TheraRadar
Data updated: May 26, 2026

ALVESCO (ciclesonide)

Respiratory Approved 2008-01-10

Alvesco is an inhaled medication used for the long-term management of asthma in adults and adolescents aged 12 and older. It helps patients by providing ongoing preventative therapy to maintain airway stability rather than providing immediate relief during an acute attack. Because its effects are not instant, it is prescribed as a daily maintenance routine to help control symptoms over time.

Source: FDA Label • COVIS

How ALVESCO Works

Once inhaled, this prodrug converts into an active metabolite that binds to glucocorticoid receptors to produce anti-inflammatory effects. It works by inhibiting various immune cells and chemical mediators, such as histamine and cytokines, that contribute to the asthmatic response. This reduction in airway inflammation helps manage the condition, though patients may not see the full benefit for four weeks or longer.

2
Indications
--
Phase 3 Trials
18
Years on Market

Details

Status
Prescription
First Approved
2008-01-10
Patent Cliff
2028

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Routes
INHALATION
Dosage Forms
AEROSOL, METERED

Companies

Active Ingredient: CICLESONIDE

ALVESCO Approval History

2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
16 FDA actions from 2008 to 2023 · 1 indication expansions
Feb 2023 SUPPL
Label · Labeling
Apr 2014 SUPPL
Mfg · Manufacturing (CMC)
Oct 2013 SUPPL
Mfg · Manufacturing (CMC)

What ALVESCO Treats

1 indications

ALVESCO is approved for 1 conditions since its original approval in 2008. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Asthma
Source: FDA Label

ALVESCO Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to ALVESCO

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Clinical Trial Registry

13 trials
Trial Sponsor ID Phase Status Title
NCT04356495 COVERAGEFrance CHUBX 2020/12 2020-001435-27 Ph 2, Ph 3 completed Trial of COVID-19 Outpatient Treatment in Individuals With Risk Factors for Aggravation
NCT04870333 PROTECT-V CCTU0307 2020-004144-28 Ph 2, Ph 3 completed PROphylaxis for paTiEnts at Risk of COVID-19 infecTion -V
NCT04377711 results posted ALV-020-001 Ph 3 completed A Study of the Safety and Efficacy of Ciclesonide in the Treatment of Non-hospitalized COVID-19 Patients
NCT04435795 CONTAIN results posted 2021-6696 Ph 2, Ph 3 terminated Inhaled Ciclesonide for Outpatients With COVID19
NCT01455194 CONTRAST results posted CL-9709-301-RD 2011-000683-99, U1111-1133-6333 Ph 3 completed Effect of High Dose Ciclesonide on Asthma Control
NCT02155881 results posted CIC-RR-001 U1111-1152-9472 Ph 3 completed Efficacy and Safety of Ciclesonide Nasal Spray in Participants With Seasonal Allergic Rhinitis (SAR) in Russia
NCT00826969 BY9010/CH-101 U1111-1137-3949 Ph 4 completed Ciclesonide for the Treatment of Airway Hyperresponsiveness
NCT02221375 1256.1 Ph 1 completed Safety, Tolerability and Pharmacokinetics of Multiple Rising Doses of Butylated Hydroxytoluene and BI 54903 XX Via Respimat® Soft MistTM Inhaler B in Healthy Male Volunteers
NCT01248065 VIDA results posted AsthmaNet 001 1U10HL098115 Ph 3 completed Study of the Effect of Vitamin D as an Add-on Therapy to Corticosteroids in Asthma
NCT01171365 SPIRA 09115 Ph 4 completed Small Particle Steroids in Refractory Asthma
NCT01401465 results posted 060-302 Ph 3 completed Study To Evaluate Patient Preference, Satisfaction And Efficacy Of a Nasal Aerosol Versus an Aqueous Nasal Spray
NCT01430260 HANDOK2010.07 Ph 4 completed Omnaris Versus Levocetirizine Phase 4 Study
NCT01333800 CO-AL-FE-001 Ph 4 completed Cost-effectiveness Study of Beclomethasone Versus Ciclesonide as Controller Medications in Pediatric Asthma
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ALVESCO FDA Label Details

Indications & Usage

FDA Label (PDF)

ALVESCO is indicated for the treatment of Asthma.

View full patent landscape →
1 OB patents · 1 families · 25 international docs across 11 countries

ALVESCO Patents & Exclusivity

Latest Patent: Feb 2028

Patents (1 active)

US8371292 Expires Feb 1, 2028
Source: FDA Orange Book

Pro Intelligence Preview

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2028
  • 4 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.