Trial Outcomes & Findings for A Pharmacokinetic Study of CellCept (Mycophenolate Mofetil) Versus Mycophenolate Sodium in Kidney Transplant Patients (NCT NCT01033864)

NCT ID: NCT01033864

Last Updated: 2015-08-27

Results Overview

The mean mycophenolic acid (MPA) concentration in plasma was determined (in milligrams per liter \[mg/L\]) from blood samples collected predose (immediately before receiving study treatment).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

23 participants

Primary outcome timeframe

Day 1 predose

Results posted on

2015-08-27

Participant Flow

Participant milestones

Participant milestones
Measure
Mycophenolate Mofetil (MMF)/Prednisone
Participants were administered MMF tablets or capsules, orally (PO), at a dose prescribed by their physician and prednisone up to 5 milligrams (mg) PO on Day 1.
Enteric-coated Mycophenolate Sodium (EC-MPS)/Prednisone
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Overall Study
STARTED
12
11
Overall Study
COMPLETED
12
11
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Pharmacokinetic Study of CellCept (Mycophenolate Mofetil) Versus Mycophenolate Sodium in Kidney Transplant Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
61.5 years
STANDARD_DEVIATION 11.06 • n=5 Participants
58.0 years
STANDARD_DEVIATION 8.04 • n=7 Participants
59.8 years
STANDARD_DEVIATION 9.68 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1 predose

Population: Pharmacokinetic (PK) population: all participants who took study drug and for whom all defined blood samples at the planned sampling time points were available.

The mean mycophenolic acid (MPA) concentration in plasma was determined (in milligrams per liter \[mg/L\]) from blood samples collected predose (immediately before receiving study treatment).

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Pre-dose Trough Concentration (C0)
2.387 mg/L
Standard Deviation 1.1327
2.944 mg/L
Standard Deviation 2.2103

PRIMARY outcome

Timeframe: Day 1 predose

Population: PK population

Dose normalized C0 was determined (in mg/L) from blood samples collected predose. Both MMF and EC-MPS doses were normalized to a standard dose of 1 g MMF or 720 mg EC-MPS, respectively. The dose normalization was calculated as follows: For the MMF group: Dose normalized C0 equals (=) C0 divided by (/) (actual dose taken/1000) For the EC-MPS group: Dose normalized C0 = C0 / (actual dose taken/720)

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Dose-Normalized C0
2.962 mg/L
Standard Deviation 1.4439
4.658 mg/L
Standard Deviation 3.1121

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

The mean minimum MPA concentration in plasma was determined (in mg/L) from blood samples collected predose and postdose on Day 1.

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Minimum Plasma Concentration (Cmin)
1.385 mg/L
Standard Deviation 0.6061
1.620 mg/L
Standard Deviation 0.6632

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

Dose-normalized Cmin was determined (in mg/L) from blood samples collected predose and postdose. Both MMF and EC-MPS doses were normalized to a standard dose of 1 g MMF or 720 mg EC-MPS, respectively. The dose normalization was calculated as follows: For the MMF group: Dose normalized Cmin = Cmin/ (actual dose taken/1000) For the EC-MPS group: Dose normalized Cmin = Cmin / (actual dose taken/720)

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Dose-Normalized Cmin
1.702 mg/L
Standard Deviation 0.8018
2.613 mg/L
Standard Deviation 1.0291

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

The mean maximum MPA concentration in plasma was determined (in mg/L) in blood samples collected predose and postdose on Day 1.

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Maximum Plasma Concentration (Cmax)
15.385 mg/L
Standard Deviation 5.2320
17.827 mg/L
Standard Deviation 4.2898

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

Dose-normalized Cmax in plasma was determined (in mg/L) from blood samples collected predose and postdose on Day 1. Both MMF and EC-MPS doses were normalized to a standard dose of 1 g MMF or 720 mg EC-MPS, respectively. The dose normalization was calculated as follows: For the MMF group: Dose normalized Cmax = Cmax / (actual dose taken/1000) For the EC-MPS group: Dose normalized Cmax = Cmax / (actual dose taken/720)

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Dose-Normalized Cmax (mg/L)
18.402 mg/L
Standard Deviation 5.4349
29.996 mg/L
Standard Deviation 11.3229

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

The mean MPA AUC0-12 in plasma was determined (in mg multiplied by hours, per Liter \[mg\*h/L\]) from blood samples collected predose and postdose on Day 1.

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
MPA Area Under the Curve From 0 to 12 Hours (AUC0-12)
50.36348 mg*h/L
Standard Deviation 15.423230
57.06682 mg*h/L
Standard Deviation 10.965285

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

Dose-normalized MPA AUC0-12 in plasma was determined (mg\*h/L) from blood samples collected predose and postdose on Day 1. Both MMF and EC-MPS doses were normalized to a standard dose of 1 g MMF or 720 mg EC-MPS, respectively. The dose normalization was calculated as follows: For the MMF group: Dose normalized MPA AUC = MPA AUC / (actual dose taken/1000) For the EC-MPS group: Dose normalized MPA AUC = MPA AUC / (actual dose taken/720)

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Dose-Normalized MPA AUC0-12
61.53862 mg*h/L
Standard Deviation 21.003959
94.65765 mg*h/L
Standard Deviation 29.307839

PRIMARY outcome

Timeframe: Day 1 predose and postdose at 30 and 60 minutes and 2, 3, 4, 5, 6, 8 10 and 12 hours

Population: PK population

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
n=11 Participants
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax equals (=) 0.5333 hours (hrs)
16.7 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=0.6000 hrs
16.7 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=0.7333 hrs
16.7 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=0.7667 hrs
8.3 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=1.0667 hrs
8.3 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=1.0833 hrs
16.7 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=1.2167 hrs
8.3 percentage of participants
0.0 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=2.0167 hrs
0.0 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=2.0833 hrs
0.0 percentage of participants
18.2 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=2.1000 hrs
0.0 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=2.1167 hrs
0.0 percentage of participants
27.3 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=2.1667 hrs
0.0 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=3.1167 hrs
0.0 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=3.1833 hrs
0.0 percentage of participants
9.1 percentage of participants
Percentage of Participants By Time to Maximum Plasma Concentration (Tmax)
Tmax=1.1167 hrs
8.3 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: Day 1 at 30 minutes and 1 and 2 hours postdose

Population: PK population. Only participants in the MMF/Prednisone group were assessed for this outcome measure, n=12.

The estimated regression coefficients for participants who received MMF presented in milligrams per liter (mg/L).

Outcome measures

Outcome measures
Measure
MMF/Prednisone
n=12 Participants
Participants were administered MMF tablets or capsules, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
EC-MPS/Prednisone
Participants were administered EC-MPS tablets, PO, at a dose prescribed by their physician and prednisone up to 5 mg PO on Day 1.
Regression Coefficients For Participants Receiving MMF
Intercept
2.17192 mg/L
Regression Coefficients For Participants Receiving MMF
Concentration at 30 minutes (C0.5)
0.74031 mg/L
Regression Coefficients For Participants Receiving MMF
Concentration at 1 hour (C1)
1.89323 mg/L
Regression Coefficients For Participants Receiving MMF
Concentration at 2 hours (C2)
2.85923 mg/L

Adverse Events

MMF/Prednisone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

EC-MPS/Prednisone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Medical Communications

Hoffman-LaRoche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER