minimum age: 18 Years. Maximum age: 75 Years. Gender(s): Both.

Criteria:

Main Inclusion Criteria: Written informed consent History of bronchial asthma for at least 6 months Pre-treatment with CFC-beclomethasone dipropionate (CFC-BDP) ≥ 1000 mcg/day or equivalent and a long-acting beta agonist (LABA) either in free or fixed combination FEV1 ≥ 80% of predicted Main Exclusion Criteria: Concomitant severe diseases or diseases which are contraindications for the use of inhaled steroids or contraindications for the use of LABAs COPD Smoking with ≥10 pack-years Pregnancy Intention to become pregnant during the course of the study Breast feeding Lack of safe contraception

Locations and Contacts

ALTANA Pharma, Cities in Belgium, Belgium

ALTANA Pharma, Cities in France, France

ALTANA Pharma, Cities in Italy, Italy

ALTANA Pharma, Cities in the Netherlands, Netherlands

ALTANA Pharma, Cities in Spain, Spain

ALTANA Pharma, Cities in Switzerland, Switzerland

ALTANA Pharma, Cities in the United Kingdom, United Kingdom

Additional Information

Starting date: November 2004
Last updated: December 15, 2006

Page last updated: December 31, 2007

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