Evaluating the Safety of Myfortic (Mycophenolate Sodium) in Patients With Lupus Nephritis

Overview

This is an open-label, prospective, single-arm, observational study in patients with Lupus nephritis (LN) who newly (i.e.,for the first time) received treatment of Enteric-coated Mycophenolate Sodium (EC-MPS).

Full Title of Study: “Evaluating the Safety of Myfortic (Mycophenolate Sodium) in Patients With Lupus Nephritis: a 12 Month, Single-arm, Observational Study in Taiwan Population”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: August 30, 2024

Detailed Description

This is an observational study. Patients will be treated and followed according to routine medical practice in terms of visit frequency and type of assessment performed. Only endpoint related data will be collected as part of the study. Patient demographic information, disease characteristics, treatments and laboratory data will be collected retrospectively.

Interventions

  • Drug: Myfortic
    • There is no treatment allocation. Patients administered Myfortic by prescription that have started before inclusion of the patient into the study will be enrolled.

Arms, Groups and Cohorts

  • Myfortic
    • Oral administration

Clinical Trial Outcome Measures

Primary Measures

  • Safety profile of Enteric-coated Mycophenolate Sodium (EC-MPS) on Lupus nephritis patients
    • Time Frame: 12 months
    • The primary endpoint is the safety of EC-MPS in LN patients, which will be assessed via the adverse events (AEs), serious adverse events (SAEs) and deaths.

Secondary Measures

  • Reasons for study drug discontinuation
    • Time Frame: 12 months
    • To describe the reasons for study drug discontinuation, including poor response, loss to follow-up, etc.
  • Proportion of patients with a complete response
    • Time Frame: month 6, month 12
    • Patients will be reported to have a complete response if their proteinuria is < 0.5 g/24 hours; or UPCR≤ 0.5.
  • Proportion of patients with a partial response
    • Time Frame: month 6, month 12
    • Patients will be reported to have a partial response if they experience any one criteria as follows: At least 50% decrease from baseline in proteinuria. Note: patients with a baseline proteinuria of >3.5 g/24 hours, must have a proteinuria < 3 g/24 hours; Red blood cells per high power field (RBCs/HPF) ≤50% above baseline and no RBC casts; At least 50% decrease in UPCR or to <1.0 (if 1.0 ≤ baseline ≤3.0) or to ≤3.0 (if baseline was >3.0).
  • Proportion of patients achieving renal response in estimated glomerular filtration rate (eGFR)
    • Time Frame: month 6, month 12
    • The proportion of patients achieving renal response in estimated glomerular filtration rate (eGFR). (eGFR within the normal range, or no less than 85% of baseline)
  • Proportion of patients achieving inactive urinary sediment
    • Time Frame: month 6, month 12
    • The proportion of patients achieving inactive urinary sediment (no cellular casts)

Participating in This Clinical Trial

Inclusion Criteria

1. Aged ≥ 20 years and ≤ 75 years at screening. 2. Patients with written informed consent form. 3. Male or female diagnosed with SLE. 4. Confirmed diagnosis of LN by physician. Diagnosis of LN is defined as: a. Kidney biopsy within 1 year, with histological diagnosis of LN (class III/IV/V) 5. Laboratory evidence of active nephritis: spot UPCR>0.5, and/or proteinuria > 0.5 g/24 hours, and/or greater than 3+ by dipstick, and/or cellular casts. 6. Patients with LN who received EC-MPS for the first time. The patients who switched from other treatment and treatment naive patients (did not received any treatment before) can be included in this study. 7. Women of childbearing potential must use effective contraception before beginning EC MPS therapy, during therapy, and for six weeks after their last dose of EC MPS. Exclusion Criteria:

1. Previous or planned kidney transplant. 2. Currently receiving continuous dialysis or GFR < 30 mL/min/1.73 m2 within 3 months prior to the start of study. 3. Patients with active serious digestive system disease, including infrequent cases of gastrointestinal tract ulceration with hemorrhage or perforation. 4. Patients currently with life threatening conditions including malignancies, or severe infection in recent 6 months prior to start of study

Gender Eligibility: All

Minimum Age: 20 Years

Maximum Age: 75 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Novartis Pharmaceuticals
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Novartis Pharmaceuticals, Study Director, Novartis Pharmaceuticals

Clinical trials entries are delivered from the US National Institutes of Health and are not reviewed separately by this site. Please see the identifier information above for retrieving further details from the government database.

At TrialBulletin.com, we keep tabs on over 200,000 clinical trials in the US and abroad, using medical data supplied directly by the US National Institutes of Health. Please see the About and Contact page for details.