Head-to-head evidence

Ciclesonide (XRP1526) vs fluticasone propionate

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Asthma

Shared mechanism: Glucocorticoid receptor · full Asthma pipeline

Ciclesonide (XRP1526)

Developed by Sanofi

Phase 3 in Asthmasmall molecule
Reliable signal

NCT00174720 · Phase 3 · completed

In this randomized, double-blind, placebo-controlled Phase 3 trial, 708 patients with asthma were randomized to one of several ciclesonide dosing regimens or placebo. Ciclesonide produced significantly greater improvements in lung function (FEV1) than placebo, both averaged over weeks 12-16 and at week 16 alone.

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fluticasone propionate

Marketed by GlaxoSmithKline

Approved in Asthmasmall molecule
Partial signal

NCT00920959 · Phase 3 · completed

The study was randomized and double-blind, included 908 participants, and compared fluticasone-based treatments with placebo. However, its primary measure was a pulmonary-function surrogate rather than a hard clinical or endoscopic outcome, and the registry does not report whether the primary comparison was met.

Next expected readout: September 2027 · NCT07664527 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Ciclesonide (XRP1526)'s landscape · fluticasone propionate's landscape