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Cyclosporin A

Phase 3

Kidney Transplantation | Small molecule | Nephrology |Novartis AG|Last Updated: May 1, 2017

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_CONTROLLEDDMC
Total Trials1
Total Enrollment612
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT0184334812 Month Athena Study: Everolimus vs. Standard Regimen in de Novo Kidney Transplant PatientsPHASE3 COMPLETED 612Dec 27, 2012Mar 23, 2016May 1, 201727 France, Germany
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Study Endpoints
Primary Endpoints
Glomular Filtration Rate (GFR) mL/Min Via Nankivell Method at Month 12 - Standard Regimen vs Certican Regimens
One year post transplant

To demonstrate non-inferiority in renal function assessed by glomerular filtration rate (Nankivell formula) in at least one of the Certican® treatment regimens compared to the standard regimen group at month 12 post-transplantation in renal transplant patients. Nankivell formula: GFR = 6.7/Scr + BW/4 - Surea/2 - 100/(height)² + C where Scr is the serum creatinine concentration expressed in mmol/L, BW the body weight in kg, Surea the serum urea in mmol/L, height in m, and the constant C is 35 for male and 25 for female patients. The eGFR is expressed in mL/min per 1.73m². If a patient was on dialysis at the time of urea or creatinine assessment, the eGFR was set to 0. Analysis set = per protocol set

Secondary Endpoints
Percentage of Participants With Composite Treatment Failure Endpoints - Difference Between Groups at Month 12
Month 12 post transplant
Glomular Filtration Rate (GFR) Via Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) Method at Month 12 Post Transplant
Month 12 post transplant
Glomular Filtration Rate (GFR) mL/Min Via Cockcroft- Gault Method at Month 12 Post Transplant
Month 12 post transplant
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TAC+MPAACTIVE_COMPARATOR -
TAC+CerticanEXPERIMENTAL -
CycA+CerticanEXPERIMENTAL -
Interventions
NameTypeDescription
EverolimusDRUG -
TacrolimusDRUGCapsules: 0.5 mg, 1 mg or 5 mg. Dosing schedule: transplant to month 2: 4-8ng/ml, month 3 to month 12 3-5 ng/ml according to standard blood levels
Cyclosporin ADRUGCapsules: 10 mg, 25 mg, 50 mg or 100 mg. Transplantation to month 2: 75 - 125 ng/ml, month 3 to month 12: 50 - 100 ng/ml
Enteric Coated Mycophenolate Sodium (EC-MPS)DRUGTablets: 180 mg or 360 mg. Dosing: duration of study 360 mg bid and no less than 360 mg daily dose
Mycophenolate mofetil (MMF)DRUGCapsules: 250 or 500 mg. Dosing: duration of study 500 mg bid and no less than 500 mg total daily dose
CorticosteroidsDRUGA minimum dose of 5 mg prednisolon or equivalent
SimulectDRUGLyophilisate in vials with ampoules of sterile water for injection (5 mL), one vial containing 20 mg lyophilisate given intravenously on the day of transplantation and on day four post-transplantation.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Patient who had received a primary or secondary kidney transplant * Patients who were willing and from whom written informed consent was obtained * kidney allograft with a cold ischemia time (CIT) \< 30 hours * negative pregnancy test prior to study enrollment Exclusion Crite...

Countries:FranceGermany
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