Cochrane · systematic review · CD010352

Ciclesonide versus other inhaled corticosteroids for chronic asthma in children

Kramer, S, Rottier, BL, Scholten, RJPM, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 44.4%Low 4 · 44.4%Moderate 1 · 11.1%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Ciclesonide versus budesonide (dose ratio 1:2) for chronic asthma in children

Population: patients with chronic asthma in children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Asthma symptoms Asthma symptom score (scale 0 to 4)
Ciclesonide vs budesonide (dose ratio 1:2)
no estimate extracted2 studies · 1024 participantsLow
Downgraded: imprecision
Patients with exacerbations Number of patients with exacerbations
Ciclesonide vs budesonide (dose ratio 1:2)
RR 2.2 [0.75, 6.43]2 studies · 1024 participantsVery low
Downgraded: imprecision
Adverse events Number of patients with adverse events
Ciclesonide vs budesonide (dose ratio 1:2)
no estimate extracted2 studies · 1024 participantsLow
Downgraded: imprecision

Ciclesonide versus fluticasone (dose ratio 1:1) for chronic asthma in children

Population: patients with chronic asthma in children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Asthma symptoms Asthma symptom score (scale 0 to 4)
Ciclesonide vs fluticasone (dose ratio 1:1)
no estimate extracted3 studies · 1468 participantsModerate
Patients with exacerbations Number of patients with exacerbations
Ciclesonide vs fluticasone (dose ratio 1:1)
RR 1.37 [0.58, 3.21]2 studies · 1003 participantsVery low
Adverse events Number of patients with adverse events
Ciclesonide vs fluticasone (dose ratio 1:1)
no estimate extracted6 studies · 1560 participantsLow

Ciclesonide versus fluticasone (dose ratio 1:2) for chronic asthma in children

Population: patients with chronic asthma in children
3 questions
OutcomeEffectEvidenceStatus / GRADE
Asthma symptom Asthma symptom score (scale 0 to 4)
Ciclesonide vs fluticasone (dose ratio 1:2)
no estimate extracted1 study · 482 participantsLow
Downgraded: imprecision
Patients with exacerbations Number of patients with exacerbations
Ciclesonide vs fluticasone (dose ratio 1:2)
RR 3.48 [1.35, 8.71]1 study · 502 participantsVery low
Downgraded: imprecision
Adverse events Number of patients with adverse events
Ciclesonide vs fluticasone (dose ratio 1:2)
RR 0.99 [0.89, 1.08]1 study · 502 participantsVery low
Downgraded: imprecision