Trial Outcomes & Findings for Mycophenolate Mofetil in Patients With Progressive Idiopathic Membranous Nephropathy (NCT NCT01282073)

NCT ID: NCT01282073

Last Updated: 2025-08-27

Results Overview

Complete remission: Reduction in proteinuria to 200 mg per day with stable serum albumin with more than 3.5 g/dL

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

43 participants

Primary outcome timeframe

at 48 week after treatment

Results posted on

2025-08-27

Participant Flow

Participant milestones

Participant milestones
Measure
Mycophenolate Mofetil, Low Dose Steroid
Mycophenolate mofetil, low dose steroid: Mycophenolate Mofetil: Myconol capsule 250mg, Myconol 500 mg bid per day (less than 50kg), 750 \~ 1000 mg bid per day (more than 50kg) Steroid: Methylprednisone 4mg tablet or Prednisolone 5mg tablet or Deflazacort 6mg tablet. Prednisolone dose: 0.15mg/kg up to a maximum dose of 15mg/day Duration: 48 weeks
Cyclosporin, Low Dose Steroid
Cyclosporin, low dose steroid: Cyclosporin: Implanta soft cap (cyclosporin microemulsion) 25mg/100mg, starting dose of 4mg/kg per day and titrate according to investigator's decision based on cyclosporin trough level (100±50 ng/ml) Steroid: same dosage with active comparator goup Duration: 48 weeks
Overall Study
STARTED
21
18
Overall Study
COMPLETED
21
18
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Mycophenolate Mofetil in Patients With Progressive Idiopathic Membranous Nephropathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mycophenolate Mofetil, Low Dose Steroid
n=21 Participants
Mycophenolate mofetil, low dose steroid: Mycophenolate Mofetil: Myconol capsule 250mg, Myconol 500 mg bid per day (less than 50kg), 750 \~ 1000 mg bid per day (more than 50kg) Steroid: Methylprednisone 4mg tablet or Prednisolone 5mg tablet or Deflazacort 6mg tablet. Prednisolone dose: 0.15mg/kg up to a maximum dose of 15mg/day Duration: 48 weeks
Cyclosporin, Low Dose Steroid
n=18 Participants
Cyclosporin, low dose steroid: Cyclosporin: Implanta soft cap (cyclosporin microemulsion) 25mg/100mg, starting dose of 4mg/kg per day and titrate according to investigator's decision based on cyclosporin trough level (100±50 ng/ml) Steroid: same dosage with active comparator goup Duration: 48 weeks
Total
n=39 Participants
Total of all reporting groups
Age, Continuous
57.7 years
STANDARD_DEVIATION 10.0 • n=93 Participants
52.7 years
STANDARD_DEVIATION 10.9 • n=4 Participants
55.4 years
STANDARD_DEVIATION 10.6 • n=27 Participants
Sex: Female, Male
Female
5 Participants
n=93 Participants
9 Participants
n=4 Participants
14 Participants
n=27 Participants
Sex: Female, Male
Male
16 Participants
n=93 Participants
9 Participants
n=4 Participants
25 Participants
n=27 Participants
Region of Enrollment
South Korea
21 participants
n=93 Participants
18 participants
n=4 Participants
39 participants
n=27 Participants

PRIMARY outcome

Timeframe: at 48 week after treatment

Complete remission: Reduction in proteinuria to 200 mg per day with stable serum albumin with more than 3.5 g/dL

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil, Low Dose Steroid
n=21 Participants
Mycophenolate mofetil, low dose steroid: Mycophenolate Mofetil: Myconol capsule 250mg, Myconol 500 mg bid per day (less than 50kg), 750 \~ 1000 mg bid per day (more than 50kg) Steroid: Methylprednisone 4mg tablet or Prednisolone 5mg tablet or Deflazacort 6mg tablet. Prednisolone dose: 0.15mg/kg up to a maximum dose of 15mg/day Duration: 48 weeks
Cyclosporin, Low Dose Steroid
n=18 Participants
Cyclosporin, low dose steroid: Cyclosporin: Implanta soft cap (cyclosporin microemulsion) 25mg/100mg, starting dose of 4mg/kg per day and titrate according to investigator's decision based on cyclosporin trough level (100±50 ng/ml) Steroid: same dosage with active comparator goup Duration: 48 weeks
Percentage of Complete Remission
4 Participants
3 Participants

PRIMARY outcome

Timeframe: at 48 week after treatment

Partial remission: Reduction in proteinuria to greater than 50 percent of initial values or absolute values of proteinuria between 200 mg and 3.5 g per day

Outcome measures

Outcome measures
Measure
Mycophenolate Mofetil, Low Dose Steroid
n=21 Participants
Mycophenolate mofetil, low dose steroid: Mycophenolate Mofetil: Myconol capsule 250mg, Myconol 500 mg bid per day (less than 50kg), 750 \~ 1000 mg bid per day (more than 50kg) Steroid: Methylprednisone 4mg tablet or Prednisolone 5mg tablet or Deflazacort 6mg tablet. Prednisolone dose: 0.15mg/kg up to a maximum dose of 15mg/day Duration: 48 weeks
Cyclosporin, Low Dose Steroid
n=18 Participants
Cyclosporin, low dose steroid: Cyclosporin: Implanta soft cap (cyclosporin microemulsion) 25mg/100mg, starting dose of 4mg/kg per day and titrate according to investigator's decision based on cyclosporin trough level (100±50 ng/ml) Steroid: same dosage with active comparator goup Duration: 48 weeks
Percentage of Partial Remission
12 Participants
9 Participants

SECONDARY outcome

Timeframe: at 48 week after treatment

The change of eGFR mesured by Modification of Diet in Renal Disease (MDRD) study equation from baseline to 1 year after treatment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: For 48 weeks after treatment

A relapse is return of proteinuria to approximately 3.5g/day in patients who had previously undergone a complete or partial remission

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: at 48 week after treatment

The change of proteinuria from baseline to 48 week after treatment

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: For 48 weeks after treatment

Any undesired effects of interventional drugs

Outcome measures

Outcome data not reported

Adverse Events

Mycophenolate Mofetil, Low Dose Steroid

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Cyclosporin, Low Dose Steroid

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Mycophenolate Mofetil, Low Dose Steroid
n=21 participants at risk
Mycophenolate mofetil, low dose steroid: Mycophenolate Mofetil: Myconol capsule 250mg, Myconol 500 mg bid per day (less than 50kg), 750 \~ 1000 mg bid per day (more than 50kg) Steroid: Methylprednisone 4mg tablet or Prednisolone 5mg tablet or Deflazacort 6mg tablet. Prednisolone dose: 0.15mg/kg up to a maximum dose of 15mg/day Duration: 48 weeks
Cyclosporin, Low Dose Steroid
n=18 participants at risk
Cyclosporin, low dose steroid: Cyclosporin: Implanta soft cap (cyclosporin microemulsion) 25mg/100mg, starting dose of 4mg/kg per day and titrate according to investigator's decision based on cyclosporin trough level (100±50 ng/ml) Steroid: same dosage with active comparator goup Duration: 48 weeks
Gastrointestinal disorders
Diarrhea
9.5%
2/21 • 48 weeks
11.1%
2/18 • 48 weeks
Gastrointestinal disorders
Epigastric discomfort
14.3%
3/21 • 48 weeks
22.2%
4/18 • 48 weeks
Blood and lymphatic system disorders
Anaemia
4.8%
1/21 • 48 weeks
5.6%
1/18 • 48 weeks
Infections and infestations
Upper respiratory infection
28.6%
6/21 • 48 weeks
16.7%
3/18 • 48 weeks
Infections and infestations
Urinary tract infection
4.8%
1/21 • 48 weeks
0.00%
0/18 • 48 weeks
Infections and infestations
Skin infection
9.5%
2/21 • 48 weeks
5.6%
1/18 • 48 weeks
Endocrine disorders
New onset diabetes mellitus
4.8%
1/21 • 48 weeks
5.6%
1/18 • 48 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignancy
4.8%
1/21 • 48 weeks
5.6%
1/18 • 48 weeks

Additional Information

Sun-Hee Park

Kyungpook National University Hospital

Phone: +82532005547

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place