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Mycophenolate

Phase 3

Kidney Transplantation | Small molecule | Nephrology |Novartis AG|Last Updated: Jun 16, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment383

FDA Designations

No designations recorded

Clinical trial landscape

Mycophenolate · 6 trials · 3 indications

Phase 3 5Phase 2 1
NCT01410448Everolimus in de Novo Kidney Transplant RecipientsKidney Transplantation
COMPLETED383 Analytics
NCT00149903Study of Enteric-coated Mycophenolate Sodium Versus Mycophenolate Mofetil in Adult de Novo Renal Transplant PatientsRenal Transplant
COMPLETED300 Analytics
NCT00149916Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A0107Renal Transplant
COMPLETED139 Analytics
NCT00149864Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A302Renal Transplant
COMPLETED264 Analytics
NCT00149929Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A301Renal Transplant
COMPLETED246 Analytics
PHASE3COMPLETED
Everolimus in de Novo Kidney Transplant Recipients
Kidney TransplantationUnlock trial analytics
PHASE3COMPLETED
Study of Enteric-coated Mycophenolate Sodium Versus Mycophenolate Mofetil in Adult de Novo Renal Transplant Patients
Renal TransplantUnlock trial analytics
PHASE3COMPLETED
Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A0107
Renal TransplantUnlock trial analytics
PHASE3COMPLETED
Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A302
Renal TransplantUnlock trial analytics
PHASE3COMPLETED
Follow-up Study of Safety of Enteric-coated Mycophenolate Sodium in Patients Who Successfully Completed Study CERL080A301
Renal TransplantUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Without Wound Healing Complications - Worst-case Scenario
3 months

The percentage of participants without wound healing complications was assessed. Wound healing complications consisted of lymphorrhea, fluid collections, wound dehiscence, wound infections and incisional hernia. In the worst-case scenario, failure, i.e. at least one healing complication occurrence, was identified in one of the following cases: wound complication occurrence, missing information about wound complication occurrence, or study discontinuation due to any reason.

Efficacy of EC-MPS compared to MMF in Chinese patients as measured by the incidence of biopsy proven acute rejection, graft loss, or death within six months of treatment in de novo renal transplant recipients.
To assess gastro-intestinal tolerability
To assess the incidence and severity of GI adverse events (AEs) and neutropenia in the first 3 months of treatment in maintenance renal transplant patients.
Incidence of biopsy proven acute rejection, graft loss, or death in the first six months of treatment.
Number of Patients With Complete Remission
24 Weeks

Complete remission was defined as urine protein/urine creatinine ratio \< 0.5 gram urine protein per gram urine creatinine, urine sediment normalized (no cellular casts, \< 5 red cells per high power field), and serum creatinine within 10% of normal range according to local lab.

Secondary Endpoints

Percentage of Participants Without Wound Healing Complications - Worst-case Scenario
12 months
Percentage of Participants Who Experienced Treatment Failure - Worst-case Scenario
3 months
Patient Survival Rate: Percentage of Deaths - Worst-case Scenario
3 Months, 12 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Immediate Everolimus (IE)ACTIVE_COMPARATOREverolimus was started within 48 hours after graft reperfusion at a starting dose of 0.75 mg twice daily in combination with low-dose cyclosporine and steroids for 3 months.
Delayed EverolimusEXPERIMENTALThe standard dose of mycophenolate sodium was administered within 48 hours after graft reperfusion in combination with a full dose of cyclosporine and steroids. After28 +/- 4 days of treatment, mycophenolate sodium was discontinued and everolimus was introduced at a starting dose of 0.75 mg twice daily for 3 months.
Mycophenolate sodium (enteric coated)EXPERIMENTAL -
Standard doseEXPERIMENTALMycophenolate sodium was administered orally in combination with a standard dose of corticosteroids (CS) administered as prednisone or prednisone equivalent (PRED). Mycophenolate sodium was administered in divided doses at a daily dose of 1440 mg during the first 2 weeks of the study and then at 2160 mg daily for the next 22 weeks. The dose of Prednisone was started at 1 mg per kg body weight and subsequently tapered according to the patient's weight. The planned treatment duration was 24 weeks.
Low doseACTIVE_COMPARATORMycophenolate sodium was administered in combination with a reduced dose of corticosteroids (CS) administered as prednisone or prednisone equivalent (PRED). Mycophenolate sodium was administered in divided doses at a daily dose of 1440 mg during the first 2 weeks of the study and then at 2160 mg daily for the next 22 weeks. The dose of Prednisone was started at 0.5 mg per kg body weight and subsequently tapered according to the patient's weight. The planned treatment duration was 24 weeks.

Interventions

NameTypeDescription
EverolimusDRUGEverolimus was provided in blisters containing 0.25 and 0.75 mg tablets and was taken orally.
Mycophenolate sodiumDRUGTwo 360 mg tablets were administered twice daily at 12-hour intervals. The tablets were swallowed whole in order to maintain the integrity of the enteric coating.
CyclosporineDRUGCyclosporine was supplied as blisters containing 100 mg, 50 mg, 25 mg and 10 mg soft-gelatin capsules and was administered orally.
SteroidsDRUGSteroids were administered according to local clinical practice.
Mycophenolate sodium (enteric coated)DRUG -
PrednisoneDRUGOral prednisone or prednisone equivalent was started on Day 4 and subsequently tapered every 2 weeks according to the patient's weight.
MethylprednisoloneDRUGAll patients received bolus therapy with 0.5 g of intravenous Methylprednisolone per day for 3 consecutive days.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites22

Key Inclusion criteria: * Patients who are willing and able to participate in the study and who provide written informed consent before performing any study related procedure; * Men or women ≥18 years at transplant; * Recipients of 1st or 2nd single kidney transplant from deceased donor or living u...

Countries:ItalyChinaColombiaFranceGermanyGreeceHungarySpainTaiwanUnited Kingdom
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Frequently asked questions about Mycophenolate

What is Mycophenolate used for?

Mycophenolate is an investigational small molecule being developed for renal transplant, kidney transplantation, and lupus nephritis. It is studied as an enteric-coated mycophenolate sodium formulation in clinical trials. The drug is not approved and remains in clinical development.

Who makes Mycophenolate?

Mycophenolate is being developed by Novartis AG, which trades under the ticker NVS. The company is conducting clinical trials of the drug in renal transplant and lupus nephritis indications.

What phase is Mycophenolate in?

Mycophenolate is in Phase 3 clinical development for renal transplant, based on completed Phase 3 trials. It has also been studied in a Phase 2 trial for lupus nephritis. The drug is investigational and not yet approved.

What clinical trials is Mycophenolate in?

Mycophenolate has been studied in four completed trials, including NCT00149903, NCT00149916, NCT00149929, and NCT00423098. These trials evaluated enteric-coated mycophenolate sodium in renal transplant patients and in lupus nephritis flare treatment.

Is Mycophenolate the same as enteric-coated mycophenolate sodium?

Mycophenolate refers to the drug studied in clinical trials as enteric-coated mycophenolate sodium. The trials listed under Mycophenolate specifically test this formulation, distinguishing it from other mycophenolate salts.