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Calcineurin inhibitors

Phase 3

Liver Transplantation | Small molecule | Gastrointestinal |Novartis AG|Last Updated: Apr 13, 2011

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment145
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00267189RESCUE Study - Everolimus in Liver Transplantation Recipients With Renal InsufficiencyPHASE3 COMPLETED 145Nov 1, 2005Nov 1, 2007Apr 13, 20112 Germany, Switzerland
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Study Endpoints
Primary Endpoints
Mean Change From Baseline in Cockcroft-Gault Calculated Creatinine Clearance (CrCl)
From baseline to 6 months

The primary variable was renal function assessed by calculated creatinine clearance using the Cockcroft-Gault formula, and was assessed at all visits. CrCl\[mL/min\] = (140 - A) \* W / (72 \* C) \* R. Where A is age at sample date \[years\], W is body weight at specific visit \[kg\], C is the serum concentration of creatinine \[mg/dL\], R = 1 if the patient is male and = 0.85 if female.

Secondary Endpoints
Percentage of Patients With Efficacy Failure (Biopsy Proven Acute Rejection [BPAR], Graft Loss or Death)
6 months
Number of Patients With Discontinuation of Study Medication
6 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Reduced CNI dose + everolimus ± steroidsACTIVE_COMPARATORReduced CNI dose + everolimus (1.5 mg twice daily (b.i.d)) ± steroids
CNI continuation ± MPA/AZA ± SteroidsEXPERIMENTALStandard CNI dose ± MPA/AZA ± steroids
Interventions
NameTypeDescription
EverolimusDRUG1.5 mg bid adjusted in order to achieve a trough level between 3 and 8 ng/mL while in combination with CNI and between 6 and 12 ng/mL after CNI discontinuation
Calcineurin inhibitors (CNI)DRUG -
Mycophenolate acid (MPA)/ Azathioprine (AZA)DRUG -
SteroidsDRUG -
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion criteria * Male or female 18 - 70 years old * Patient who has undergone a primary liver transplantation 12 to 60 months ago from a cadaveric or a living donor * Patient with a calculated GFR ≤ 60 and ≥ 20mL/min * Patient receiving tacrolimus with C0-h level ≥ 3 and ≤ 8 ng/mL or Neoral® wi...

Countries:GermanySwitzerland
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