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Ciclesonide nasal spray + placebo Azelastine

AstraZeneca · FDA-approved active Small molecule

Ciclesonide is an intranasal corticosteroid that reduces airway inflammation and mucus production to relieve nasal allergy symptoms.

Ciclesonide is an intranasal corticosteroid that reduces airway inflammation and mucus production to relieve nasal allergy symptoms. Used for Allergic rhinitis (seasonal and perennial).

At a glance

Generic nameCiclesonide nasal spray + placebo Azelastine
SponsorAstraZeneca
Drug classIntranasal corticosteroid
TargetGlucocorticoid receptor
ModalitySmall molecule
Therapeutic areaAllergy/Immunology
PhaseFDA-approved

Mechanism of action

Ciclesonide is a prodrug that is converted to its active metabolite in the nasal mucosa, where it binds to glucocorticoid receptors and suppresses inflammatory cytokine production, reducing nasal congestion, rhinorrhea, and sneezing associated with allergic rhinitis. This formulation combines ciclesonide nasal spray with placebo azelastine (a histamine H1-receptor antagonist), allowing evaluation of ciclesonide monotherapy efficacy.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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