A Trial of Ciclesonide in Adults With Mild-to-moderate COVID-19

NCT ID: NCT04330586

Last Updated: 2021-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-01

Study Completion Date

2021-03-31

Brief Summary

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According to In vitro studies, ciclesonide showed good antiviral activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although some cases were reported for the clinical effectiveness of ciclesonide in the treatment of COVID-19, there is no clinical trial to evaluate the antiviral effect on the reduction of viral load in patients with COVID-19. In this study, we aimed to investigate whether ciclesonide inhalation could eradicate SARS-CoV-2 compared to standard supportive care in patients with mild COVID-19.

Detailed Description

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Conditions

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COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This multicenter study is an open-labelled, randomized clinical trial for 1:1 ratio of ciclesonide or control arm (standard care)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ciclesonide

Ciclesonide 320ug oral inhalation q12h for 14 days

Group Type EXPERIMENTAL

Ciclesonide Metered Dose Inhaler [Alvesco]

Intervention Type DRUG

Ciclesonide 320ug oral inhalation q12h for 14 days

Control

Standard care without ciclesonide

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ciclesonide Metered Dose Inhaler [Alvesco]

Ciclesonide 320ug oral inhalation q12h for 14 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with mild COVID-19 (NEWS scoring system 0-4)
* Patient within 7 days from symptom onset or Patient within 48 hous after laboratory diagnosis (SARS-CoV-2 RT-PCR)

Exclusion Criteria

* Hypoxia (SaO2 \<95%)
* Unable to take oral medication
* Unable to use inhaler
* Pregnancy or breast feeding
* Immunocompromising conditions
* Moderate/severe renal dysfunction : creatinine clearance (CCL) \< 30 mL/min
* Moderate/severe liver dysfunction: AST or ALT \> 5 times upper normal limit
* Asthma or chronic obstructive lung disease
Minimum Eligible Age

19 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea University Guro Hospital

OTHER

Sponsor Role lead

Responsible Party

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Woo Joo Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Korea University Guro Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Song JY, Yoon JG, Seo YB, Lee J, Eom JS, Lee JS, Choi WS, Lee EY, Choi YA, Hyun HJ, Seong H, Noh JY, Cheong HJ, Kim WJ. Ciclesonide Inhaler Treatment for Mild-to-Moderate COVID-19: A Randomized, Open-Label, Phase 2 Trial. J Clin Med. 2021 Aug 12;10(16):3545. doi: 10.3390/jcm10163545.

Reference Type DERIVED
PMID: 34441840 (View on PubMed)

Farne H, Singanayagam A. Reply. J Allergy Clin Immunol. 2021 Mar;147(3):1117-1118. doi: 10.1016/j.jaci.2020.11.019. Epub 2020 Dec 30. No abstract available.

Reference Type DERIVED
PMID: 33388170 (View on PubMed)

Nicolau DV, Bafadhel M. Inhaled corticosteroids in virus pandemics: a treatment for COVID-19? Lancet Respir Med. 2020 Sep;8(9):846-847. doi: 10.1016/S2213-2600(20)30314-3. Epub 2020 Jul 30. No abstract available.

Reference Type DERIVED
PMID: 32738928 (View on PubMed)

Other Identifiers

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KUMC-COVID-19

Identifier Type: -

Identifier Source: org_study_id

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