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Efficacy and Safety of Ciclesonide (CIC) Administered Twice Daily in Pediatric Patients With Asthma.

Phase 3
Completed
Conditions
Asthma
Interventions
Drug: Placebo
Registration Number
NCT00392288
Lead Sponsor
AstraZeneca
Brief Summary

Primary objective: To demonstrate the efficacy of ciclesonide, compared to placebo, at 80 μg twice daily (BID) or 40 μg BID for 12 weeks in patients with persistent asthma.

Secondary objective: To assess the safety and tolerability of ciclesonide.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
528
Inclusion Criteria
  • History of persistent bronchial asthma for at least 3 months prior to screening;
  • For patients with persistent bronchial asthma and being treated with a controller therapy: Documented use of an inhaled steroid or Singulair® 5mg once daily;
  • For patients with persistent bronchial asthma and not being treated with controller therapy: Patients may have documented use of a reliever therapy such as albuterol/salbutamol or may be untreated;
  • Morning Peak Expiratory Flow (AM PEF) of ≤90% of predicted values from the in-clinic spirometry after a 6 hour withhold of albuterol/salbutamol;
  • Only patients aged between 6 to <12 years must have a forced expiratory volume in one second (FEV1) of ≥50% to ≤85% of predicted normal after a 6 hour withhold of albuterol/salbutamol
Exclusion Criteria
  • Nocturnal awakenings for asthma which require treatment with albuterol/salbutamol for 4 or more nights out of the last 7 days of the screening period;
  • Use of more than 8 puffs/day of albuterol/salbutamol on 3 or more consecutive days within the last 7
  • Upper or lower respiratory tract infection within 4 weeks prior to screening and during screening period;
  • History of life-threatening asthma, including a history of significant hypercarbia (pCO2 >45 mmHg), prior intubation, respiratory arrest, or seizures as a result of an exacerbation of asthma;
  • More than 3 in-patient hospitalization or emergency care visits due to asthma exacerbations in the year prior to screening;
  • Use of injectable or oral corticosteroids within one month prior to screening, or more than 3 bursts) within 6 months prior to screening;

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo MDIPlacebodouble-blind
Ciclesonide MDI 40 µg BIDCiclesonidedouble-blind
Ciclesonide MDI 80 µg BIDCiclesonidedouble-blind
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Week 12.Baseline and Week 12

Change in FEV1 (Percent of predicted) from baseline to week 12. FEV1 was measured only in children between 6 to \<12 years only. Least Squares Mean were adjusted for Baseline FEV1, age \[yrs\], pooled center, previous corticosteroid therapy and holding chamber.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Total Daily Asthma Symptom Score at Week 12.Baseline and Week 12

Change in total daily asthma symptom score from baseline to week 12. 5-Point, ordinal scale specifying patient's experience of symptoms during day and night from 0 (no symptoms) to 4 (symptoms that prevent the patient from engaging in daily activities or sleep)

Change From Baseline in Use of Albuterol/Salbutamol at Week 12.Baseline and Week 12

Change in albuterol/salbutamol use from baseline to week 12

Trial Locations

Locations (6)

Sanofi-Aventis

🇲🇽

Mexico, Mexico

sanofi-aventis Poland

🇵🇱

Warszawa, Poland

Sanofi-Aventis Hungaria

🇭🇺

Budapest, Hungary

sanofi-aventis South Africa

🇿🇦

Midrand, South Africa

sanofi-aventis, US

🇺🇸

Bridgewater, New Jersey, United States

Sanofi-Aventis Administrative Office

🇷🇺

Moscow, Russian Federation

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