Budesonide
drug drugOn this page
Also known as AircortBudeflam aquanaseBudelin novolizerBudenofalkBudesonidaBudesonide component of airsupraBudesonide component of breztriBudesonide component of symbicortBudesonide component of ucerisCortimentDuoresp spiromaxEntocortEntocort crEntocort ecEohiliaJorvezaKinpeygoMAP-0010MAP0010
Summary
Budesonide (CHEMBL1370) is an approved small-molecule anti-inflammatory drug (ATC A07EA06) targeting NR3C1, NR3C2, and PGR; indicated across 48 conditions including allergic rhinitis and chronic obstructive pulmonary disease.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: A07EA06 (+3 more)
- Targets: 3 (NR3C1, NR3C2, PGR)
- Indications: 48 conditions
- Clinical trials: 385
- Chemistry: 430.5 Da · C25H34O6
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1370 |
| Name | Budesonide |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 5281004 |
| ChEBI | CHEBI:3207 |
| ATC | A07EA06, R03BA02, D07AC09, R01AD05 |
| Molecular formula | C25H34O6 |
| Molecular weight | 430.5 |
| InChIKey | VOVIALXJUBGFJZ-KWVAZRHASA-N |
SMILES: CCCC1O[C@@H]2C[C@H]3[C@@H]4CCC5=CC(=O)C=C[C@@]5([C@H]4[C@H](C[C@@]3([C@@]2(O1)C(=O)CO)C)O)C
IUPAC name: (1S,2S,4R,8S,9S,11S,12S,13R)-11-hydroxy-8-(2-hydroxyacetyl)-9,13-dimethyl-6-propyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one
ChEBI definition: A glucocorticoid steroid having a highly oxygenated pregna-1,4-diene structure. It is used mainly in the treatment of asthma and non-infectious rhinitis and for treatment and prevention of nasal polyposis.
Pharmacological roles (ChEBI): anti-inflammatory drug, bronchodilator agent, drug allergen.
Also known as: Aircort, Budeflam aquanase, Budelin novolizer, Budenofalk, Budesonida, Budesonide, Budesonide component of airsupra, Budesonide component of breztri, Budesonide component of symbicort, Budesonide component of uceris, Cortiment, Duoresp spiromax
Patent coverage: 18,468 distinct patent families (72,936 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| NR3C1 | Glucocorticoid receptor | Agonist | 7.42 | 0.9% | P04150 |
| NR3C2 | Mineralocorticoid receptor | Agonist | 7.85 | 0% | P08235 |
| PGR | Progesterone receptor | Agonist | 7.15 | 0.1% | P06401 |
Broader ChEMBL bioactivity targets: 20 (assay-derived). Sample: Interleukin-5, Interleukin-5, Nuclear receptor ROR-gamma, Survival motor neuron protein, Thrombopoietin, ATP-binding cassette sub-family C member 4, Androgen receptor, Mineralocorticoid receptor, Glucocorticoid receptor, Progesterone receptor, Muscarinic acetylcholine receptor M1, Androgen receptor, Matrix metalloproteinase-9, Nuclear factor NF-kappa-B p105 subunit, Glucocorticoid receptor, Cytochrome P450 3A4, 3-hydroxyacyl-CoA dehydrogenase type-2, Interleukin-5 receptor subunit alpha, ATP-binding cassette sub-family C member 3, Bile salt export pump.
Bioactivity
ChEMBL activities: 33 potent at pChembl ≥ 5 of 49 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| NR3C1 | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_18140876 |
| NR3C1 | 9.1 | AC50 | 0.8 | nM | CHEMBL_ACT_25175803 |
| NR3C1 | 9.05 | IC50 | 0.9 | nM | CHEMBL_ACT_28902740 |
| NR3C1 | 8.89 | Ki | 1.3 | nM | CHEMBL_ACT_18503311 |
| NR3C1 | 8.8 | IC50 | 1.57 | nM | CHEMBL_ACT_18140934 |
| NR3C1 | 8.7 | EC50 | 2 | nM | CHEMBL_ACT_19129298 |
| NR3C1 | 8.7 | EC50 | 2 | nM | CHEMBL_ACT_22450491 |
| NR3C1 | 8.69 | Ki | 2.03 | nM | CHEMBL_ACT_7616862 |
| P06536 | 8.54 | IC50 | 2.9 | nM | CHEMBL_ACT_1196122 |
| NR3C1 | 8.46 | EC50 | 3.5 | nM | CHEMBL_ACT_18503378 |
| NR3C1 | 8.42 | IC50 | 3.8 | nM | CHEMBL_ACT_18141075 |
| NR3C1 | 8.35 | IC50 | 4.47 | nM | CHEMBL_ACT_7616861 |
| NR3C2 | 8.32 | EC50 | 4.8 | nM | CHEMBL_ACT_18503399 |
| NR3C1 | 8.3 | AC50 | 5 | nM | CHEMBL_ACT_25175802 |
| PGR | 8.05 | AC50 | 9 | nM | CHEMBL_ACT_25223001 |
| THPO | 8 | Potency | 10 | nM | CHEMBL_ACT_4809410 |
| THPO | 8 | Potency | 10 | nM | CHEMBL_ACT_5070421 |
| NR3C1 | 7.91 | EC50 | 12.4 | nM | CHEMBL_ACT_6390731 |
| NR3C2 | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_18141061 |
| PGR | 7.55 | IC50 | 28 | nM | CHEMBL_ACT_18141096 |
| PGR | 7.49 | AC50 | 32.1 | nM | CHEMBL_ACT_25204382 |
| NFKB1 | 7.25 | Potency | 56.2 | nM | CHEMBL_ACT_3671962 |
| NFKB1 | 7.25 | Potency | 56.2 | nM | CHEMBL_ACT_4585244 |
| AR | 6.16 | AC50 | 694.4 | nM | CHEMBL_ACT_25203449 |
| P15207 | 6.15 | IC50 | 710 | nM | CHEMBL_ACT_18141068 |
| P15207 | 5.96 | Ki | 1090 | nM | CHEMBL_ACT_7618338 |
| SMN1 | 5.95 | Potency | 1122 | nM | CHEMBL_ACT_3893325 |
| NR3C1 | 5.92 | AC50 | 1200 | nM | CHEMBL_ACT_25116168 |
| P15207 | 5.79 | IC50 | 1635 | nM | CHEMBL_ACT_7618337 |
| P15207 | 5.77 | AC50 | 1700 | nM | CHEMBL_ACT_25187424 |
| MMP9 | 5.7 | IC50 | 1989 | nM | CHEMBL_ACT_7618285 |
| CYP3A4 | 5.1 | Potency | 7943 | nM | CHEMBL_ACT_4957392 |
| CYP3A4 | 5.1 | Potency | 7943 | nM | CHEMBL_ACT_5026749 |
Target pathways
Aggregated over 3 target gene(s): NR3C1, NR3C2, PGR.
Top Reactome pathways
18 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| HSP90 chaperone cycle for steroid hormone receptors (SHR) in the presence of ligand | 3 | NR3C1, NR3C2, PGR |
| Nuclear Receptor transcription pathway | 3 | NR3C1, NR3C2, PGR |
| SUMOylation of intracellular receptors | 3 | NR3C1, NR3C2, PGR |
| Nuclear signaling by ERBB4 | 1 | PGR |
| Cellular responses to stress | 1 | NR3C2 |
| SUMOylation | 1 | NR3C2 |
| SUMO E3 ligases SUMOylate target proteins | 1 | NR3C2 |
| Metabolism of proteins | 1 | NR3C2 |
| Post-translational protein modification | 1 | NR3C2 |
| PTK6 Expression | 1 | NR3C1 |
| Regulation of RUNX2 expression and activity | 1 | NR3C1 |
| Cellular responses to stimuli | 1 | NR3C2 |
| Estrogen-dependent gene expression | 1 | PGR |
| FOXO-mediated transcription of oxidative stress, metabolic and neuronal genes | 1 | NR3C1 |
| Potential therapeutics for SARS | 1 | NR3C1 |
| Regulation of NPAS4 gene transcription | 1 | NR3C1 |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | PGR |
| Developmental Lineage of Mammary Gland Alveolar Cells | 1 | PGR |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| regulation of DNA-templated transcription | 3 |
| regulation of transcription by RNA polymerase II | 3 |
| signal transduction | 3 |
| nuclear receptor-mediated steroid hormone signaling pathway | 3 |
| positive regulation of transcription by RNA polymerase II | 2 |
| negative regulation of transcription by RNA polymerase II | 1 |
| regulation of gluconeogenesis | 1 |
| chromatin organization | 1 |
| apoptotic process | 1 |
| chromosome segregation | 1 |
| glucocorticoid metabolic process | 1 |
| response to wounding | 1 |
| gene expression | 1 |
| microglia differentiation | 1 |
| adrenal gland development | 1 |
Indications & clinical
Indications
12 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).
| Indication | Phase | MONDO | EFO |
|---|---|---|---|
| allergic rhinitis | 4 | MONDO:0011786 | EFO:0005854 |
| chronic obstructive pulmonary disease | 4 | MONDO:0005002 | EFO:0000341 |
| ulcerative colitis | 4 | MONDO:0005101 | EFO:0000729 |
| Crohn disease | 4 | MONDO:0005011 | EFO:0000384 |
| seasonal allergic rhinitis | 4 | MONDO:0005324 | EFO:0003956 |
| obstructive lung disease | 4 | MONDO:0002267 | HP:0006536 |
| IgA glomerulonephritis | 4 | MONDO:0005342 | EFO:0004194 |
| perennial allergic rhinitis | 4 | MONDO:0024332 | EFO:1001417 |
| pulmonary emphysema | 4 | MONDO:0004849 | EFO:0000464 |
| chronic bronchitis | 4 | MONDO:0005607 | EFO:0006505 |
| asthma | 4 | MONDO:0004979 | MONDO:0004979 |
| esophageal disorder | 4 | MONDO:0003749 | EFO:0009544 |
29 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| eosinophilic esophagitis | 3 | MONDO:0005361 | EFO:0004232 |
| sinusitis | 3 | MONDO:0005961 | EFO:0007486 |
| altitude sickness | 3 | MONDO:0006625 | EFO:1000782 |
| obstructive sleep apnea syndrome | 3 | MONDO:0007147 | EFO:0003918 |
| collagenous colitis | 3 | MONDO:0000703 | EFO:1001293 |
| lymphocytic colitis | 3 | MONDO:0000704 | EFO:1001294 |
| microscopic colitis | 3 | MONDO:0000702 | EFO:1001295 |
| primary biliary cholangitis | 3 | MONDO:0005388 | EFO:1001486 |
| respiratory system disorder | 3 | MONDO:0005087 | EFO:0000684 |
| graft versus host disease | 3 | MONDO:0013730 | MONDO:0013730 |
| severe acute respiratory syndrome | 3 | MONDO:0005091 | MONDO:0100096 |
| bronchopulmonary dysplasia | 3 | MONDO:0019091 | MONDO:0019091 |
| proctocolitis | 3 | MONDO:0024278 | MONDO:0021736 |
| nasal cavity polyp | 2 | MONDO:0006314 | EFO:1000391 |
| proctitis | 2 | MONDO:0005538 | EFO:0005628 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| autoimmune hepatitis | 2 | MONDO:0016264 | EFO:0005676 |
| allergic bronchopulmonary aspergillosis | 2 | MONDO:0015243 | EFO:0007140 |
| bronchiolitis obliterans syndrome | 2 | MONDO:0015265 | EFO:0007183 |
| acute respiratory distress syndrome | 2 | MONDO:0006502 | EFO:1000637 |
| diarrheal disease | 2 | MONDO:0001673 | HP:0002014 |
| status asthmaticus | 2 | MONDO:0004766 | EFO:0008590 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| lung neoplasm | 2 | MONDO:0021117 | MONDO:0008903 |
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| allergic disease | 2 | MONDO:0005271 | MONDO:0005271 |
| inflammatory bowel disease | 2 | MONDO:0005265 | EFO:0003767 |
| radiation pneumonitis | 2 | MONDO:0043919 | MONDO:0043919 |
| sclerosing cholangitis | 1 | MONDO:0018646 | EFO:0004268 |
7 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 385.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE3 | 135 |
| PHASE4 | 83 |
| Not specified | 56 |
| PHASE2 | 51 |
| PHASE1 | 35 |
| PHASE2/PHASE3 | 13 |
| PHASE1/PHASE2 | 6 |
| EARLY_PHASE1 | 6 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01225913 | PHASE4 | RECRUITING | Mechanism(s) of Airflow Limitation During Exacerbation of Asthma |
| NCT03615742 | PHASE4 | RECRUITING | Diesel Exhaust Induces Glucocorticoid Resistance |
| NCT04342039 | PHASE4 | ACTIVE_NOT_RECRUITING | Epigenetic Health Benefits of Budesonide |
| NCT06209047 | PHASE4 | RECRUITING | Bronchoscopic Levofloxacin, Gentamicin, or Sham for Acute Exacerbation of Bronchiectasis |
| NCT06334575 | PHASE4 | RECRUITING | Molecular Signatures Associated With Response to ICS Treatment in Patients With COPD Stratified by Eosinophil Levels |
| NCT06571942 | PHASE4 | RECRUITING | Effect of the Inhaled Triple Therapies Over the Small Airway in Biomass Exposure |
| NCT06841406 | PHASE4 | RECRUITING | Budesonide as a Treatment for Functional Dyspepsia |
| NCT07073950 | PHASE4 | RECRUITING | A Study to Investigate the Effect of Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhaler (BGF MDI) Compared With Placebo MDI on Heart and Lung Function in Participants With Chronic Obstructive Pulmonary Disease (COPD) and Hyperinflation |
| NCT00092092 | PHASE4 | COMPLETED | Study of Montelukast and Its Effect on Lower Leg Growth in Children With Asthma (MK-0476-254) |
| NCT00189436 | PHASE4 | COMPLETED | Effect of Nebulized Budesonide and Oral Corticosteroids on Wheezing Episode Relapse in Children |
| NCT00202189 | PHASE4 | COMPLETED | Effects of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease (COPD) |
| NCT00242411 | PHASE4 | COMPLETED | MONO: Symbicort® Single Inhaler Therapy and Conventional Best Standard Treatment for the Treatment of Persistent Asthma in Adolescents and Adults |
| NCT00272753 | PHASE4 | COMPLETED | Effect of Budesonide / Formoterol Combination in Repeated AMP Provocations |
| NCT00338910 | PHASE4 | COMPLETED | Pharmacokinetic Interaction Study Between Budesonide and Metronidazole in Healthy Volunteers |
| NCT00379028 | PHASE4 | COMPLETED | Airway Clearance Study |
| NCT00380484 | PHASE4 | COMPLETED | Short- and Long Term Growth in Children With Asthma |
| NCT00463866 | PHASE4 | COMPLETED | Local Phase 4 Pan-European SMART Study |
| NCT00471809 | PHASE4 | TERMINATED | Childhood Asthma Research and Education (CARE) Network Trial - Montelukast or Azithromycin for Reduction of Inhaled Corticosteroids in Childhood Asthma (MARS) |
| NCT00479739 | PHASE4 | COMPLETED | CONCEPT: A 1-Year Comparison Of A Stable Dose Of SERETIDE® Inhaler With An Adjustable Maintenance Dose Of SYMBICORT® Inhaler. SERETIDE® Inhaler is a Trademark of GSK Group of Companies. SYMBICORT® Inhaler is a Trademark of Astra Zeneca. |
| NCT00487773 | PHASE4 | COMPLETED | Effect of Different Doses of Budesonide on Markers of Bone Metabolism in Children With Asthma |
| NCT00489853 | PHASE4 | COMPLETED | Evaluation of Efficacy on Exercise Tolerance of Symbicort (Budesonide/Formoterol) Compared to Placebo and Oxis in Patients With Severe COPD |
| NCT00490243 | PHASE4 | COMPLETED | Effect of Different Anti-Asthmatic Treatments on Lung Function and on Exercise-Induced Bronchoconstriction in Children With Asthma |
| NCT00522782 | PHASE4 | COMPLETED | Effect of Budesonide on Exhaled Nitric Oxide in Asthmatic Children |
| NCT00560586 | PHASE4 | COMPLETED | Nasal Budesonide in Children With Rhinitis and/or Mild Obstructive Sleep Apnea Syndrome |
| NCT00584636 | PHASE4 | WITHDRAWN | Pulmicort Respules on Relapse Rates After Treatment in the ED |
| NCT00624429 | PHASE4 | UNKNOWN | A Pilot Study Involving an Asthma Management Program for Inner-city Early Head Start Children |
| NCT00641212 | PHASE4 | COMPLETED | Children, Perennial Allergic Rhinitis (PAR), l-t Growth |
| NCT00641446 | PHASE4 | COMPLETED | Varicella Vaccination With Pulmicort |
| NCT00641914 | PHASE4 | COMPLETED | Inhaled Steroid Treatment as Regular Therapy in Early Asthma |
| NCT00661973 | PHASE4 | WITHDRAWN | Inhaled Corticosteroids on Airway Smooth Muscle in Asthma |
| NCT00702325 | PHASE4 | COMPLETED | Phase4/Symbicort® Versus Pulmicort Flexhaler® in African Americans |
| NCT00716963 | PHASE4 | COMPLETED | Does Fluticasone Propionate Reduce the Late Allergic Reaction When the Drug is Given Post-allergen? |
| NCT00733473 | PHASE4 | COMPLETED | Nebulized Budesonide for Children Who Are Hospitalized for Acute Wheezing |
| NCT00860938 | PHASE4 | COMPLETED | Predictor for an Additional Benefit of Inhaled Corticosteroid in Patients Treated With Tiotropium for COPD |
| NCT00867737 | PHASE4 | UNKNOWN | Onset of Action of Advair Hydrofluoroalkane (HFA) 115/21 in Comparison to Symbicort Pressurised Metered-Dose Inhalers (pMDI) 160/4.5 Measured by Impulse Oscillometry (IOS) |
| NCT00883532 | PHASE4 | UNKNOWN | Prevention of Chronic Lung Disease (CLD) in Preterm Infants |
| NCT00915538 | PHASE4 | COMPLETED | Comparing Bronchodilation of Symbicort With and Without Valved Holding Chamber (Aerochamber Plus) |
| NCT00996697 | PHASE4 | COMPLETED | Differential Trough Effects of ‘Triple Therapy’ on Pulmonary Function in Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01070888 | PHASE4 | TERMINATED | Trial on the Effect of Budesonide/Formoterol and Inhaled Budesonide Alone on Exercise-Induced Asthma |
| NCT01186653 | PHASE4 | COMPLETED | Effect on Adrenal Function of Budesonide Versus Fluticasone in Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01253473 | PHASE4 | COMPLETED | Symbicort in Airway Predominant Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01270256 | PHASE4 | COMPLETED | NasoNeb Delivery of an Intranasal Steroid |
| NCT01340118 | PHASE4 | COMPLETED | Improvement of FeNO and FEF25-75 After Inhaled Corticosteroid Treatment of Asthma |
| NCT01397890 | PHASE4 | COMPLETED | Efficacy and Tolerability of Symbicort as an add-on Treatment to Spiriva Compare With Spiriva Alone in Patients With Severe Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01520688 | PHASE4 | COMPLETED | Effect of Flovent Discus vs QVAR vs Pulmicort Flexhaler on Short Term Growth |
| NCT01712854 | PHASE4 | TERMINATED | Effects of Symbicort on the Ventilatory Kinematics |
| NCT01760304 | PHASE4 | TERMINATED | Changes in Cardiac Function in COPD Patients After Administration of Budesonide/Formoterol (Symbicort®) Versus Placebo |
| NCT01846962 | PHASE4 | COMPLETED | Dietetic Versus Topical Steroids for Pediatric Eosinophilic Esophagitis |
| NCT01865500 | PHASE4 | COMPLETED | Two Different Dosages of Nebulized Steroid Versus Parenteral Steroid in the Management of COPD Exacerbations |
| NCT01912872 | PHASE4 | TERMINATED | Study to Assess the Efficacy and Safety of Omalizumab Treatment on ICS Reduction for Severe IgE-mediated Asthma |
| NCT02002715 | PHASE4 | COMPLETED | Therapeutic Effect of Different Treatment Course With Inhaled Corticosteroids in Eosinophilic Bronchitis Patients |
| NCT02019758 | PHASE4 | COMPLETED | Budesonide Versus Fluticasone for Treatment of Eosinophilic Esophagitis |
| NCT02055352 | PHASE4 | COMPLETED | Study to Evaluate Efficacy/Safety of Combination Budesonide/Indacaterol vs Fluticasone/Salmeterol in Patients With COPD |
| NCT02357277 | PHASE4 | WITHDRAWN | The Effects of Inhaled Glucocorticoids on the Postmenopausal Skeleton |
| NCT02504801 | PHASE4 | UNKNOWN | Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD |
| NCT02526758 | PHASE4 | UNKNOWN | Small Airways Evaluation and Treatment |
| NCT02533505 | PHASE4 | COMPLETED | Phase IV O2 Consumption Study in COPD Patients. |
| NCT02546297 | PHASE4 | UNKNOWN | Comparisons of Inhaled LAMA or LAMA+LABA or ICS+LABA for COPD With Bronchiectasis |
| NCT02574975 | PHASE4 | UNKNOWN | Assessment of Airway Responsiveness and Treatment Efficacy in Asthmatics |
| NCT02696850 | PHASE4 | COMPLETED | The Impact Of The Addition Of Budesonide To Low-Pressure, High-Volume Saline Sinus Irrigation For Chronic Rhinosinusitis |
| NCT02771717 | PHASE4 | UNKNOWN | Low Exhaled NO and ICS in Suspected Asthma |
| NCT02934945 | PHASE4 | UNKNOWN | Treatment Efficacy of Budesonide/Formoterol in Cough Variant Asthma and Typical Asthma Patients |
| NCT03028701 | PHASE4 | COMPLETED | Assessment of Bronchodilator Efficacy of Formoterol/Budesonide 12/400 mcg Via Discair in COPD |
| NCT03034005 | PHASE4 | COMPLETED | The RECONSTRUCT Study - Reconstructing Disease Mechanisms in Asthma |
| NCT03219866 | PHASE4 | TERMINATED | Nebulizer Versus Dry Powdered Inhalers for Chronic Obstructive Pulmonary Disease (COPD) |
| NCT03275415 | PHASE4 | COMPLETED | Intratracheal Budesonide/Surfactant Prevents BPD |
| NCT03315052 | PHASE4 | WITHDRAWN | Budesonide for Immunosuppression After Liver Transplantation to Reduce Side Effects |
| NCT03369847 | PHASE4 | COMPLETED | Inhaled Steroids for Pediatric Asthma at Pediatric Emergency Medicine Discharge |
| NCT03478683 | PHASE4 | COMPLETED | A Randomized Study, Comparing Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI) Single Inhaler Triple Therapy, Versus Multiple Inhaler Therapy (Budesonide/Formoterol Plus Tiotropium) in Subjects With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT03478696 | PHASE4 | COMPLETED | A Randomized Study, Comparing Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC /VI) Single Inhaler Triple Therapy, Versus Multiple Inhaler Therapy (Budesonide/Formoterol Plus Tiotropium) in Subjects With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT03521063 | PHASE4 | UNKNOWN | Efficacy of Adding Budesonide to Poractant Alfa to Prevent Bronchopulmonary Dysplasia. |
| NCT03551197 | PHASE4 | UNKNOWN | Change of Lung Function After Exercise in Patients With Chronic Obstructive Pulmonary Disease |
| NCT03924635 | PHASE4 | COMPLETED | An Exploratory Study to Characterise Changes in Airway Inflammation, Symptoms, Lung Function and Reliever Use in Adult Asthma Patients |
| NCT04132570 | PHASE4 | COMPLETED | A Study of Intranasal Budesonide Aqueous Spray for Treatment of Rhinitis During Periods of High Airborne Pollution |
| NCT04171180 | PHASE4 | UNKNOWN | The Efficacy of Budesonide/Formoterol in Cough Variant Asthma |
| NCT04355637 | PHASE4 | COMPLETED | Inhaled Corticosteroid Treatment of COVID19 Patients With Pneumonia |
| NCT04520230 | PHASE4 | COMPLETED | Three Treatment of Chronic Obstructive Pulmonary Disease Patients |
| NCT05152355 | PHASE4 | COMPLETED | Clinical Equivalence of Budesonide HFA MDI Versus Budesonide Turbuhaler in Mild to Moderate Chinese Asthma Patients |
| NCT05444543 | PHASE4 | COMPLETED | Cycling of Topical Steroids for Treatment of EoE (Eosinopilic Esophagitis) |
| NCT05970263 | PHASE4 | WITHDRAWN | IKANOS: Breztri Maintenance Versus Any Non-Triple Inhaled Therapy After Hospitalization for a COPD Exacerbation in the US |
| NCT06158893 | PHASE4 | UNKNOWN | Comparison of Preoperative Inhaled Budesonide With Salbutamol on the Respiratory Adverse Effects in Children Undergoing Tonsillectomy |
| NCT06563102 | PHASE4 | COMPLETED | Study to Investigate Changes in Airway Inflammation, Symptoms, and Rescue Therapy Utilization With AIRSUPRA Compared to Albuterol as Needed in Adults With Mild Asthma |
| NCT06905483 | PHASE4 | COMPLETED | Comparative Effects of Triple Inhaled Therapy With Budesonide/Glycopyrronium/Formoterol Versus Fluticasone Furoate/Umeclidinium/Vilanterol on Small Airway Disease in COPD Patients: A Randomized Crossover Study |
| NCT04727424 | PHASE3 | RECRUITING | Repurposed Approved and Under Development Therapies for Patients With Early-Onset COVID-19 and Mild Symptoms |
| NCT05509933 | PHASE3 | RECRUITING | Budesonide Prophylaxis for Engraftment Syndrome After Hematopoietic Cell Transplantation |
| NCT05562466 | PHASE3 | RECRUITING | A Study to Evaluate the Efficacy and Safety of QMF149 (Indacaterol Acetate/Mometasone Furoate) Versus Budesonide in Children From 6 to Less Than 12 Years of Age With Asthma |
| NCT05831566 | PHASE3 | RECRUITING | Expertise Asthma COPD Program with Digital Support |
| NCT06429475 | PHASE3 | RECRUITING | Anti-Inflammatory Reliever South Africa |
| NCT06471257 | PHASE3 | RECRUITING | A Study to Investigate Efficacy and Safety of PT027 Compared With PT007 in Symptomatic Chinese Adults With Asthma |
| NCT06473779 | PHASE3 | ACTIVE_NOT_RECRUITING | Open-label Study to Assess Reduction of Background Asthma Medication While Sustaining Asthma Control and Clinical Remission With Tezepelumab in Patients 12-80yrs With Severe Asthma. |
| NCT06596252 | PHASE3 | RECRUITING | Once Daily Versus Twice Daily Budesonide Orodispersible Tablets for Induction of Remission in EoE |
| NCT06719622 | PHASE2/PHASE3 | ENROLLING_BY_INVITATION | Evaluation of the Efficacy of Local Budesonide Treatment in Children with Crohn’s Disease Located in the Esophagus And/or Stomach And/or Duodenum |
| NCT06895460 | PHASE3 | NOT_YET_RECRUITING | A Trial on the Treatment of Bronchial Asthma With Budesonide Formoterol Combined With Immune Modulators (Staphylococcus and Neisseria Tablets) |
| NCT07318350 | PHASE3 | NOT_YET_RECRUITING | Study of Formoterol 6 mcg/Fluticasone 125 mcg by Eurofarma Laboratórios S.A. Versus Alenia® 6 mcg/200 mcg in Patients With Asthma (FORASMA) |
| NCT00000575 | PHASE3 | COMPLETED | Childhood Asthma Management Program (CAMP) Phases I (Trial), II (CAMPCS), III (CAMPCS/2), and IV (CAMPCS/3) |
| NCT00128739 | PHASE3 | COMPLETED | Treatment of Gastro-Intestinal and/or Hepatic Graft Versus Host Disease With Budesonide in Patients Following Peripheral Blood Stem Cell Transplantation |
| NCT00139165 | PHASE3 | UNKNOWN | Long-Term Treatment of Collagenous Colitis With Budesonide |
| NCT00180050 | PHASE3 | COMPLETED | Budesonide Treatment for Lymphocytic Colitis |
| NCT00180076 | PHASE3 | COMPLETED | Budesonide for Maintenance Treatment of Collagenous Colitis |
| NCT00180089 | PHASE3 | COMPLETED | Budesonide for Prevention of Acute Gastrointestinal GVHD Following Allogenic Stem Cell Transplantation |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
345 molecules share ≥1 primary target. Top 100 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ENZALUTAMIDE | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| EPLERENONE | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| FLUDROCORTISONE | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| DEXAMETHASONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| FLUTICASONE FUROATE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| FLUTICASONE PROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| HYDROCORTISONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| HYDROCORTISONE BUTYRATE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| MEDROXYPROGESTERONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| MIFEPRISTONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| PREDNISOLONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| PROGESTERONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| SPIRONOLACTONE | ChEMBL | Phase 4 (approved) | NR3C1, NR3C2, PGR |
| ASOPRISNIL | ChEMBL | Phase 3 | NR3C1, NR3C2, PGR |
| METRIBOLONE | ChEMBL | Phase 2 | NR3C1, NR3C2, PGR |
| ONAPRISTONE | ChEMBL | Phase 2 | NR3C1, NR3C2, PGR |
| STANOLONE | ChEMBL | Phase 2 | NR3C1, NR3C2, PGR |
| TUROFEXORATE ISOPROPYL | ChEMBL | Phase 2 | NR3C1, NR3C2, PGR |
| Fidaxomicin | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, PGR |
| FULVESTRANT | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, PGR |
| PODOFILOX | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, PGR |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | NR3C1, PGR |
| ALCLOMETASONE DIPROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| AMCINONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BECLOMETHASONE DIPROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BENZBROMARONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BETAMETHASONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BETAMETHASONE DIPROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BETAMETHASONE VALERATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BUTOCONAZOLE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| CANRENONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| CHLORMADINONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| CICLESONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| CLOBETASOL PROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DANAZOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DAUNORUBICIN | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DEFLAZACORT | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DESOGESTREL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DESONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DESOXIMETASONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DESOXYCORTICOSTERONE PIVALATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DIETHYLSTILBESTROL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DIFLORASONE DIACETATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DOXORUBICIN | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| DROSPIRENONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ECONAZOLE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| EFAVIRENZ | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ESTRADIOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ESTRIOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ETHINYL ESTRADIOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| EXEMESTANE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FELODIPINE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLUNISOLIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLUOCINOLONE ACETONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLUOCINONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLUOROMETHOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLUOXYMESTERONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| FLURANDRENOLIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| HALCINONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| HYDROXYPROGESTERONE CAPROATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| IDARUBICIN | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ISOCONAZOLE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| LOTEPREDNOL ETABONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MASOPROCOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MEDRYSONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MEGESTROL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MESTRANOL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| METHYLPREDNISOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| METHYLTESTOSTERONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MITOTANE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MOMETASONE FUROATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| MONTELUKAST | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| NISOLDIPINE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| NOMEGESTROL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| NORETHINDRONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| NORGESTIMATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| OXYMETHOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| PONATINIB | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| PREDNICARBATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| PREDNISONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| QUINESTROL | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| RIMEXOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| SIMVASTATIN | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TAMOXIFEN | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TESTOSTERONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TESTOSTERONE PROPIONATE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TIBOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TIOCONAZOLE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TOLCAPONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TRIAMCINOLONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TRIAMCINOLONE ACETONIDE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| TROGLITAZONE | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| ZAFIRLUKAST | ChEMBL | Phase 4 (approved) | NR3C1, PGR |
| BALCINRENONE | ChEMBL | Phase 3 | NR3C1, NR3C2 |
| CANRENOATE | ChEMBL | Phase 3 | NR3C1, PGR |
| CYPROTERONE | ChEMBL | Phase 3 | NR3C1, PGR |
| ETHISTERONE | ChEMBL | Phase 3 | NR3C1, PGR |
| OTILONIUM BROMIDE | ChEMBL | Phase 3 | NR3C1, PGR |
Related Atlas pages
- Genes: NR3C1, NR3C2, PGR
- Indicated for: allergic rhinitis, chronic obstructive pulmonary disease, ulcerative colitis, Crohn disease, seasonal allergic rhinitis, obstructive lung disease, IgA glomerulonephritis, perennial allergic rhinitis, pulmonary emphysema, chronic bronchitis, asthma, esophageal disorder
- In clinical trials for: eosinophilic esophagitis, sinusitis, altitude sickness, obstructive sleep apnea syndrome, collagenous colitis, lymphocytic colitis, microscopic colitis, primary biliary cholangitis, respiratory system disorder, graft versus host disease, severe acute respiratory syndrome, bronchopulmonary dysplasia, nasal cavity polyp, proctitis, melanoma, autoimmune hepatitis, allergic bronchopulmonary aspergillosis, bronchiolitis obliterans syndrome, acute respiratory distress syndrome, diarrheal disease, status asthmaticus, breast neoplasm, lung neoplasm, plasma cell myeloma, allergic disease, inflammatory bowel disease, radiation pneumonitis
- Drugs: Enzalutamide, Eplerenone, Fludrocortisone, Dexamethasone, Fluticasone Furoate, Fluticasone Propionate, Hydrocortisone, Hydrocortisone Butyrate, Medroxyprogesterone, Mifepristone, Prednisolone, Progesterone, Spironolactone, Asoprisnil, Fidaxomicin, Fulvestrant, Podofilox, Regorafenib, Alclometasone Dipropionate, Amcinonide, Beclomethasone Dipropionate, Benzbromarone, Betamethasone, Betamethasone Dipropionate, Betamethasone Valerate, Butoconazole, Candesartan Cilexetil, Canrenone, Chlormadinone, Ciclesonide, Clobetasol Propionate, Danazol, Daunorubicin, Deflazacort, Desogestrel, Desonide, Desoximetasone, Desoxycorticosterone Pivalate, Diethylstilbestrol, Diflorasone Diacetate, Doxorubicin, Drospirenone, Econazole, Efavirenz, Estradiol, Estriol, Ethinyl Estradiol, Exemestane, Felodipine, Flunisolide, Fluocinolone Acetonide, Fluocinonide, Fluorometholone, Fluoxymesterone, Flurandrenolide, Halcinonide, Hydroxyprogesterone Caproate, Idarubicin, Isoconazole, Loteprednol Etabonate, Masoprocol, Medrysone, Megestrol, Mestranol, Methylprednisolone, Methyltestosterone, Mitotane, Mometasone Furoate, Montelukast, Nisoldipine, Norethindrone, Norgestimate, Oxymetholone, Ponatinib, Prednicarbate, Prednisone, Quinestrol, Rimexolone, Simvastatin, Tamoxifen, Testosterone, Testosterone Propionate, Tibolone, Tioconazole, Tolcapone, Triamcinolone, Triamcinolone Acetonide, Troglitazone, Zafirlukast, Balcinrenone, Canrenoate, Cyproterone, Ethisterone, Otilonium Bromide