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Effect of ciclesonide on allergen challenge in subjects with bronchial asthma
Author(s) -
Larsen B. B.,
Nielsen L. P.,
Engelstätter R.,
Steinijans V.,
Dahl R.
Publication year - 2003
Publication title -
allergy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.363
H-Index - 173
eISSN - 1398-9995
pISSN - 0105-4538
DOI - 10.1034/j.1398-9995.2003.00052.x
Subject(s) - ciclesonide , placebo , medicine , asthma , inhalation , crossover study , anesthesia , corticosteroid , allergy , immunology , inhaled corticosteroids , alternative medicine , pathology
Background: The aim of this clinical trial was to investigate whether repeated inhalation of the new inhaled steroid ciclesonide reduces the early‐phase (EAR) and late‐phase (LAR) reactions after allergen challenge in patients with mild allergic asthma. Also, this study provides further data on safety and tolerance of ciclesonide. Methods: The study was designed as a double‐blind placebo‐controlled randomized crossover trial. Following a baseline period, patients were randomized to either of two treatment sequences (ciclesonide/placebo, placebo/ciclesonide) each of which lasted for one week and were separated by 3–5 weeks from the alternate treatment sequence. Patients received 800 µg ciclesonide twice daily by means of a Cyclohaler. At the end of each treatment patients were subjected to an allergen challenge. Results: Thirteen asthmatic patients (mean FEV 1 of 91% predicted) who experienced an EAR and LAR after allergen challenge participated in the study. The time‐average FEV 1 decreases 0–2 h (2–12 h) after allergen challenge as measure of the EAR (LAR) were significantly reduced ( P < 0.05, one‐sided) from 0.426 L to 0.233 L (EAR) and from 0.443 L to 0.213 L (LAR), respectively. Thus, the study results suggest that ciclesonide significantly lowered the extent of EAR and LAR compared to placebo. Ciclesonide was well tolerated and no drug‐related adverse events were reported. Cortisol excretion in 24‐h urine showed no significant difference between ciclesonide and placebo. Conclusions: The study supports the efficacy and safety of ciclesonide.