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Phase 3 Completed N=400 Randomized Double-blind Treatment

A Study of the Safety and Efficacy of Ciclesonide in the Treatment of Non-hospitalized COVID-19 Patients

Source: ClinicalTrials.gov NCT04377711 ↗
Enrolled (actual)
400
Serious AEs
2.5%
Results posted
Jan 2022
Primary outcomePrimary: Time to Alleviation of COVID-19-related Symptoms by Day 30 — 19.0; 19.0 days
◆ Published Evidence
Highly cited
106citations · ~27 / year
Efficacy of Inhaled Ciclesonide for Outpatient Treatment of Adolescents and Adults With Symptomatic COVID-19: A Randomized Clinical Trial.
JAMA internal medicine · 2022 · Open access · Likely link

Summary

The purpose of this study is to assess the safety and efficacy of Alvesco (ciclesonide) Inhalation Aerosol in non hospitalized patients with symptomatic COVID-19 infection in a multicenter, randomized, double-blind, placebo controlled study

Linked Publications (3)

  • Efficacy of Inhaled Ciclesonide for Outpatient Treatment of Adolescents and Adults With Symptomatic COVID-19: A Randomized Clinical Trial.
    JAMA internal medicine · 2022 · 106 citations · Open access · Likely link
  • Inhaled corticosteroids in virus pandemics: a treatment for COVID-19?
    The Lancet. Respiratory medicine · 2020 · 62 citations · Open access · Likely link
  • Reply.
    The Journal of allergy and clinical immunology · 2021 · 1 citation · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Alleviation of COVID-19-related Symptoms by Day 30
19.0; 19.0
SECONDARY
Percentage of Patients With Hospital Admission or Death by Day 30
1.5; 3.4
SECONDARY
All-cause Mortality by Day 30
0; 0
SECONDARY
COVID-19-related Mortality by Day 30
0; 0
SECONDARY
Percentage of Patients With Subsequent Emergency Department Visit or Hospital Admission for Reasons Attributable to COVID-19 by Day 30
1.0; 5.4
SECONDARY
Percentage of Patients With Alleviation of COVID-19-related Symptoms Defined as Symptom-free for a Continuous Period of More Than 24 Hours (ie, Later Than 3 AM/PM Assessments) by Day 7, by Day 14, and by Day 30
139; 129

Eligibility Criteria

Inclusion Criteria

Patients eligible for enrollment in the study must meet all the following criteria:

  • Male and female adults and adolescents (12 years of age and above).
  • Positive SARS-CoV-2 rapid molecular diagnostic test within 72 hours prior to enrollment.
  • Patient is not currently hospitalized or under immediate consideration for hospitalization at the time of enrollment.
  • Patient is currently experiencing symptoms of fever, cough, and/or dyspnea.
  • Patient has an oxygen saturation level greater than 93%.
  • Ability to show adequate use of MDI, including inhalation technique.
  • Patient, parent/legal guardian, or legally-authorized representative must have signed a written informed consent before administration of any study-specific procedures.

Exclusion Criteria

Patients meeting any of the following criteria are not eligible for participation in the study:

  • Existence of any life-threatening co-morbidity or any other medical condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion.
  • History of hypersensitivity to ciclesonide.
  • Treatment with inhaled or intranasal corticosteroids within 14 days of the screening/ enrollment/randomization visit.
  • Treatment with oral corticosteroids within 90 days of the screening/enrollment/randomization visit.
  • Participation in any other clinical trial or use of any investigational agent within 30 days of the screening/enrollment/randomization visit.
  • Currently receiving treatment with hydroxychloroquine/chloroquine.
  • Patients with cystic fibrosis.
  • Patients with idiopathic pulmonary fibrosis.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04377711) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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