Trial Outcomes & Findings for A 6 Month Safety and Efficacy Study of Once Daily Ciclesonide Hydrofluoroalkane (HFA) in the Treatment of Perennial Allergic Rhinitis (PAR) in Subjects 12 Years and Older (NCT NCT00953147)

NCT ID: NCT00953147

Last Updated: 2012-06-13

Results Overview

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, rTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Reflective TNSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1110 participants

Primary outcome timeframe

Weeks 0-6

Results posted on

2012-06-13

Participant Flow

Participant milestones

Participant milestones
Measure
Ciclesonide HFA 80 Mcg Once Daily
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Overall Study
STARTED
298
505
307
Overall Study
COMPLETED
261
439
265
Overall Study
NOT COMPLETED
37
66
42

Reasons for withdrawal

Reasons for withdrawal
Measure
Ciclesonide HFA 80 Mcg Once Daily
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Overall Study
Adverse Event
8
16
6
Overall Study
Protocol Violation
2
8
4
Overall Study
Withdrawal by Subject
13
15
12
Overall Study
Lost to Follow-up
8
9
4
Overall Study
Physician Decision
2
7
3
Overall Study
Other
4
11
13

Baseline Characteristics

A 6 Month Safety and Efficacy Study of Once Daily Ciclesonide Hydrofluoroalkane (HFA) in the Treatment of Perennial Allergic Rhinitis (PAR) in Subjects 12 Years and Older

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=505 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=307 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Total
n=1110 Participants
Total of all reporting groups
Age, Categorical
<=18 years
27 Participants
n=5 Participants
44 Participants
n=7 Participants
17 Participants
n=5 Participants
88 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
264 Participants
n=5 Participants
455 Participants
n=7 Participants
282 Participants
n=5 Participants
1001 Participants
n=4 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
21 Participants
n=4 Participants
Age Continuous
37.5 years
STANDARD_DEVIATION 14.3 • n=5 Participants
36.5 years
STANDARD_DEVIATION 13.2 • n=7 Participants
38.0 years
STANDARD_DEVIATION 13.1 • n=5 Participants
37.2 years
STANDARD_DEVIATION 13.5 • n=4 Participants
Sex: Female, Male
Female
196 Participants
n=5 Participants
310 Participants
n=7 Participants
210 Participants
n=5 Participants
716 Participants
n=4 Participants
Sex: Female, Male
Male
102 Participants
n=5 Participants
195 Participants
n=7 Participants
97 Participants
n=5 Participants
394 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
62 Participants
n=5 Participants
94 Participants
n=7 Participants
60 Participants
n=5 Participants
216 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
236 Participants
n=5 Participants
411 Participants
n=7 Participants
247 Participants
n=5 Participants
894 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity
White/Caucasian
249 participants
n=5 Participants
420 participants
n=7 Participants
253 participants
n=5 Participants
922 participants
n=4 Participants
Race/Ethnicity
Black or African American
40 participants
n=5 Participants
65 participants
n=7 Participants
41 participants
n=5 Participants
146 participants
n=4 Participants
Race/Ethnicity
Asian
3 participants
n=5 Participants
5 participants
n=7 Participants
10 participants
n=5 Participants
18 participants
n=4 Participants
Race/Ethnicity
American Indian or Alaska Native
2 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
Race/Ethnicity
Native Hawaiian or Other Pacific Islander
0 participants
n=5 Participants
4 participants
n=7 Participants
0 participants
n=5 Participants
4 participants
n=4 Participants
Race/Ethnicity
Other
3 participants
n=5 Participants
6 participants
n=7 Participants
3 participants
n=5 Participants
12 participants
n=4 Participants
Race/Ethnicity
Multiple
1 participants
n=5 Participants
5 participants
n=7 Participants
0 participants
n=5 Participants
6 participants
n=4 Participants
Baseline Reflective Total Nasal Symptom Score (rTNSS)
AM
8.51 units on a scale
STANDARD_DEVIATION 1.89 • n=5 Participants
8.48 units on a scale
STANDARD_DEVIATION 1.88 • n=7 Participants
8.60 units on a scale
STANDARD_DEVIATION 1.96 • n=5 Participants
8.52 units on a scale
STANDARD_DEVIATION 1.90 • n=4 Participants
Baseline Reflective Total Nasal Symptom Score (rTNSS)
PM
8.53 units on a scale
STANDARD_DEVIATION 1.91 • n=5 Participants
8.54 units on a scale
STANDARD_DEVIATION 1.84 • n=7 Participants
8.64 units on a scale
STANDARD_DEVIATION 1.92 • n=5 Participants
8.57 units on a scale
STANDARD_DEVIATION 1.88 • n=4 Participants
Baseline Reflective Total Nasal Symptom Score (rTNSS)
AM and PM
8.53 units on a scale
STANDARD_DEVIATION 1.82 • n=5 Participants
8.50 units on a scale
STANDARD_DEVIATION 1.81 • n=7 Participants
8.62 units on a scale
STANDARD_DEVIATION 1.88 • n=5 Participants
8.54 units on a scale
STANDARD_DEVIATION 1.83 • n=4 Participants
Baseline Instanteous Total Nasal Symptom Score (iTNSS)
AM
7.93 units on a scale
STANDARD_DEVIATION 2.27 • n=5 Participants
7.89 units on a scale
STANDARD_DEVIATION 2.24 • n=7 Participants
8.01 units on a scale
STANDARD_DEVIATION 2.37 • n=5 Participants
7.93 units on a scale
STANDARD_DEVIATION 2.29 • n=4 Participants
Baseline Instanteous Total Nasal Symptom Score (iTNSS)
PM
7.38 units on a scale
STANDARD_DEVIATION 2.43 • n=5 Participants
7.38 units on a scale
STANDARD_DEVIATION 2.41 • n=7 Participants
7.39 units on a scale
STANDARD_DEVIATION 2.55 • n=5 Participants
7.38 units on a scale
STANDARD_DEVIATION 2.46 • n=4 Participants
Baseline Instanteous Total Nasal Symptom Score (iTNSS)
AM and PM
7.66 units on a scale
STANDARD_DEVIATION 2.28 • n=5 Participants
7.64 units on a scale
STANDARD_DEVIATION 2.27 • n=7 Participants
7.70 units on a scale
STANDARD_DEVIATION 2.38 • n=5 Participants
7.66 units on a scale
STANDARD_DEVIATION 2.30 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM Sneezing
1.73 units on a scale
STANDARD_DEVIATION 0.73 • n=5 Participants
1.71 units on a scale
STANDARD_DEVIATION 0.72 • n=7 Participants
1.75 units on a scale
STANDARD_DEVIATION 0.74 • n=5 Participants
1.73 units on a scale
STANDARD_DEVIATION 0.73 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM Runny Nose
2.24 units on a scale
STANDARD_DEVIATION 0.59 • n=5 Participants
2.22 units on a scale
STANDARD_DEVIATION 0.59 • n=7 Participants
2.28 units on a scale
STANDARD_DEVIATION 0.60 • n=5 Participants
2.24 units on a scale
STANDARD_DEVIATION 0.59 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM Nasal Itching
2.06 units on a scale
STANDARD_DEVIATION 0.64 • n=5 Participants
2.08 units on a scale
STANDARD_DEVIATION 0.62 • n=7 Participants
2.09 units on a scale
STANDARD_DEVIATION 0.69 • n=5 Participants
2.08 units on a scale
STANDARD_DEVIATION 0.64 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM Nasal Congestion
2.48 units on a scale
STANDARD_DEVIATION 0.49 • n=5 Participants
2.46 units on a scale
STANDARD_DEVIATION 0.49 • n=7 Participants
2.47 units on a scale
STANDARD_DEVIATION 0.53 • n=5 Participants
2.47 units on a scale
STANDARD_DEVIATION 0.50 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
PM Sneezing
1.81 units on a scale
STANDARD_DEVIATION 0.68 • n=5 Participants
1.81 units on a scale
STANDARD_DEVIATION 0.70 • n=7 Participants
1.88 units on a scale
STANDARD_DEVIATION 0.69 • n=5 Participants
1.83 units on a scale
STANDARD_DEVIATION 0.69 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
PM Runny Nose
2.23 units on a scale
STANDARD_DEVIATION 0.59 • n=5 Participants
2.23 units on a scale
STANDARD_DEVIATION 0.60 • n=7 Participants
2.27 units on a scale
STANDARD_DEVIATION 0.60 • n=5 Participants
2.24 units on a scale
STANDARD_DEVIATION 0.60 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
PM Nasal Itching
2.08 units on a scale
STANDARD_DEVIATION 0.64 • n=5 Participants
2.12 units on a scale
STANDARD_DEVIATION 0.60 • n=7 Participants
2.12 units on a scale
STANDARD_DEVIATION 0.69 • n=5 Participants
2.11 units on a scale
STANDARD_DEVIATION 0.64 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
PM Nasal Congestion
2.42 units on a scale
STANDARD_DEVIATION 0.53 • n=5 Participants
2.38 units on a scale
STANDARD_DEVIATION 0.52 • n=7 Participants
2.38 units on a scale
STANDARD_DEVIATION 0.54 • n=5 Participants
2.39 units on a scale
STANDARD_DEVIATION 0.53 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM and PM Sneezing
1.77 units on a scale
STANDARD_DEVIATION 0.68 • n=5 Participants
1.76 units on a scale
STANDARD_DEVIATION 0.69 • n=7 Participants
1.81 units on a scale
STANDARD_DEVIATION 0.69 • n=5 Participants
1.78 units on a scale
STANDARD_DEVIATION 0.69 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM and PM Runny Nose
2.24 units on a scale
STANDARD_DEVIATION 0.56 • n=5 Participants
2.22 units on a scale
STANDARD_DEVIATION 0.58 • n=7 Participants
2.27 units on a scale
STANDARD_DEVIATION 0.58 • n=5 Participants
2.24 units on a scale
STANDARD_DEVIATION 0.57 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM and PM Nasal Itching
2.07 units on a scale
STANDARD_DEVIATION 0.62 • n=5 Participants
2.10 units on a scale
STANDARD_DEVIATION 0.60 • n=7 Participants
2.11 units on a scale
STANDARD_DEVIATION 0.67 • n=5 Participants
2.09 units on a scale
STANDARD_DEVIATION 0.62 • n=4 Participants
Baseline Reflective Nasal Symptom Score (rNSS)
AM and PM Nasal Congestion
2.45 units on a scale
STANDARD_DEVIATION 0.48 • n=5 Participants
2.42 units on a scale
STANDARD_DEVIATION 0.48 • n=7 Participants
2.42 units on a scale
STANDARD_DEVIATION 0.51 • n=5 Participants
2.43 units on a scale
STANDARD_DEVIATION 0.49 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM Sneezing
1.38 units on a scale
STANDARD_DEVIATION 0.91 • n=5 Participants
1.40 units on a scale
STANDARD_DEVIATION 0.88 • n=7 Participants
1.43 units on a scale
STANDARD_DEVIATION 0.93 • n=5 Participants
1.40 units on a scale
STANDARD_DEVIATION 0.91 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM Runny Nose
2.14 units on a scale
STANDARD_DEVIATION 0.68 • n=5 Participants
2.13 units on a scale
STANDARD_DEVIATION 0.68 • n=7 Participants
2.20 units on a scale
STANDARD_DEVIATION 0.67 • n=5 Participants
2.15 units on a scale
STANDARD_DEVIATION 0.68 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM Nasal Itching
2.00 units on a scale
STANDARD_DEVIATION 0.72 • n=5 Participants
1.99 units on a scale
STANDARD_DEVIATION 0.69 • n=7 Participants
2.00 units on a scale
STANDARD_DEVIATION 0.76 • n=5 Participants
2.00 units on a scale
STANDARD_DEVIATION 0.72 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM Nasal Congestion
2.41 units on a scale
STANDARD_DEVIATION 0.53 • n=5 Participants
2.38 units on a scale
STANDARD_DEVIATION 0.56 • n=7 Participants
2.38 units on a scale
STANDARD_DEVIATION 0.60 • n=5 Participants
2.39 units on a scale
STANDARD_DEVIATION 0.57 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
PM Sneezing
1.30 units on a scale
STANDARD_DEVIATION 0.90 • n=5 Participants
1.32 units on a scale
STANDARD_DEVIATION 0.89 • n=7 Participants
1.36 units on a scale
STANDARD_DEVIATION 0.90 • n=5 Participants
1.32 units on a scale
STANDARD_DEVIATION 0.90 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
PM Runny Nose
1.98 units on a scale
STANDARD_DEVIATION 0.73 • n=5 Participants
1.98 units on a scale
STANDARD_DEVIATION 0.74 • n=7 Participants
2.02 units on a scale
STANDARD_DEVIATION 0.72 • n=5 Participants
1.99 units on a scale
STANDARD_DEVIATION 0.73 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
PM Nasal Itching
1.87 units on a scale
STANDARD_DEVIATION 0.73 • n=5 Participants
1.90 units on a scale
STANDARD_DEVIATION 0.71 • n=7 Participants
1.83 units on a scale
STANDARD_DEVIATION 0.80 • n=5 Participants
1.87 units on a scale
STANDARD_DEVIATION 0.74 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
PM Nasal Congestion
2.22 units on a scale
STANDARD_DEVIATION 0.61 • n=5 Participants
2.19 units on a scale
STANDARD_DEVIATION 0.63 • n=7 Participants
2.17 units on a scale
STANDARD_DEVIATION 0.66 • n=5 Participants
2.19 units on a scale
STANDARD_DEVIATION 0.63 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM and PM Sneezing
1.35 units on a scale
STANDARD_DEVIATION 0.89 • n=5 Participants
1.36 units on a scale
STANDARD_DEVIATION 0.86 • n=7 Participants
1.39 units on a scale
STANDARD_DEVIATION 0.89 • n=5 Participants
1.36 units on a scale
STANDARD_DEVIATION 0.88 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM and PM Runny Nose
2.06 units on a scale
STANDARD_DEVIATION 0.67 • n=5 Participants
2.05 units on a scale
STANDARD_DEVIATION 0.68 • n=7 Participants
2.11 units on a scale
STANDARD_DEVIATION 0.65 • n=5 Participants
2.07 units on a scale
STANDARD_DEVIATION 0.67 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM and PM Nasal Itching
1.94 units on a scale
STANDARD_DEVIATION 0.70 • n=5 Participants
1.95 units on a scale
STANDARD_DEVIATION 0.68 • n=7 Participants
1.91 units on a scale
STANDARD_DEVIATION 0.75 • n=5 Participants
1.93 units on a scale
STANDARD_DEVIATION 0.70 • n=4 Participants
Baseline Instantaneous Nasal Symptom Score (iNSS)
AM and PM Nasal Congestion
2.32 units on a scale
STANDARD_DEVIATION 0.54 • n=5 Participants
2.28 units on a scale
STANDARD_DEVIATION 0.57 • n=7 Participants
2.28 units on a scale
STANDARD_DEVIATION 0.60 • n=5 Participants
2.29 units on a scale
STANDARD_DEVIATION 0.57 • n=4 Participants
Baseline Rhinoconjunctivitis Quality of Life Questionnaire score [RQLQ (S)] )≥3.0
4.16 units on a scale
STANDARD_DEVIATION 0.77 • n=5 Participants
4.05 units on a scale
STANDARD_DEVIATION 0.76 • n=7 Participants
4.12 units on a scale
STANDARD_DEVIATION 0.78 • n=5 Participants
4.10 units on a scale
STANDARD_DEVIATION 0.77 • n=4 Participants

PRIMARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, rTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Reflective TNSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM and PM Reflective TNSS (rTNSS) Averaged Over the First 6 Weeks of Double-blind Treatment
-1.97 units on a scale
Standard Error 0.13
-1.82 units on a scale
Standard Error 0.10
-1.28 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, iTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Instantaneous TNSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM and PM Instantaneous TNSS (iTNSS) Averaged Over the First 6 Weeks of Double-blind Treatment
-1.77 units on a scale
Standard Error 0.12
-1.60 units on a scale
Standard Error 0.10
-1.18 units on a scale
Standard Error 0.12

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, rTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Reflective TNSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=297 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=503 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=304 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM rTNSS Averaged Over the First 6 Weeks of Double-blind Treatment.
-1.94 units on a scale
Standard Error 0.13
-1.78 units on a scale
Standard Error 0.10
-1.25 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, rTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Reflective TNSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported PM rTNSS Averaged Over the First 6 Weeks of Double-blind Treatment.
-2.01 units on a scale
Standard Error 0.13
-1.88 units on a scale
Standard Error 0.10
-1.32 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all participants analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, iTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Instantaneous TNSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=297 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=503 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=304 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM iTNSS Averaged Over the First 6 Weeks of Double-blind Treatment.
-1.78 units on a scale
Standard Error 0.12
-1.67 units on a scale
Standard Error 0.10
-1.23 units on a scale
Standard Error 0.12

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

TNSS is the sum of individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Therefore, iTNSS values range from 0-12 (with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms). Instantaneous TNSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported PM iTNSS Averaged Over the First 6 Weeks of Double-blind Treatment.
-1.76 units on a scale
Standard Error 0.13
-1.55 units on a scale
Standard Error 0.10
-1.15 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Weeks 0 - 6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Reflective NSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=297 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=503 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=304 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Sneezing
-0.51 units on a scale
Standard Error 0.04
-0.47 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Runny Nose
-0.49 units on a scale
Standard Error 0.04
-0.44 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Nasal Itching
-0.52 units on a scale
Standard Error 0.04
-0.48 units on a scale
Standard Error 0.03
-0.38 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Nasal Congestion
-0.42 units on a scale
Standard Error 0.03
-0.38 units on a scale
Standard Error 0.03
-0.25 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Reflective NSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported PM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Sneezing
-0.53 units on a scale
Standard Error 0.04
-0.52 units on a scale
Standard Error 0.03
-0.35 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Runny Nose
-0.51 units on a scale
Standard Error 0.04
-0.47 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Nasal Itching
-0.54 units on a scale
Standard Error 0.04
-0.51 units on a scale
Standard Error 0.03
-0.39 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM rNSS Averaged Over the First 6 Weeks of the Double-blind Treatment
Nasal Congestion
-0.43 units on a scale
Standard Error 0.03
-0.39 units on a scale
Standard Error 0.03
-0.26 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Reflective NSS measures these symptoms over the previous 12-hour time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM & PM rNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period.
Sneezing
-0.52 units on a scale
Standard Error 0.04
-0.49 units on a scale
Standard Error 0.03
-0.33 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM & PM rNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period.
Runny Nose
-0.50 units on a scale
Standard Error 0.04
-0.45 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM & PM rNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period.
Nasal Itching
-0.53 units on a scale
Standard Error 0.04
-0.49 units on a scale
Standard Error 0.03
-0.39 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM & PM rNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period.
Nasal Congestion
-0.42 units on a scale
Standard Error 0.03
-0.39 units on a scale
Standard Error 0.03
-0.26 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Instantaneous NSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=297 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=503 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=304 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Sneezing
-0.45 units on a scale
Standard Error 0.04
-0.44 units on a scale
Standard Error 0.03
-0.34 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Runny Nose
-0.47 units on a scale
Standard Error 0.04
-0.43 units on a scale
Standard Error 0.03
-0.30 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Nasal Itching
-0.51 units on a scale
Standard Error 0.04
-0.47 units on a scale
Standard Error 0.03
-0.37 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Nasal Congestion
-0.36 units on a scale
Standard Error 0.03
-0.33 units on a scale
Standard Error 0.02
-0.22 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Instantaneous NSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=505 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=307 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported PM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Sneezing
-0.44 units on a scale
Standard Error 0.04
-0.39 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Runny Nose
-0.47 units on a scale
Standard Error 0.04
-0.40 units on a scale
Standard Error 0.03
-0.29 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Nasal Itching
-0.49 units on a scale
Standard Error 0.04
-0.45 units on a scale
Standard Error 0.03
-0.33 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported PM iNSS Averaged the First 6 Weeks of the Double-blind Treatment
Nasal Congestion
-0.37 units on a scale
Standard Error 0.03
-0.31 units on a scale
Standard Error 0.03
-0.22 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Weeks 0-6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

NSS is the assessment of the individual symptoms of runny nose, sneezing, itchy nose, and nasal congestions. Subjects assess each individual symptoms on a scale of 0-3 where: 0 = absent 1. = mild 2. = moderate 3. = severe Instantaneous NSS measures these symptoms over the previous 10 minute time interval. Difference was calculated as the six week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=298 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=504 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=305 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline in Daily Subject-reported AM and PM iNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period
Sneezing
-0.44 units on a scale
Standard Error 0.04
-0.41 units on a scale
Standard Error 0.03
-0.32 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM and PM iNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period
Runny Nose
-0.47 units on a scale
Standard Error 0.04
-0.41 units on a scale
Standard Error 0.03
-0.30 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM and PM iNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period
Nasal Itching
-0.50 units on a scale
Standard Error 0.04
-0.46 units on a scale
Standard Error 0.03
-0.35 units on a scale
Standard Error 0.04
Change From Baseline in Daily Subject-reported AM and PM iNSS Averaged Over the First 6 Weeks of Double-blind Treatment Period
Nasal Congestion
-0.36 units on a scale
Standard Error 0.03
-0.32 units on a scale
Standard Error 0.02
-0.22 units on a scale
Standard Error 0.03

SECONDARY outcome

Timeframe: Baseline and Week 6

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

RQLQ(S) scores in subjects with baseline RQLQ\[S\] score ≥3.0. RQLQ(S) consists of 28 questions, each question measured on a scale of 0-6 where a higher score indicates poor quality of life. Domains: Activities (questions 1-3), Sleep (questions 4-6), Non-Nose/Eye Symptoms (questions 7-13), Practical Problems (questions 14-16), Nasal Symptoms (questions 17-20), Eye Symptoms (questions 21-24), and Emotional (questions 25-28). The overall RQLQ(S) score was calculated as the average of the mean domain scores.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=109 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=191 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=101 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline to Week 6 in Rhinoconjunctivitis Quality of Life Questionnaire With Standardized [RQLQ(S)] Overall Score in Impaired Patients With Baseline RQLQ(S) Score ≥3.0
-1.55 units on a scale
Standard Error 0.13
-1.27 units on a scale
Standard Error 0.11
-0.96 units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline and Week 26

Population: Intent to Treat Population. Not all subjects analyzed due to missing data.

RQLQ(S) scores in impaired subjects with baseline RQLQ\[S\] score ≥3.0. RQLQ(S)consists of 28 questions, each question measured on a scale of 0-6 where a higher score indicates poor quality of life. Domains: Activities (questions 1-3), Sleep (questions 4-6), Non-Nose/Eye Symptoms (questions 7-13), Practical Problems (questions 14-16), Nasal Symptoms (questions 17-20), Eye Symptoms (questions 21-24), and Emotional (questions 25-28). The overall RQLQ(S) score was calculated as the average of the mean domain scores.

Outcome measures

Outcome measures
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=100 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 40 mcg canister, to be administered as 1 puff in each nostril (80 mcg per day).
Ciclesonide HFA 160 Mcg Once Daily
n=160 Participants
Ciclesonide HFA nasal aerosol will be supplied in a 80 mcg canister, to be administered as 1 puff in each nostril (160 mcg per day).
Placebo Once Daily
n=86 Participants
The placebo HFA nasal aerosol is identical to active drug, but does not contain ciclesonide.
Change From Baseline to Month 6 (Week 26) in RQLQ(S) Overall Score in Impaired Patients With Baseline RQLQ(S) Score ≥3.0.
-1.67 units on a scale
Standard Error 0.14
-1.62 units on a scale
Standard Error 0.11
-1.40 units on a scale
Standard Error 0.15

Adverse Events

Ciclesonide HFA 80 Mcg Once Daily

Serious events: 6 serious events
Other events: 148 other events
Deaths: 0 deaths

Ciclesonide HFA 160 Mcg Once Daily

Serious events: 8 serious events
Other events: 234 other events
Deaths: 0 deaths

Placebo Once Daily

Serious events: 6 serious events
Other events: 131 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=334 participants at risk;n=298 participants at risk
Ciclesonide HFA 160 Mcg Once Daily
n=475 participants at risk;n=505 participants at risk
Placebo Once Daily
n=243 participants at risk;n=307 participants at risk
Cardiac disorders
Artrioventricular block second degree
0.00%
0/298 • 6 Months
0.00%
0/505 • 6 Months
0.33%
1/307 • Number of events 1 • 6 Months
Gastrointestinal disorders
Diverticular perforation
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Psychiatric disorders
Suicidal ideation
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.00%
0/307 • 6 Months
Reproductive system and breast disorders
Ovarian Cyst
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.00%
0/307 • 6 Months
Reproductive system and breast disorders
Pelvic adhesions
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.00%
0/307 • 6 Months
Vascular disorders
Hypertension
0.00%
0/298 • 6 Months
0.00%
0/505 • 6 Months
0.33%
1/307 • Number of events 1 • 6 Months
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Gastrointestinal disorders
Colonic atony
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Gastrointestinal disorders
Megacolon
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Gastrointestinal disorders
Pancreatitis
0.00%
0/298 • 6 Months
0.00%
0/505 • 6 Months
0.65%
2/307 • Number of events 2 • 6 Months
Gastrointestinal disorders
Vomiting
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
General disorders
Hernia obstructive
0.00%
0/298 • 6 Months
0.00%
0/505 • 6 Months
0.33%
1/307 • Number of events 1 • 6 Months
Infections and infestations
Appendicitis
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.00%
0/307 • 6 Months
Infections and infestations
Pneumonia
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.00%
0/307 • 6 Months
Musculoskeletal and connective tissue disorders
Scleroderma
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Nervous system disorders
Embolic cerebral infarction
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Nervous system disorders
Mononeuropathy mulitplex
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Pregnancy, puerperium and perinatal conditions
Abortion
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.34%
1/298 • Number of events 1 • 6 Months
0.00%
0/505 • 6 Months
0.33%
1/307 • Number of events 1 • 6 Months
Reproductive system and breast disorders
Cystocele
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Reproductive system and breast disorders
Rectocele
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/298 • 6 Months
0.00%
0/505 • 6 Months
0.33%
1/307 • Number of events 1 • 6 Months
Social circumstances
Imprisonment
0.00%
0/298 • 6 Months
0.20%
1/505 • Number of events 1 • 6 Months
0.00%
0/307 • 6 Months

Other adverse events

Other adverse events
Measure
Ciclesonide HFA 80 Mcg Once Daily
n=334 participants at risk;n=298 participants at risk
Ciclesonide HFA 160 Mcg Once Daily
n=475 participants at risk;n=505 participants at risk
Placebo Once Daily
n=243 participants at risk;n=307 participants at risk
Gastrointestinal disorders
Abdominal pain
1.2%
4/334 • Number of events 4 • 6 Months
1.5%
7/475 • Number of events 8 • 6 Months
2.9%
7/243 • Number of events 7 • 6 Months
Gastrointestinal disorders
Nausea
2.7%
9/334 • Number of events 10 • 6 Months
1.7%
8/475 • Number of events 8 • 6 Months
0.82%
2/243 • Number of events 2 • 6 Months
General disorders
Instillation site discomfort
3.0%
10/334 • Number of events 11 • 6 Months
1.9%
9/475 • Number of events 11 • 6 Months
0.00%
0/243 • 6 Months
Infections and infestations
Bronchitis
2.1%
7/334 • Number of events 7 • 6 Months
2.3%
11/475 • Number of events 11 • 6 Months
2.5%
6/243 • Number of events 6 • 6 Months
Infections and infestations
Influenza
1.8%
6/334 • Number of events 6 • 6 Months
1.9%
9/475 • Number of events 11 • 6 Months
1.2%
3/243 • Number of events 4 • 6 Months
Infections and infestations
Nasopharyngitis
4.2%
14/334 • Number of events 17 • 6 Months
6.3%
30/475 • Number of events 35 • 6 Months
7.8%
19/243 • Number of events 26 • 6 Months
Infections and infestations
Pharyngitis streptococcal
2.1%
7/334 • Number of events 8 • 6 Months
1.1%
5/475 • Number of events 5 • 6 Months
2.1%
5/243 • Number of events 6 • 6 Months
Infections and infestations
Sinusitis
4.2%
14/334 • Number of events 16 • 6 Months
5.7%
27/475 • Number of events 30 • 6 Months
7.0%
17/243 • Number of events 18 • 6 Months
Infections and infestations
Upper respiratory tract infection
12.9%
43/334 • Number of events 54 • 6 Months
13.9%
66/475 • Number of events 74 • 6 Months
11.9%
29/243 • Number of events 37 • 6 Months
Infections and infestations
Urinary tract infection
3.9%
13/334 • Number of events 13 • 6 Months
2.9%
14/475 • Number of events 16 • 6 Months
3.7%
9/243 • Number of events 10 • 6 Months
Infections and infestations
Viral upper respiratory tract infection
4.5%
15/334 • Number of events 16 • 6 Months
2.7%
13/475 • Number of events 14 • 6 Months
2.9%
7/243 • Number of events 9 • 6 Months
Injury, poisoning and procedural complications
Muscle strain
1.8%
6/334 • Number of events 7 • 6 Months
1.5%
7/475 • Number of events 9 • 6 Months
0.82%
2/243 • Number of events 2 • 6 Months
Musculoskeletal and connective tissue disorders
Back pain
1.5%
5/334 • Number of events 12 • 6 Months
2.3%
11/475 • Number of events 11 • 6 Months
4.1%
10/243 • Number of events 12 • 6 Months
Nervous system disorders
Headache
6.3%
21/334 • Number of events 36 • 6 Months
3.6%
17/475 • Number of events 27 • 6 Months
5.8%
14/243 • Number of events 18 • 6 Months
Nervous system disorders
Sinus headache
1.8%
6/334 • Number of events 10 • 6 Months
0.84%
4/475 • Number of events 7 • 6 Months
2.9%
7/243 • Number of events 8 • 6 Months
Respiratory, thoracic and mediastinal disorders
Cough
2.7%
9/334 • Number of events 9 • 6 Months
4.0%
19/475 • Number of events 19 • 6 Months
3.3%
8/243 • Number of events 9 • 6 Months
Respiratory, thoracic and mediastinal disorders
Epistaxis
10.2%
34/334 • Number of events 57 • 6 Months
12.0%
57/475 • Number of events 98 • 6 Months
9.9%
24/243 • Number of events 42 • 6 Months
Respiratory, thoracic and mediastinal disorders
Nasal discomfort
2.4%
8/334 • Number of events 9 • 6 Months
3.4%
16/475 • Number of events 16 • 6 Months
0.82%
2/243 • Number of events 2 • 6 Months
Respiratory, thoracic and mediastinal disorders
Nasal mucosal disorder
2.1%
7/334 • Number of events 7 • 6 Months
2.5%
12/475 • Number of events 14 • 6 Months
0.82%
2/243 • Number of events 2 • 6 Months
Respiratory, thoracic and mediastinal disorders
Nasal septum disorder
1.5%
5/334 • Number of events 6 • 6 Months
3.4%
16/475 • Number of events 21 • 6 Months
1.2%
3/243 • Number of events 4 • 6 Months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
3.6%
12/334 • Number of events 15 • 6 Months
4.2%
20/475 • Number of events 22 • 6 Months
4.1%
10/243 • Number of events 11 • 6 Months
Vascular disorders
Hypertension
1.2%
4/334 • Number of events 4 • 6 Months
1.5%
7/475 • Number of events 8 • 6 Months
3.3%
8/243 • Number of events 8 • 6 Months

Additional Information

Respiratory Medical Director

Sunovion

Phone: 1-866-503-6351

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER