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Mycophenoate Mofetil

Phase 3

Renal Transplantation | Small molecule | Nephrology |Roche Holding AG|Last Updated: Feb 19, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment237

FDA Designations

No designations recorded

Clinical trial landscape

Mycophenoate Mofetil · 1 trial · 1 indication

Phase 3 1
NCT02686619Study Comparing Efficacy and Safety of Mycophenolate Mofetil (Cellcept) With Delayed Introduction of Sirolimus and Discontinuation of Cyclosporine, With Those of Mycophenolate Mofetil and Long Term Continuation of Cyclosporine in Renal Transplant RecipientsRenal Transplantation
COMPLETED237 Analytics
PHASE3COMPLETED
Study Comparing Efficacy and Safety of Mycophenolate Mofetil (Cellcept) With Delayed Introduction of Sirolimus and Discontinuation of Cyclosporine, With Those of Mycophenolate Mofetil and Long Term Continuation of Cyclosporine in Renal Transplant Recipients
Renal TransplantationUnlock trial analytics

Study Endpoints

Primary Endpoints

Creatinine Clearance Calculated and Corrected According to Cockcroft Gault at Month 60
60 months
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to approximately 12 months
Number of Participants With Serious Adverse Events (SAEs)
From 12 months up to 60 months
Creatinine Clearance Calculated and Corrected According to Cockcroft Gault at Week 52
52 weeks
Number of Participants With Cancers and Lymphoproliferative Syndromes
Up to approximately 12 months
Number of Participants With Premature Discontinuations due to Adverse Events (AEs)
Up to approximately 12 months
Change From Baseline in 24-Hour Urinary Protein at Week 52
52 weeks

Secondary Endpoints

Mean Inverse Creatinine Concentration
Week 4, 8, 12, 14, 16, 26, 39, and 52
Creatinine Clearance Calculated and Corrected According to Cockcroft-Gault
Week 4, 8, 12, 14, 16, 26, 39, and 52
Glomerular Filtration Rate (GFR) Measured by Iohexol Clearance
Baseline, Week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Mycophenolate Mofetil + CyclosporineACTIVE_COMPARATORParticipants will receive mycophenoate mofetil, daclizumab, cyclosporine, and corticosteroids (prednisolone) for 3 to 12 months.
Mycophenolate Mofetil + SirolimusEXPERIMENTALParticipants will receive mycophenoate mofetil, daclizumab, and corticosteroids (prednisolone) for 3 to 12 months. Participants will also receive cyclosporine which will be replaced with sirolimus at later stage of the study.

Interventions

NameTypeDescription
CyclosporineDRUGCyclosporine tablets orally once daily at dose level adapted to maintain concentration at 2 hours after administration (C2): 1000-1500 nanogram per milliliter (ng/mL) during Day 0 to Week 4, and 800-1200 ng/mL during Week 4 to Week 52. For Mycophenoate Mofetil + Sirolimus treatment arm, at Week 12, dose of cyclosporine will be reduced by 50% for 3 days, followed by 1/4 of the dose for 3 days, and then cyclosporine will be stopped.
DaclizumabDRUGDaclizumab 2 milligram (mg) per kilogram (kg) will be administered as intravenous infusion over 15 minute on Day 0 (during the 24 hours preceding renal transplantation) and at a dose of 1 mg/kg on Day14.
Mycophenoate MofetilDRUGMycophenoate mofetil 1 gram (g) (2\*500mg tablets or 4\*250mg capsules) will be given twice daily (daily dose of 2 g) orally for 12 months.
PrednisoloneDRUGPrednisolone 250 mg intravenously on Day 0, followed by 0.5 mg/kg orally daily (maximum 40 mg daily) from Day 1 to Day 7, then 0.25 mg/kg orally daily (maximum 20 mg daily), then dose will be stepwise reduced by 2.5 mg per week to reach to a dose level of 10 mg daily and continued up to 6 months and finally drug will be discontinued after 8 months.
SirolimusDRUGSirolimus tablets will be given orally from week 12 to week 52, starting with loading dose of 10 mg daily for 2 days followed by 6 mg daily to adapt to trough concentrations of 8-15 ng/mL from week 12 to week 39, and 5-10 ng/mL from week 39 to week 52.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Receipt of a first cadaveric kidney graft * Antilymphocyte antibodies and panel reactive antibodies (PRA) less than 30 percent (%) (historical peak and/or current value) * Cold ischaemia time less than or equal to 36 hours Exclusion Criteria: * Kidney from a living donor; do...

Countries:France
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