Comparison of Inhaled Ciclesonide (160 mcg b.i.d. or 320 mcg b.i.d.) and Fluticasone Propionate (250 mcg b.i.d. or 500 mcg b.i.d.) in Pretreated Patients With Mild to Moderate Asthma
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Asthma
- Sponsor
- AstraZeneca
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- AUC(0-24h)/24 h of serum cortisol level
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The aim of the study is to investigate the effect of ciclesonide versus fluticasone propionate versus placebo on airway hyperresponsiveness and on the hypothalamic-pituitary-adrenal axis (HPA axis). Treatment medication will be administered as follows: ciclesonide or fluticasone propionate will be inhaled twice daily, using one of the two dose levels. The study duration consists of a baseline period (4 to 6 weeks), five treatment periods (9 days each), and a washout period between treatments (4 to 12 weeks). The study will provide further data on safety and tolerability of ciclesonide.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients who have had a history of bronchial asthma for at least 6 months
- •FEV1 \>60% of predicted for at least 24 h
- •Patients who are hyperresponsive to methacholine and to AMP
- •Patients who are in good health with the exception of asthma
Exclusion Criteria
- •Concomitant severe diseases or diseases which are contraindications for the use of inhaled steroids
- •Patients suffering from COPD and/or other relevant lung diseases except asthma
- •Current smokers and ex-smokers both with ≥10 pack years
Outcomes
Primary Outcomes
AUC(0-24h)/24 h of serum cortisol level
24 h urinary cortisol excretion adjusted for creatinine.
Secondary Outcomes
- lung function (FEV1, FVC)
- pharmacokinetics
- safety and tolerability.
- 8 am measurement of bone formation markers
- PC20FEV1 to methacholine
- PC20FEV1 to AMP