Myfortic, Prograf, and Corticosteroids in de Novo Liver Transplantation

NCT ID: NCT01467011

Last Updated: 2018-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

25 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-12-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to gather information regarding the use of Myfortic, Prograf, and corticosteroids in new liver transplant recipients. These three medicines help to prevent the body from rejecting the transplanted liver. The information the investigators are obtaining is data relating to the process of Myfortic absorption by the body, its distribution in the body, the breakdown of Myfortic in the body, and its elimination from the body. This absorption, distribution, breakdown, and elimination is called pharmacokinetics.

Detailed Description

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Myfortic is approved for use in kidney transplant recipients, and has been prescribed by doctors for liver transplant recipients. No study has been reported to date evaluating the pharmacokinetics of Myfortic in new liver transplant recipients who also take Prograf and corticosteroids. During this six month study, a series of blood samples will be obtained after subjects take Myfortic, Prograf, and corticosteroids.

Conditions

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End Stage Liver Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Cases

de novo liver transplant recipients receiving Enteric-coated Mycophenolate Sodium

Enteric-coated Mycophenolate Sodium

Intervention Type DRUG

1440mg/day for 6 months posttransplant

Interventions

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Enteric-coated Mycophenolate Sodium

1440mg/day for 6 months posttransplant

Intervention Type DRUG

Other Intervention Names

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mycophenolic acid

Eligibility Criteria

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Inclusion Criteria

* Adults \> or equal to age 18 years
* Planned to receive tacrolimus and corticosteroid therapy posttransplant
* Serum creatinine at transplant \< or equal to 2.5mg/dL
* UCSF tumor staging \< 8cm total
* Females of childbearing potential must have a negative serum pregnancy test within 7 days prior to the baseline visit and are required to practice a reliable method of contraception for the duration of the study and for no fewer than 6 weeks after completing the study.
* Signed informed consent form prior to any research assessment

Exclusion Criteria

* Induction therapy
* Requiring dialysis at the time of transplant
* Organ transplant other than liver
* Pregnant or nursing females
* Women of childbearing potential not practicing reliable methods of contraception. Reliable methods for contraception include surgical sterilization (hysterectomy, bilateral tubal ligation), double-barrier method (such as condom and diaphragm). To be considered as post-menopausal and not of childbearing potential, female subjects must have experienced 12 consecutive months of amenorrhea.
* Require any medications that interfere with metabolism of Myfortic (other than corticosteroids)
* Have a known hypersensitivity to mycophenolate sodium, mycophenolic acid, mycophenolate mofetil, or any of its excipients
* Participation in a study of investigational drug in the previous 30 days or 5 half-lives of the investigational drug
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role collaborator

R. Mark Ghobrial, MD

OTHER

Sponsor Role lead

Responsible Party

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R. Mark Ghobrial, MD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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R M Ghobrial, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

The Methodist Hospital Research Institute

Locations

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The Methodist Hospital System

Houston, Texas, United States

Site Status

Countries

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United States

References

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Plank LD, Metzger DJ, McCall JL, Barclay KL, Gane EJ, Streat SJ, Munn SR, Hill GL. Sequential changes in the metabolic response to orthotopic liver transplantation during the first year after surgery. Ann Surg. 2001 Aug;234(2):245-55. doi: 10.1097/00000658-200108000-00015.

Reference Type BACKGROUND
PMID: 11505071 (View on PubMed)

de Carvalho L, Parise ER, Samuel D. Factors associated with nutritional status in liver transplant patients who survived the first year after transplantation. J Gastroenterol Hepatol. 2010 Feb;25(2):391-6. doi: 10.1111/j.1440-1746.2009.06033.x. Epub 2009 Nov 19.

Reference Type BACKGROUND
PMID: 19929929 (View on PubMed)

Pisupati J, Jain A, Burckart G, Hamad I, Zuckerman S, Fung J, Venkataramanan R. Intraindividual and interindividual variations in the pharmacokinetics of mycophenolic acid in liver transplant patients. J Clin Pharmacol. 2005 Jan;45(1):34-41. doi: 10.1177/0091270004270145.

Reference Type BACKGROUND
PMID: 15601803 (View on PubMed)

Jain A, Venkataramanan R, Hamad IS, Zuckerman S, Zhang S, Lever J, Warty VS, Fung JJ. Pharmacokinetics of mycophenolic acid after mycophenolate mofetil administration in liver transplant patients treated with tacrolimus. J Clin Pharmacol. 2001 Mar;41(3):268-76. doi: 10.1177/00912700122010087.

Reference Type BACKGROUND
PMID: 11269567 (View on PubMed)

Arns W, Breuer S, Choudhury S, Taccard G, Lee J, Binder V, Roettele J, Schmouder R. Enteric-coated mycophenolate sodium delivers bioequivalent MPA exposure compared with mycophenolate mofetil. Clin Transplant. 2005 Apr;19(2):199-206. doi: 10.1111/j.1399-0012.2004.00318.x.

Reference Type BACKGROUND
PMID: 15740555 (View on PubMed)

Perry TW, Christians U, Trotter JF, Bendrick-Peart J. Pharmacokinetics of enteric-coated mycophenolate sodium in stable liver transplant recipients. Clin Transplant. 2007 May-Jun;21(3):413-6. doi: 10.1111/j.1399-0012.2007.00662.x.

Reference Type BACKGROUND
PMID: 17488394 (View on PubMed)

Kaczmarek I, Bigdeli AK, Vogeser M, Mueller T, Beiras-Fernandez A, Kaczmarek P, Schmoeckel M, Meiser B, Reichart B, Ueberfuhr P. Defining algorithms for efficient therapeutic drug monitoring of mycophenolate mofetil in heart transplant recipients. Ther Drug Monit. 2008 Aug;30(4):419-27. doi: 10.1097/FTD.0b013e31817d7064.

Reference Type BACKGROUND
PMID: 18641552 (View on PubMed)

Other Identifiers

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Pro00004722

Identifier Type: -

Identifier Source: org_study_id

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