Enteric-coated Mycophenolate Sodium (EC-MPS) and Mycophenolate Mofetil (MMF) in Renal Transplant Patients With Gastrointestinal (GI) Intolerance

NCT ID: NCT00400400

Last Updated: 2011-08-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Brief Summary

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Treatment with the immunosuppressive drug mycophenolate mofetil (MMF) may result in gastrointestinal (GI) complications in some patients. This study will investigate the safety and tolerability of converting kidney transplant recipients with gastrointestinal symptoms from their current treatment of mycophenolate mofetil (MMF) to treatment with enteric-coated mycophenolate sodium (EC-MPS).

Detailed Description

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Conditions

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Renal Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Enteric-coated mycophenolate sodium

Enteric-coated mycophenolate sodium tablets taken orally twice a day (in the morning and in the evening) at a dose equimolar to the dose of mycophenolate mofetil the participant was taking prior to start of the study + Placebo to mycophenolate mofetil capsules taken orally twice a day for 30 days. Participants remained on their standard immunosuppressive regimen of calcineurin inhibitors (CNI) (Cyclosporin A or Tacrolimus) administered with or without corticosteroids throughout the study.

Group Type EXPERIMENTAL

Enteric-coated mycophenolate sodium (EC-MPS)

Intervention Type DRUG

Enteric-coated mycophenolate sodium supplied as 180 mg tablets.

Placebo to mycophenolate mofetil

Intervention Type DRUG

Placebo to mycophenolate mofetil matching capsules.

Mycophenolate mofetil

Mycophenolate mofetil capsules taken orally twice a day (in the morning and in the evening) at the dose the participant was taking prior to study start + Placebo to mycophenolate sodium tablets taken twice a day for 30 days. Participants remained on their standard immunosuppressive regimen of calcineurin inhibitors (CNI) (Cyclosporin A or Tacrolimus) administered with or without corticosteroids throughout the study.

Group Type ACTIVE_COMPARATOR

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil supplied as 250 mg capsules.

Placebo to mycophenolate sodium

Intervention Type DRUG

Placebo to mycophenolate sodium matching tablets.

Interventions

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Enteric-coated mycophenolate sodium (EC-MPS)

Enteric-coated mycophenolate sodium supplied as 180 mg tablets.

Intervention Type DRUG

Mycophenolate mofetil

Mycophenolate mofetil supplied as 250 mg capsules.

Intervention Type DRUG

Placebo to mycophenolate sodium

Placebo to mycophenolate sodium matching tablets.

Intervention Type DRUG

Placebo to mycophenolate mofetil

Placebo to mycophenolate mofetil matching capsules.

Intervention Type DRUG

Other Intervention Names

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Myfortic®

Eligibility Criteria

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Inclusion Criteria

* Males and females aged 18-75 years, Recipients of first or second cadaveric, living unrelated or living related kidney transplant
* Recipients who are at least 4 weeks post renal transplantation with stable renal function, Patients currently receiving MMF (all dosages are allowed) and either cyclosporine USP (MODIFIED) or tacrolimus with or without corticosteroids as part of their immunosuppressive regimen for at least 2 weeks prior to study start
* Patients with at least one mild and/or moderate and/or severe upper or lower gastrointestinal (GI) complaints clearly associated with MMF therapy as determined by the treating physician. Additional mild GI complaints may coexist
* Patients' immunosuppressive regimen other than steroids (doses and type) as well as medication for treatment of GI symptoms must be unchanged for at least 1 week prior to study start
* Females of childbearing potential must have a negative pregnancy test prior to the inclusion period. The test should be performed locally at Baseline visit. If positive, the patient will not be included. Effective contraception must be used during the trial, and for 4 weeks following discontinuation of the study medication
* Patients who are willing and able to participate in the full course of the study and from whom written informed consent has been obtained.

Exclusion Criteria

* Multi-organ transplant patients (e.g. kidney and pancreas) or previous transplant with any other organ different from kidney (second kidney transplant is allowed)
* History of GI disorder (diarrhea, Gastroesophageal Reflux Disease (GERD), dyspepsia, Inflammatory Bowel Disease (IBD) or Irritable Bowel Syndrome (IBS) prior to transplantation
* Evidence of any GI disorder induced by an infection, underlying medical condition, or concomitant medication other than MMF, Modification of GI medication or MMF dose within last 1 week
* Evidence of graft rejection, treatment of acute rejection, or unstable renal function within 4 weeks prior to the Baseline visit, Patients who have received an investigational immunosuppressive drug within 4 weeks prior to study entry
* Patients with a history of malignancy within the last five years, except excised squamous or basal cell carcinoma of the skin
* Pregnant or nursing (lactating) women, Women of child-bearing potential (WOCBP) not using an acceptable method of contraception such as: surgical sterilization, hormonal contraception, or double-barrier methods.
* Contraception should be maintained throughout the study and for 4 weeks after study drug discontinuation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Novartis Pharmaceuticals

Principal Investigators

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Novartis

Role: STUDY_DIRECTOR

Novartis

Locations

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AKDHC Medical Research Services, LLC

Phoenix, Arizona, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

National Institute of Transplantation

Los Angeles, California, United States

Site Status

David Geffen School of Medicine at UCLA

Los Angeles, California, United States

Site Status

UC Davis Medical Center

Sacramento, California, United States

Site Status

University of California San Diego

San Diego, California, United States

Site Status

University of California, San Diego

San Diego, California, United States

Site Status

University of California

San Francisco, California, United States

Site Status

Denver Nephrology

Denver, Colorado, United States

Site Status

University of Colorado Health Science Center

Denver, Colorado, United States

Site Status

Yale University Transplantation

New Haven, Connecticut, United States

Site Status

Washington Hospital Transplant Research

Washington D.C., District of Columbia, United States

Site Status

University of Florida College of Medicine

Gainesville, Florida, United States

Site Status

Piedmont Hospital

Atlanta, Georgia, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Clarian Health Partners

Indianapolis, Indiana, United States

Site Status

Univ of KS Medical Ctr

Kansas City, Kansas, United States

Site Status

University of Kentucky Medical Center

Lexington, Kentucky, United States

Site Status

Northwest Louisiana Nephrology Research

Shreveport, Louisiana, United States

Site Status

WKHS/LSUHSC Regional Transplant Center

Shreveport, Louisiana, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

The Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Mid-Atlantic Nephrology Associates

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

St. John Hospital Medical Center

Detroit, Michigan, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

St. Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

St. Baranabas Medical Center

Livingston, New Jersey, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

UNC Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

Wake Forest

Winston-Salem, North Carolina, United States

Site Status

University Hospitals of Cleveland

Cleveland, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Pinnacle Health at Harrisburg Hospital

Harrisburg, Pennsylvania, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

The University of Tennessee Health Science Center

Memphis, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

CRSTI

Dallas, Texas, United States

Site Status

Baylor All Saints

Fort Worth, Texas, United States

Site Status

University of Texas Medical Branch

Galveston, Texas, United States

Site Status

University of Utah Hospitals and Clinics

Salt Lake City, Utah, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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CERL080AUS51

Identifier Type: -

Identifier Source: org_study_id

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