Ciclesonide (Alvesco®) - a new glucocorticosteroid for inhalative treatment

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Deutscher übersetzter Titel:Ciclesonid (Alvesco®) – ein neues Glukokortikosteroid zur inhalativen Behandlung
Autor:Gotzmann, Andrea; Thevis, Mario; Bredehöft, M.; Schänzer, Wilhelm
Erschienen in:Recent advances in doping analysis (14) : Proceedings of the Manfred Donike Workshop ; 24th Cologne Workshop on Dope Analysis ; 4th to 9th June 2006
Veröffentlicht:Köln: Sportverl. Strauß (Verlag), 2006, S. 27-33, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Sammelwerksbeitrag
Medienart: Elektronische Ressource (online) Gedruckte Ressource
Sprache:Englisch
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Erfassungsnummer:PU201001000216
Quelle:BISp

Abstract

Since January 2005 Ciclesonide [CIC], a new, nonhalogenated inhalative glucocorticoid to treat the inflammation associated with persistent asthma is marketed. The respective formulation Alvesco® is available for adults and should be applied once a day via inhaler. Ciclesonide is administered as inactive parent compound to the lung and is there converted to its active metabolite desisobutyryl-ciclesonide [des-CIC]. Des-CIC has a high affinity for the glucocorticoid receptor, comparable to budesonide and fluticasone propionate. It is rapidly converted by CYP3A4 into a series of polar metabolites in the liver. The pro-drug CIC as well as its active metabolite des-CIC have been implemented into the existing screening procedure for glucocorticosteroids in human doping analysis. Studies regarding specificity, limit of detection, recovery, and robustness have been performed for the detection of CIC and des-CIC in human urine and satisfactory results were obtained. Verf.-Referat