Trial Outcomes & Findings for A Safety and Efficacy Study of Ciclesonide Nasal Aerosol in Subjects 6-11 Years With Perennial Allergic Rhinitis (PAR). (NCT NCT01451541)

NCT ID: NCT01451541

Last Updated: 2014-05-06

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

848 participants

Primary outcome timeframe

Weeks 0-6

Results posted on

2014-05-06

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Overall Study
STARTED
283
282
281
Overall Study
COMPLETED
247
257
254
Overall Study
NOT COMPLETED
36
25
27

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Overall Study
Adverse Event
4
3
6
Overall Study
Lack of Efficacy
2
0
0
Overall Study
Lost to Follow-up
4
4
7
Overall Study
Withdrawal by Subject
15
8
6
Overall Study
randomization error, noncompliance
11
10
8

Baseline Characteristics

A Safety and Efficacy Study of Ciclesonide Nasal Aerosol in Subjects 6-11 Years With Perennial Allergic Rhinitis (PAR).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=283 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Total
n=846 Participants
Total of all reporting groups
Age, Categorical
<=18 years
283 Participants
n=5 Participants
282 Participants
n=7 Participants
281 Participants
n=5 Participants
846 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Sex: Female, Male
Female
120 Participants
n=5 Participants
113 Participants
n=7 Participants
130 Participants
n=5 Participants
363 Participants
n=4 Participants
Sex: Female, Male
Male
163 Participants
n=5 Participants
169 Participants
n=7 Participants
151 Participants
n=5 Participants
483 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
37 Participants
n=5 Participants
43 Participants
n=7 Participants
39 Participants
n=5 Participants
119 Participants
n=4 Participants
Race (NIH/OMB)
White
224 Participants
n=5 Participants
216 Participants
n=7 Participants
216 Participants
n=5 Participants
656 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
8 Participants
n=5 Participants
10 Participants
n=7 Participants
8 Participants
n=5 Participants
26 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=5 Participants
9 Participants
n=7 Participants
9 Participants
n=5 Participants
27 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic or Latino
89 participants
n=5 Participants
101 participants
n=7 Participants
91 participants
n=5 Participants
281 participants
n=4 Participants
Race/Ethnicity, Customized
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, Customized
Not Hispanic or Latino
194 participants
n=5 Participants
181 participants
n=7 Participants
190 participants
n=5 Participants
565 participants
n=4 Participants
Region of Enrollment
United States
283 participants
n=5 Participants
282 participants
n=7 Participants
281 participants
n=5 Participants
846 participants
n=4 Participants

PRIMARY outcome

Timeframe: Weeks 0-6

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.Subjects with either missing baseline data or postdose data, or both and were not included in the analysis.

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
Placebo
n=278 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=280 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=275 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
The Change From Baseline in Average Daily Subject-reported AM and PM Reflective Total Nasal Symptom Scores (rTNSS) Averaged Weekly Over the First 6 Weeks of the Double-blind Treatment.
-1.51 units on a scale
Standard Error 0.130
-2.10 units on a scale
Standard Error 0.130
-1.98 units on a scale
Standard Error 0.131

SECONDARY outcome

Timeframe: Weeks 0 -6

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.Subjects with either missing baseline data or postdose data, or both and were not included in the analysis.

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
Placebo
n=278 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=280 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=276 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in Average Daily Subject-reported AM and PM Instantaneous Total Nasal Symptom Scores (iTNSS) Averaged Weekly Over the First 6 Weeks of Double-blind Treatment
-1.29 units on a scale
Standard Error 0.122
-1.77 units on a scale
Standard Error 0.122
-1.72 units on a scale
Standard Error 0.123

SECONDARY outcome

Timeframe: Weeks 0 -6

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.Subjects with either missing baseline data or postdose data, or both and were not included in the analysis.

PRQLQ was developed to measure the functional problems (physical, emotional, and social) that are most troublesome to children with rhinoconjunctivitis. The PRQLQ has 23 questions in 5 domains (nose symptoms, eye symptoms, practical problems, activity limitation, and other symptoms). Children recalled how they were during the previous week and responded to each question on a 7-point scale (0 = not bothered to 6 = extremely bothered or 0 = none of the time to 6 = all of the time) for a total possible score of 138. The overall PRQLQ score is the mean of all 23 responses.

Outcome measures

Outcome measures
Measure
Placebo
n=269 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=268 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=270 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in the Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) Overall Score at the End of the First 6 Weeks of Double-blind Treatment
-0.39 units on a scale
Standard Error 0.05
-0.51 units on a scale
Standard Error 0.05
-0.30 units on a scale
Standard Error 0.054

SECONDARY outcome

Timeframe: Weeks 0 -12

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.Subjects with either missing baseline data or postdose data, or both and were not included in the analysis.

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 twelve week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement

Outcome measures

Outcome measures
Measure
Placebo
n=278 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=280 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=275 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in Daily Average Subject-reported AM and PM rTNSS Averaged Weekly Over the 12-week Double-blind Treatment Period
-1.92 units on a scale
Standard Error 0.13
-2.60 units on a scale
Standard Error 0.14
-2.47 units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Weeks 0 -12

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.

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 twelve week treatment average - baseline. Greater reductions in the change from baseline score indicate greater improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=278 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=280 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=276 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in Daily Average Subject-reported AM and PM iTNSS Averaged Weekly Over the 12-week Double-blind Treatment Period
-1.69 units on a scale
Standard Error 0.13
-2.22 units on a scale
Standard Error 0.13
-2.15 units on a scale
Standard Error 0.13

SECONDARY outcome

Timeframe: Weeks 0 -6

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.Subjects with either missing baseline data or postdose data, or both and were not included in the analysis.

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
Placebo
n=278 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=280 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=276 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in Daily Average Subject-reported AM iTNSS Averaged Over the First 6 Weeks of Double-blind Treatment
-1.26 units on a scale
Standard Error 0.12
-1.75 units on a scale
Standard Error 0.12
-1.74 units on a scale
Standard Error 0.12

SECONDARY outcome

Timeframe: Weeks 0 -12

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.

PRQLQ was developed to measure the functional problems (physical, emotional, and social) that are most troublesome to children with rhinoconjunctivitis. The PRQLQ has 23 questions in 5 domains (nose symptoms, eye symptoms, practical problems, activity limitation, and other symptoms). Children recalled how they were during the previous week and responded to each question on a 7-point scale (0 = not bothered to 6 = extremely bothered or 0 = none of the time to 6 = all of the time) for a total possible score of 138. The overall PRQLQ score is the mean of all 23 responses.

Outcome measures

Outcome measures
Measure
Placebo
n=271 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=269 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=272 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Change From Baseline in Daily PRQLQ Overall Score at the End of the 12-week Double-blind Treatment Period
-0.54 units on a scale
Standard Error 0.059
-0.68 units on a scale
Standard Error 0.059
-0.47 units on a scale
Standard Error 0.059

SECONDARY outcome

Timeframe: Weeks 0 -6

Population: The Intent to Treat (ITT) population: All randomized subjects who received at least one dose of double blind study medication.

The time to maximal effect is defined as the number of days until the first treatment day on which the estimated difference between active ciclesonide nasal aerosol and placebo is at least 90% of the largest estimated difference.This is based on the analyses of change from baseline in the average of AM and PM reflective TNSS scores for each day. The time to achieve at least 90% of these estimated differences was calculated.

Outcome measures

Outcome measures
Measure
Placebo
n=282 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=281 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Time to Maximal Effect [Time to >= 90% Maximum Difference From Placebo in LS Means (Days)]
39 Number of Days
10 Number of Days

SECONDARY outcome

Timeframe: Weeks 0 -12

Outcome measures

Outcome measures
Measure
Placebo
n=283 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Any TEAE
154 participants
142 participants
143 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Any TEAE during first 6 weeks of double-blind
114 participants
99 participants
102 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Potentially related AE
46 participants
39 participants
46 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Local AE
49 participants
45 participants
46 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Discontinued study drug due to an AE
4 participants
3 participants
6 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Severe AE
12 participants
14 participants
17 participants
Number of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Serious AE
1 participants
1 participants
2 participants

SECONDARY outcome

Timeframe: Weeks 0 -12

Outcome measures

Outcome measures
Measure
Placebo
n=283 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Any TEAE
54.4 percentage of subjects
50.4 percentage of subjects
50.9 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Any TEAE during first 6 weeks of double-blind
40.3 percentage of subjects
35.1 percentage of subjects
36.3 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Potentially related AE
16.3 percentage of subjects
13.8 percentage of subjects
16.4 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Local AE
17.3 percentage of subjects
16.0 percentage of subjects
16.4 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Discontinued study drug due to an AE
4 percentage of subjects
3 percentage of subjects
6 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Severe AE
4.2 percentage of subjects
5.0 percentage of subjects
6.0 percentage of subjects
Percentage of Subjects Experiencing AEs, SAEs, and Discontinuations Due to AEs
Serious AE
0.4 percentage of subjects
0.4 percentage of subjects
0.7 percentage of subjects

SECONDARY outcome

Timeframe: Weeks 0 -12

Outcome measures

Outcome measures
Measure
Placebo
n=283 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
ACUTE SINUSITIS
1 participants
2 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
APPLICATION SITE PAIN
3 participants
3 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
EPISTAXIS
26 participants
20 participants
26 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
FACE INJURY
2 participants
1 participants
4 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
INCREASED UPPER AIRWAY SECRETION
1 participants
0 participants
0 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL DISCOLOURATION
1 participants
0 participants
0 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL EXCORIATION
0 participants
1 participants
0 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL HAEMORRHAGE
0 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL CONGESTION
0 participants
3 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL DISCOMFORT
6 participants
4 participants
8 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL DRYNESS
0 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL MUCOSAL DISCOLOURATION
0 participants
1 participants
0 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL MUCOSAL DISORDER
4 participants
0 participants
2 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL OEDEMA
4 participants
3 participants
3 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL SEPTUM DISORDER
0 participants
1 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL SEPTUM ULCERATION
1 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL TURBINATE ABNORMALITY
1 participants
1 participants
2 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL ULCER
0 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
POSTNASAL DRIP
0 participants
1 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINALGIA
0 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINITIS PERENNIAL
4 participants
0 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINORRHOEA
2 participants
1 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SCAB
1 participants
0 participants
2 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SCRATCH
1 participants
0 participants
0 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SINUS HEADACHE
0 participants
1 participants
1 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SINUSITIS
5 participants
6 participants
4 participants
Number of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SNEEZING
7 participants
1 participants
0 participants

SECONDARY outcome

Timeframe: Weeks 0 -12

Outcome measures

Outcome measures
Measure
Placebo
n=283 Participants
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 Participants
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 Participants
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
ACUTE SINUSITIS
0.4 percentage of subjects
0.7 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
APPLICATION SITE PAIN
1.1 percentage of subjects
1.1 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
EPISTAXIS
9.2 percentage of subjects
7.1 percentage of subjects
9.3 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
FACE INJURY
0.7 percentage of subjects
0.4 percentage of subjects
1.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
INCREASED UPPER AIRWAY SECRETION
0.4 percentage of subjects
0 percentage of subjects
0 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL DISCOLOURATION
0.4 percentage of subjects
0 percentage of subjects
0 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL EXCORIATION
0 percentage of subjects
0.4 percentage of subjects
0 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
MUCOSAL HAEMORRHAGE
0 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL CONGESTION
0 percentage of subjects
1.1 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL DISCOMFORT
2.1 percentage of subjects
1.4 percentage of subjects
2.8 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL DRYNESS
0 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL MUCOSAL DISCOLOURATION
0 percentage of subjects
0.4 percentage of subjects
0 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL MUCOSAL DISORDER
1.4 percentage of subjects
0 percentage of subjects
0.7 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL OEDEMA
1.4 percentage of subjects
1.1 percentage of subjects
1.1 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL SEPTUM DISORDER
0 percentage of subjects
0.4 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL SEPTUM ULCERATION
0.4 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL TURBINATE ABNORMALITY
0.4 percentage of subjects
0.4 percentage of subjects
0.7 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
NASAL ULCER
0 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
POSTNASAL DRIP
0 percentage of subjects
0.4 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINALGIA
0 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINITIS PERENNIAL
1.4 percentage of subjects
0 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
RHINORRHOEA
0.7 percentage of subjects
0.4 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SCAB
0.4 percentage of subjects
0 percentage of subjects
0.7 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SCRATCH
0.4 percentage of subjects
0 percentage of subjects
0 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SINUS HEADACHE
0 percentage of subjects
0.4 percentage of subjects
0.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SINUSITIS
1.8 percentage of subjects
2.1 percentage of subjects
1.4 percentage of subjects
Percentage of Subjects Experiencing Nasal AEs, Including Epistaxis, Nasal Ulceration, and Nasal Perforation
SNEEZING
2.5 percentage of subjects
0.4 percentage of subjects
0 percentage of subjects

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 83 other events
Deaths: 0 deaths

Ciclesonide Nasal Aerosol 37mcg

Serious events: 1 serious events
Other events: 95 other events
Deaths: 0 deaths

Ciclesonide Nasal Aerosol 74 mcg

Serious events: 2 serious events
Other events: 85 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=283 participants at risk
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 participants at risk
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 participants at risk
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
Blood and lymphatic system disorders
NEUTROPENIA
0.00%
0/283 • 0-12 weeks
0.35%
1/282 • Number of events 1 • 0-12 weeks
0.00%
0/281 • 0-12 weeks
Infections and infestations
APPENDICITIS
0.00%
0/283 • 0-12 weeks
0.00%
0/282 • 0-12 weeks
0.36%
1/281 • Number of events 1 • 0-12 weeks
Infections and infestations
HERPES ZOSTER
0.00%
0/283 • 0-12 weeks
0.00%
0/282 • 0-12 weeks
0.36%
1/281 • Number of events 1 • 0-12 weeks
Infections and infestations
INFLUENZA
0.35%
1/283 • Number of events 1 • 0-12 weeks
0.00%
0/282 • 0-12 weeks
0.00%
0/281 • 0-12 weeks
Infections and infestations
PNEUMONIA VIRAL
0.35%
1/283 • Number of events 1 • 0-12 weeks
0.00%
0/282 • 0-12 weeks
0.00%
0/281 • 0-12 weeks

Other adverse events

Other adverse events
Measure
Placebo
n=283 participants at risk
Placebo: placebo - one dose per nostril
Ciclesonide Nasal Aerosol 37mcg
n=282 participants at risk
ciclesonide nasal aerosol 37mcg - the dose is administered as 1 actuation per nostril to give a total dose of 37mcg once daily
Ciclesonide Nasal Aerosol 74 mcg
n=281 participants at risk
ciclesonide nasal aerosol 74 mcg - the dose is administered as 1 actuation per nostril to give a total dose of 74 mcg once daily
General disorders
PYREXIA
4.2%
12/283 • Number of events 13 • 0-12 weeks
6.4%
18/282 • Number of events 20 • 0-12 weeks
6.0%
17/281 • Number of events 17 • 0-12 weeks
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
6.4%
18/283 • Number of events 20 • 0-12 weeks
8.5%
24/282 • Number of events 25 • 0-12 weeks
8.9%
25/281 • Number of events 29 • 0-12 weeks
Nervous system disorders
HEADACHE
8.8%
25/283 • Number of events 42 • 0-12 weeks
11.0%
31/282 • Number of events 44 • 0-12 weeks
8.9%
25/281 • Number of events 38 • 0-12 weeks
Respiratory, thoracic and mediastinal disorders
COUGH
6.7%
19/283 • Number of events 22 • 0-12 weeks
7.4%
21/282 • Number of events 25 • 0-12 weeks
5.3%
15/281 • Number of events 22 • 0-12 weeks
Respiratory, thoracic and mediastinal disorders
EPISTAXIS
9.2%
26/283 • Number of events 42 • 0-12 weeks
7.1%
20/282 • Number of events 25 • 0-12 weeks
9.3%
26/281 • Number of events 45 • 0-12 weeks
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
6.0%
17/283 • Number of events 19 • 0-12 weeks
5.3%
15/282 • Number of events 16 • 0-12 weeks
3.6%
10/281 • Number of events 14 • 0-12 weeks

Additional Information

Respiratory Medical Director

Sunovion

Phone: 1-866-503-6351

Results disclosure agreements

  • Principal investigator is a sponsor employee In the event the Study is part of a multi-center study, the first publication of the results of the Study shall be made in conjunction with the results of other participating study sites as a multi-center publication; provided however, if a multi-center publication is not forthcoming within twenty-four (24) months following completion of the Study at all sites, Institution and Investigator shall be free to publish
  • Publication restrictions are in place

Restriction type: OTHER