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mycophenolate mofetil

Phase 3

Graft vs Host Disease | Small molecule | Nephrology |Pfizer, Inc.|Last Updated: Apr 28, 2010

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_CONTROLLED
Total Trials1
Total Enrollment61
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00195273Study Evaluating Sirolimus in Kidney Transplant RecipientsPHASE3 COMPLETED 61Nov 1, 2004Jul 1, 2008Apr 28, 20103 Norway, Sweden
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Study Endpoints
Primary Endpoints
Mean Creatinine Clearance Rate
12 months

Creatinine clearance is a measure of kidney function. Creatinine clearance rate is the volume of blood plasma that is cleared of creatinine by the kidneys per unit time. Creatinine clearance can be measured directly or estimated using established formulas. For this study, the creatinine clearance rate was calculated using the Nankivell formula. Normal values for healthy, young males are in the range of 100-135 ml/min and for females 90-125 ml/min. A low creatinine clearance indicates poor kidney function.

Secondary Endpoints
Number of Patients With Acute Rejection
3 and 12 months
Patient and Graft Survival
12 months
Mean Creatinine Clearance Rate - 3 Months
3 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALSirolimus + Daclizumab + Mycophenolate + Corticosteroids
2ACTIVE_COMPARATORCyclosporine + Mycophenolate + Corticosteroids
Interventions
NameTypeDescription
sirolimusDRUG15 mg loading dose, followed by 5 mg/day to achieve target trough levels of 10-15 ng/mL at months 1-6, then 8-12 ng/mL at months 7-12
cyclosporineDRUGInitial dose of 10 mg/kg/day, then twice daily to achieve target trough levels of 300-400 ng/mL at weeks 0-4; 200-300 ng/mL at months 1-2; 150-250 ng/mL at months 2-3; 100-200 ng/mL at months 3-6; 75-150 ng/mL months 6-12
mycophenolate mofetilDRUG1 g twice daily; may be reduced to 750 mg BID for adverse events, or to 500 mg BID for persisting adverse events
corticosteroidsDRUGAs per center practice. By day 8 prednisolone tapered to 20 mg/day; by day 30 to 15 mg/day; by day 60 to 10 mg/day; after 4 to 6 months to 5-7.5 mg/day
daclizumabDRUGIV: 1 mg/kg to a maximum of 100 mg/dose. 5 doses at 2, 4, 6, and 8 weeks after transplantation
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Kidney transplantation * Donor must be at least 60 years old. Exclusion Criteria: * Current systemic infection * Unstable angina or treatment for serious arrhythmia. * Cancer within the previous 5 years.

Countries:NorwaySweden
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