[Translation] A randomized, open-label, single-dose, two-formulation, two-sequence, two-period crossover bioequivalence study of ciclesonide inhalation aerosol in healthy subjects under fasting conditions

主要目的：健康受试者空腹状态下，经口吸入给药单剂量环索奈德吸入气雾剂（受试制剂T，上海上药信谊药厂有限公司生产，规格：160μg/揿）与环索奈德吸入气雾剂（参比制剂R，Covis Pharma Gmbh生产，商品名：Alvesco®，规格：160μg/揿）后，本次试验考察空腹条件下受试制剂与参比制剂在人体内的吸收速度和吸收程度，评价受试制剂与参比制剂是否具有生物等效性。次要目的：观察受试制剂环索奈德吸入气雾剂和参比制剂环索奈德吸入气雾剂（Alvesco®）在健康受试者中的安全性。

[Translation]

Primary objective: After oral administration of a single dose of ciclesonide inhalation aerosol (test preparation T, produced by Shanghai SPH Xinyi Pharmaceutical Co., Ltd., specification: 160μg/press) and ciclesonide inhalation aerosol (reference preparation R, produced by Covis Pharma Gmbh, trade name: Alvesco®, specification: 160μg/press) to healthy subjects in the fasting state, this study investigates the absorption rate and extent of the test preparation and the reference preparation in the human body under fasting conditions, and evaluates whether the test preparation and the reference preparation are bioequivalent. Secondary objective: To observe the safety of the test preparation ciclesonide inhalation aerosol and the reference preparation ciclesonide inhalation aerosol (Alvesco®) in healthy subjects.

Start Date21 Nov 2024

Sponsor / Collaborator

Shanghai Sine Pharmaceutical Co. Ltd.

CTR20233942

/ CompletedNot Applicable

环索奈德气雾剂在健康受试者中随机、开放、单剂量、两制剂、两序列、两周期交叉空腹状态下的生物等效性试验

[Translation] A randomized, open-label, single-dose, two-formulation, two-sequence, two-period crossover bioequivalence study of ciclesonide aerosol in healthy subjects under fasting conditions

主要目的：健康受试者空腹状态下，经口吸入单次给药环索奈德气雾剂（受试制剂T，上海上药信谊药厂有限公司生产，规格：80μg/揿）与环索奈德气雾剂（参比制剂R，Covis Pharma Gmbh生产，商品名：Alvesco®，规格：80μg/揿）后，考察空腹条件下受试制剂与参比制剂在人体内的吸收速度和吸收程度，评价受试制剂与参比制剂是否具有生物等效性。次要目的：观察受试制剂环索奈德气雾剂和参比制剂环索奈德气雾剂（Alvesco®）在健康受试者中的安全性。

[Translation]

Primary objective: To investigate the absorption rate and extent of the test preparation and the reference preparation in the human body after oral inhalation of a single dose of ciclesonide aerosol (test preparation T, produced by Shanghai SPH Xinyi Pharmaceutical Co., Ltd., specification: 80μg/press) and ciclesonide aerosol (reference preparation R, produced by Covis Pharma Gmbh, trade name: Alvesco®, specification: 80μg/press) in healthy subjects under fasting conditions, and to evaluate whether the test preparation and the reference preparation are bioequivalent. Secondary objective: To observe the safety of the test preparation ciclesonide aerosol and the reference preparation ciclesonide aerosol (Alvesco®) in healthy subjects.

Start Date12 Dec 2023

Sponsor / Collaborator

Shanghai Sine Pharmaceutical Co. Ltd.

EUCTR2020-002208-37-DK

/ Unknown statusPhase 2IIT

The CIMMCov-study: A Single-center, Double-blinded, Randomized, 28-days, Parallel-group, study to evaluate the effect of Ciclesonide 320 mcg inhalation twice daily versus placebo on healthcare utilization, disease progression and symptoms in the treatment of mild-to-moderate COVID-19. - CIMMCov

Start Date29 Apr 2021

Sponsor / Collaborator-

100 Clinical Results associated with Ciclesonide

100 Translational Medicine associated with Ciclesonide

100 Patents (Medical) associated with Ciclesonide

648

Literatures (Medical) associated with Ciclesonide

01 Oct 2025·RESPIRATORY MEDICINE

The effect of inhalation delay on the aerodynamic particle size distribution of fluticasone propionate and ciclesonide using pMDI and valved holding chambers

Article

Author: Lehtimäki, Lauri ; Csonka, Péter ; Csonka, Leon L

Delayed inhalation when using pressurised metered-dose inhalers (pMDIs) for inhaled corticosteroids (ICS) is a common technique error. Valved holding chambers (VHCs) can mitigate its impact, but the effect of delays on drug delivery from suspension versus solution formulations remains poorly understood. We compared the doses of fluticasone propionate (FP) and ciclesonide (CIC) delivered to an anatomical adult throat model and a Next Generation Impactor as particles 1-5 μm and under 1 μm in diameter, using AeroChamber (AC), EasyChamber (EC), and OptiChamber Diamond (OD) VHCs with inhalation delays of 0, 1, 3, and 5 s. A breathing simulator was used to produce a single, adult-type inhalation. Throat deposition gradually decreased with longer inhalation for both FP and CIC, from an average of 3.3 %-2.2 % and 1.0 %-0.5 % of the label claim, respectively. Similarly, deposition of 1-5 μm particles declined from 30 % to 28 % for FP and from 33 % to 25 % for CIC. In contrast, deposition of particles smaller than 1 μm were relatively unaffected by inhalation delays. In conclusion, increasing the inhalation delay up to 5 s slightly reduced the respirable deposition of FP and CIC particles when using a VHC, but these reductions are unlikely to be clinically meaningful due to small differences in absolute dose. The smallest particles likely remained unaffected by the delay due to their low tendency to settle. Differences in performance between AC, EC, and OD during the delay were likely too minor to influence treatment outcomes.

01 Aug 2025·INTERNATIONAL JOURNAL OF PHARMACEUTICS

Inhalable delivery of salmeterol xinafoate-ciclesonide co-amorphous for asthma treatment: prediction, preparation and evaluation

Article

Author: Xu, Qianlin ; Bian, Yizhen ; Zhu, Bin ; Liu, Xingyu ; Qi, Ming-Hui ; Hong, Minghuang ; Ren, Guo-Bin ; Yang, Ke ; Zhou, Qian

The combination therapy of long acting β₂ agonists and inhaled corticosteroids is considered the first line treatment for asthma. However, the formulation development is challenged by poor water solubility and dose ratio accuracy. In this work, co-amorphous technology was employed to solve the problem. Guided by multi-approach theoretical predictions including molecular dynamics simulations coupled with molecular docking, novel co-amorphous systems combining salmeterol xinafoate (SX) with either ciclesonide (CIC) or betamethasone dipropionate (BP) were prepared. Compared to co-amorphous SX-BP (COAM SX-BP), co-amorphous SX-CIC (COAM SX-CIC) was preferred for further development because of the higher dissolution rate and synchronous release behaviour. The ratio of SX and CIC critically influenced the stability under high temperature and high humidity environments. To meet the needs of clinical application, the ratio of SX and CIC was optimized at 1:1.5. COAM SX-CIC exhibited good aerodynamic performance, with approximately 34 % of COAM SX-CIC being able to deposit in small airways. The cytotoxicity of COAM SX-CIC (IC₅₀ = 3.97 × 10^-5 M) was higher than that of SX (IC₅₀ = 3.15 × 10^-4 M) and CIC (IC₅₀ = 6.74 × 10^-4 M), which would not limit the application of COAM SX-CIC due to the high activity and low dosage of SX and CIC. The safety and efficacy of COAM SX-CIC was verified by in vitro anti-inflammation activity evaluation experiments. COAM SX-CIC had significant therapeutic effects in asthma models, manifested by the downregulation in TNF-α levels by about 60 % and improvement inflammatory lesions in both the airway and alveolar region. COAM SX-CIC achieved synchronous release of the two components with accurate dose ratio and demonstrated improved asthma therapeutic effects compared with raw materials, revealing the potential of co-amorphous technology in combination therapy.

01 Jun 2025·INTERNATIONAL JOURNAL OF PHARMACEUTICS

Formulation of a dry powder for inhalation combining ciclesonide and indacaterol maleate using spray drying

Article

Author: Coeurderoi, Alice ; Evrard, Brigitte ; Sacré, Pierre-Yves ; Cataldo, Didier ; Piel, Géraldine ; Bya, Laure-Anne ; Bottero, Benedetta ; Dinh, Tuan Nghia ; Ziemons, Eric ; Lechanteur, Anna

Dry powders for inhalation are evolving to address the challenge of maximizing lung deposition, with growing interest in carrier-free formulations shaping future therapies. This study focuses on developing an inhalation powder with optimal properties, combining ciclesonide and indacaterol, a combination treatment for asthma not yet available on the market. Using spray-drying technology with cyclodextrins, ultra-flying microparticles aim to be produced to enhance aerosolization and therapeutic efficacy. Cyclodextrin screening identified Crysmeb as the most effective for ciclesonide complexation, enabling stable solution atomization, while HPβCD was selected to create deflated particle shapes in a spray-dried suspension. The impact of active pharmaceutical ingredient solubilization state and solid content on powder properties was investigated, revealing that the solutions provided a more suitable particle size distribution for inhalation. Moreover, the atomized solutions led to fine particle fractions exceeding 60 % for both drugs, outperforming commercial products due to this enhanced distribution. Aerodynamic performance was further assessed under reduced flow rates using the Next Generation Impactor, showing no significant reduction in lung deposition at 60 L/min for atomized solutions. The optimized powders also demonstrated higher lung deposition of indacaterol maleate compared to Onbrez®, with findings confirmed using the PreciseInhale® system, providing comprehensive insights into aerosolization behavior. These results highlight the importance of advancing in vitro methods to better predict in vivo performance and support the development of more effective inhaled therapies. Overall, this work presents a stable, carrier-free inhalation powder with a novel drug combination that achieves efficient lung deposition and six-month stability.

News (Medical) associated with Ciclesonide

12 May 2023

·www.drugs.com

Get Relief With the Most Common Asthma Medications

FRIDAY, May 12, 2023 -- Receiving a diagnosis of asthma may be frightening, but learning what the treatment options are can help alleviate the anxiety that comes with diagnosis. Depending on the severity, certain asthma medications may help you manage your symptoms. Here, experts break down the most common long-term and quick-acting medications for asthma, how they work and potential side effects. Long-term medications These drugs are ones the patient takes daily as a means of controlling asthma and preventing asthma attacks. These can be in pill form or used as inhalers. Bronchodilators: Long-acting beta-2 agonists (LABA) relax the muscle bands around your airway (bronchi), making it easier to get air in and mucus out. These medications for asthma are taken twice a day through an inhaler and last up to 12 hours, according to the Cleveland Clinic . LABA medications should be given with a corticosteroid. (See combination medications below.) The main side effects of LABA medications are nervous or shaky feelings, hyperactivity, overexcitement, increased heart rate, upset stomach and trouble sleeping. Salmeterol (Serevent) Formoterol (Foradil) Long-acting muscarinic antagonists (LAMA) also relax the muscle bands around your airway, the National Heart, Lung, and Blood Institute (NHLBI) says. This asthma medication is used if the steroid/LABA combination doesn’t give enough relief. Do not use this medication if you have glaucoma or are at risk of urinary retention. Tiotropium bromide (Respimat) Theophylline. While not used often, theophylline can be useful in relaxing the airways and preventing reactions to irritants. It is taken as a pill and used for mild asthma symptoms. You may need to have blood tests drawn on a regular basis to make sure the level of medication is correct, the Mayo Clinic says. Side effects are the same as the other bronchodilators, but may also include chest pain or discomfort, dizziness, fainting, increase in urine volume or seizures. Theophylline (Theo-24, Theo-Dur, Slo-Bid, and others) Corticosteroids: Corticosteroids are steroids that reduce inflammation in the airways, according to the NHLBI. They may be taken as a pill, although very few patients are on the pill for long term. It is frequently used in an inhaler, often combined with a LABA. Side effects from the inhaled form are thrush (a mouth infection) and a hoarse voice. Inhaled corticosteroids include: Fluticasone (Flovent HFA, Arnuity Ellipta, others) Budesonide (Pulmicort Flexhaler) Mometasone (Asmanex Twisthaler) Beclomethasone (Qvar RediHaler) Ciclesonide (Alvesco) Combination asthma medications (Corticosteroid and LABA): Fluticasone and salmeterol (Advair) Budesonide and formoterol (Symbicort) Fluticasone and Vilanterol (Breo) Leukotriene modifiers reduce swelling and help keep your airways open for up to 24 hours. According to Mayo Clinic, these medications block the effects of leukotrienes, immune system chemicals that cause asthma symptoms. Side effects are uncommon, but may include nausea, headache, tiredness or diarrhea. Montelukast (Singulair) Zafirlukast (Accolate) Zileuton (Zyflo) Quick-acting asthma medications These are a group of medications that are used when a patient has a flare-up or an asthma attack. Inhaled short-acting beta2-agonists (SABAs) open the airways so air can flow through them during an asthma attack. They start working within 15 to 20 minutes and continue to work for 4 to 6 hours, according to the Cleveland Clinic. Side effects can include tremors, rapid heartbeat, allergic reactions, muscle pain, worsening breathing, dry mouth, headache, sore throat or trouble sleeping. Inhaled forms of SABA medications include: Albuterol (Ventolin) Levalbuterol (Xopenex) Albuterol and ipratropium bromide combination (DuoNeb) Corticosteroids. Oral corticosteroids are usually prescribed for short-term use to help a patient overcome a flare-up. This type of medication quickly reduces swelling and inflammation in the airways. Side effects include: Cataracts, osteoporosis, weight gain, high blood sugar, increased risk of infections, thinning bones and fractures, thin skin, bruising and slower wound healing, mood swings, depression and aggressive behavior. Prednisone (Deltasone, Prednicot, and others ) Methylprednisolone (Medrol, Solu-Medrol, Depo-Medrol) Short-acting anticholinergic bronchodilators help open the airways quickly. This medicine may be less effective than SABAs, but it is an option for people who experience side effects with other medications, the Cleveland Clinic says. Side effects you may experience with these inhalers are dry throat, eyes and nose; unusual taste; nausea and vomiting; or temporary blurred vision if the medicine gets in your eyes. Ipratropium bromide (Atrovent) Tiotropium bromide (Spiriva Respimat) Corticosteroid reliever. In January 2023, the FDA approved Airsupra, which can be used as needed to prevent bronchoconstriction and asthma attacks. In a study conducted before the approval, the risk of severe asthma exacerbation was significantly lower with a fixed-dose combination of albuterol and budesonide than with as-needed use of albuterol alone. Most common side effects are headache, oral yeast infection, cough, and difficulty speaking. Airsupra (albuterol-budesonide) Posted May 2023

Drug Approval

01 Nov 2021

·www.biospace.com

AstraZeneca Purges Two Respiratory Medicines in Big Day for Covis

Bodo Marks/picture alliance via Getty AstraZeneca’s respiratory portfolio is a little lighter as the British-Swiss pharmaceutical behemoth announced the offloading of two chronic obstructive pulmonary disease (COPD drugs) to fellow Swiss player Covis Pharma Group for $270 million. The agreement, announced November 1, involves Eklira (marketed as Tudorza in the U.S.) and Duaklir (marketed as Brimica® in some countries). The acquisition of the medicines – which netted AstraZeneca $143 million in the geographies covered under the agreement – provides a significant boost to Covis’s respiratory portfolio. COPD was the third leading cause of death worldwide in 2019, so the need and market are certainly there. “This acquisition represents a highly strategic and synergistic transaction with AstraZeneca, enabling Covis to offer a full continuum of best-in-class therapies for allergic rhinitis, asthma and COPD,” said Covis Chief Executive Officer Michael Porter in a statement. “As a result of the acquisition, Covis is firmly placed as one of the top 10 respiratory companies in the world.” Under the terms of the agreement, Covis will pay AstraZeneca $270 million upon completion of the deal, which is expected to close in quick order prior to the end of Q4 2021. In addition, Covis will be responsible for ongoing development costs related to the medicines. Eklira is a long-acting muscarinic antagonist (LAMA), while Duaklir is a combination therapy that contains both a LAMA and a long-acting beta2-agonist. Both are presented as a dry powder for inhalation and delivered through a breath-actuated multi-dose dry powder inhaler called Genuair (Pressair in the US). AstraZeneca CEO Pascal Soriot has made no secret of his intention to steer the company's R&D pipeline to a predominantly oncology focus, and Covis is a repeat partner. In 2018, AstraZeneca divested three Asthma and Rhinitis Drugs to Covis for $350 Million. In this instance, the large multinational sold rights to Alvesco (ciclesonide), which is intended to treat persistent asthma, and Omnaris and Zetonna (ciclesonide), which are aimed at treating nasal symptoms associated with rhinitis. In April, Covis announced disappointing results from a Phase III trial evaluating Alvesco in COVID-19. The results were deemed not statistically significant, though Dr. Michael Blaiss, MD, clinical professor at the Medical College of Georgia at Augusta University in Augusta, Georgia and a member of the steering committee for the trial said that “further studies may want to look at whether this treatment may prevent or lessen post-acute COVID-19 syndrome.” AstraZeneca also said the deal will enable a sharpening of its focus on priority medicines in the respiratory and immunology space. The company went on to state in its official press release that the agreement “will ensure continued patient access to these established medicines.” With European headquarters in Zug as well as Amsterdam, Covis is a global specialty pharma company that markets therapeutics for patients with life-threatening conditions and chronic illnesses including asthma, COPD and anemia. Featured Jobs on BioSpace

Acquisition

18 Apr 2021

·www.globenewswire.com

COVIS PHARMA GROUP Announces Top-line Safety and Efficacy

ZUG, Switzerland, April 15, 2021 (GLOBE NEWSWIRE) -- Covis Pharma Group (the “Company”), a global specialty pharmaceutical company that markets therapeutic solutions for patients with life-threatening conditions and chronic illnesses, announced today top-line results from a 400 patient phase 3, multicenter, randomized, double-blind, placebo-controlled study to assess the safety and efficacy of ciclesonide metered-dose inhaler in non-hospitalized patients 12 years of age and older with symptomatic COVID-19 infection. The primary endpoint of the study was time to alleviation of COVID-19-related symptoms of cough, dyspnea, chills, feeling feverish, repeated shaking with chills, muscle pain, headache, sore throat, and new loss of taste or smell, defined as symptom-free for a continuous period of ≥ 24 hours by Day 30. A sub-group analysis showed that time to alleviation of cough was the most improved symptom in the ciclesonide arm compared to the placebo arm by 6 days in 75% of the population. A relevant secondary efficacy endpoint reaching statistical significance (p=0.0301) was the 70% reduction observed in the ciclesonide arm versus 30% in the placebo arm of patients with subsequent emergency department visits or hospital admissions for reasons attributable to COVID-19 by Day 30. There were only a small number (n=10) of total events observed in this study. No new safety signals were identified with ciclesonide 320mcg twice daily for 30 days in the active comparator arm versus placebo. In addition, no new adverse events were reported after 60 days post treatment with ciclesonide. The study randomized 400 patients in a 1:1 ratio to ciclesonide versus placebo. The study demonstrated a treatment difference between ciclesonide (70.6%) and placebo (63.5%) in the percentage of patients with an improved time to alleviation of COVID-19 related symptoms, which was not statistically significant, with a p-value of 0.5502. “We are disappointed the results were not more positive, although there was a trend toward earlier cough cessation in the ciclesonide group. Further studies may want to look at whether this treatment may prevent or lessen post-acute COVID-19 syndrome,” said Michael Blaiss, MD, clinical professor at the Medical College of Georgia at Augusta University in Augusta, Georgia, a member of the steering committee for the trial. About AlvescoAlvesco (ciclesonide) Inhalation Aerosol is a glucocorticoid indicated for the long-term treatment of asthma as maintenance therapy in adults and adolescents 12 years of age and older in the U.S. and over 6 years of age in Canada. Alvesco Inhalation Aerosol is an inhaled glucocorticoid with a small particle size (1-2 μm) enabling it to reach areas of chronic inflammation in both the large and small airways. Alvesco is not indicated for the relief of acute bronchospasm. Alvesco is not indicated for children under 12 years of age in the U.S. or under the age of 6 in Canada. Canada Indication: ALVESCO is indicated for the prophylactic management of steroid-responsive bronchial asthma in adults, adolescents and children 6 years of age and older.Contraindications: United States of America Indication: ALVESCO is indicated for the maintenance treatment of asthma as prophylactic therapy in adults and adolescents 12 years of age and older.Important Limitations of USE: Important Safety Information for Alvesco (ciclesonide) Inhalation Aerosol Contraindications Warnings & Precautions Please read Important Safety Information and Full Prescribing Information for the US and Canada PM. About Covis Covis, with global operations in Zug, Switzerland, is a global specialty pharmaceutical company that markets therapeutic solutions for patients with life-threatening conditions and chronic illnesses. Additional information is available at . Trademarks are the property of their respective owners. Media Contactinfo@covispharma.com

100 Deals associated with Ciclesonide

External Link

KEGG	Wiki	ATC	Drug Bank
D01703	Ciclesonide	R01AD13 R03BA08	DB01410

R&D Status

Approved

10 top approved records.

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Indication	Country/Location	Organization	Date
Rhinitis, Allergic, Perennial	United States	Covis Pharma Holdings BV	20 Oct 2006
Rhinitis, Allergic, Seasonal	United States	Covis Pharma Holdings BV	20 Oct 2006
Asthma	Australia	CHIESI Farmaceutici SpA	24 Feb 2004

Developing

10 top R&D records.

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Indication	Highest Phase	Country/Location	Organization	Date
COVID-19	Phase 3	United States	Covis Pharma Holdings BV	08 Jun 2020
Seasonal rhinitis	Phase 3	United States	AstraZeneca PLC	01 Mar 2006
Childhood asthma	Phase 3	Brazil	AstraZeneca PLC	01 Oct 2004
Childhood asthma	Phase 3	Germany	AstraZeneca PLC	01 Oct 2004
Childhood asthma	Phase 3	Hungary	AstraZeneca PLC	01 Oct 2004
Childhood asthma	Phase 3	Poland	AstraZeneca PLC	01 Oct 2004
Childhood asthma	Phase 3	Portugal	AstraZeneca PLC	01 Oct 2004
Childhood asthma	Phase 3	South Africa	AstraZeneca PLC	01 Oct 2004
Persistent asthma	Phase 3	-	Takeda Pharmaceutical Co., Ltd.	01 Dec 2000
Persistent asthma	Phase 3	-	Sanofi	01 Dec 2000

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Study	Phase	Population	Analyzed Enrollment	Group	Results	Evaluation	Publication Date


NCT04381364 (HALT COVID-19, Pubmed \| BMJ Open)	Phase 2	COVID-19	98	Inhaled ciclesonide 320 µg	pkfnvspffz(xghwdcowjm) = fuoqgcgrvh mxntzacoqf (vbwixwnpzl )	-	22 Feb 2023
				ciclesonide (Standard care)	pkfnvspffz(xghwdcowjm) = xhmylxwtjv mxntzacoqf (vbwixwnpzl )
NCT04435795 (CONTAIN, CTgov)	Phase 2/3	COVID-19	215	Ciclesonide (Ciclesonide Inhaled and Nasal)	cefgugslfo = ymnokvruma xgplwsjgry (hsocpqnjdn, bayskfuffb - qjlhtuoymp) View more	-	29 Apr 2022
				Normal Saline intranasal and placebo inhaler (Placebo)	cefgugslfo = mnkomdvcfr xgplwsjgry (hsocpqnjdn, dyxsmhjwzg - xelbdhcene) View more
NCT00458835 (BY9010/M1-422, CTgov)	Phase 4	Rhinitis, Allergic	30	Ciclesonide (Ciclesonide Nasal Spray)	brmhcwaijt(urwrdcrzoa) = pznxnvuvkj uokifqtrgi (gtftznpagt, felpakjsnd - nlxrqlqxzz) View more	-	02 Mar 2022
				Ciclesonide (Ciclesonide Nasal Aerosol)	brmhcwaijt(urwrdcrzoa) = tinxuotoer uokifqtrgi (gtftznpagt, nuyixztxal - xksnovpilv) View more
NCT04377711 (CTgov)	Phase 3	COVID-19	400	Ciclesonide (Group 1)	wdqfpqsgmb(detpyvvhvn) = hxszotkanu llvodredgl (jprapduyrl, fixvkgcblf - mqtxtuuizk) View more	-	06 Jan 2022
				Placebo (Group 2)	wdqfpqsgmb(detpyvvhvn) = fkiwlruinn llvodredgl (jprapduyrl, zrrscknqev - cmsyvrbwxn) View more
NCT04377711 (Pubmed \| JAMA Intern Med) Manual	Phase 3	COVID-19	400	Ciclesonide	dawwfpzvfq(kjwtjuraqn) = pdtlassjkb bqtrtwpxgi (bytnavsjsn, 14.0 - 21.0)	Negative	22 Nov 2021
				Placebo	dawwfpzvfq(kjwtjuraqn) = stittngfru bqtrtwpxgi (bytnavsjsn, 16.0 - 23.0)
NCT04435795 (CONTAIN, Pubmed \| BMJ)	Phase 2	COVID-19	203	Inhaled ciclesonide (600 μg twice daily) and intranasal ciclesonide (200 μg daily)	wefoegdczg(vzsgmmeirn) = evmosqenez yughijxhhh (iwevlqxoqp )	Negative	02 Nov 2021
				Metered dose inhaler and nasal saline placebos	wefoegdczg(vzsgmmeirn) = ihqxioqkyp yughijxhhh (iwevlqxoqp )
NCT04330586 (Pubmed \| J Clin Med) Manual	Phase 2	COVID-19	61	ciclesonide	zgmvtxyrls(seszcyqoyg) = The SARS-CoV-2 eradication rate at day 14 was significantly higher in the ciclesonide group. pntxancjjw (maugknruyf ) View more	Positive	12 Aug 2021
				standard care
NCT01455194 (CONTRAST, CTgov)	Phase 3	Asthma \| Persistent asthma	520	Ciclesonide (Treatment Period: Ciclesonide 160 mcg)	xxsjxataly(hiknpczvyk) = vmhtlcjdwy gjzzqqearw (ejnqguxndo, 0.031) View more	-	25 Oct 2016
				Ciclesonide (Treatment Period: Ciclesonide 320 mcg)	xxsjxataly(hiknpczvyk) = nqpslqljrd gjzzqqearw (ejnqguxndo, 0.035) View more
NCT02155881 (CTgov)	Phase 3	Rhinitis, Allergic, Seasonal	80	Ciclesonide (Ciclesonide 200 mcg)	loeqseaybv(fcbeotunpx) = akclasyzbm ipzwoqtrhz (bbmyhudxln, 1.83) View more	-	06 Oct 2016
				Ciclesonide Placebo (Placebo)	loeqseaybv(fcbeotunpx) = aovhnibprr ipzwoqtrhz (bbmyhudxln, 1.63) View more
NCT00384189 (RAINBOW, CTgov)	Phase 3	Asthma	1,080	Placebo+salbutamol+Ciclesonide (Ciclesonide 40 µg)	ivslccxzli(dxnqmjxbem) = kfdsyjtrok yoaxmmmukt (sjureqjerg, 2.69) View more	-	16 Aug 2016
				Placebo+salbutamol+Ciclesonide (Ciclesonide 80 µg)	ivslccxzli(dxnqmjxbem) = guiqgipufm yoaxmmmukt (sjureqjerg, 2.60) View more

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