(IPCOM) Influence of Proton pump inhibitor CO-medication on the absorption of innovator and generic formulations of Mycophenolate mofetil

2024-517043-32-00 Protocol 2024-517043-32-00 Therapeutic use (Phase IV) Ended

Start 8 Jul 2025 · End 18 Nov 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol 2024-517043-32-00

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 12
Countries 1
Sites 1

Post Transplantation Patients

Primary Objectives are 1) To determine the influence of PPI co-treatment on the pharmacokinetics of different formulations of MMF (generic and innovator); 2) To compare the bio-equivalence between innovator MMF and generic formulations of MMF, in subjects co-treated with PPI.

Key facts

Sponsor
Leids Universitair Medisch Centrum (LUMC)
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Immune System Diseases [C20], Diseases [C] - Digestive System Diseases [C06]
Trial duration
8 Jul 2025 → 18 Nov 2025
Decision date (initial)
2025-02-28
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic

Primary Objectives are 1) To determine the influence of PPI co-treatment on the pharmacokinetics of different formulations of MMF (generic and innovator); 2) To compare the bio-equivalence between innovator MMF and generic formulations of MMF, in subjects co-treated with PPI.

Conditions and MedDRA coding

Post Transplantation Patients

VersionLevelCodeTermSystem organ class
21.1 PT 10019314 Heart transplant 100000004865
20.0 LLT 10023438 Kidney transplant 10042613
20.0 PT 10024714 Liver transplant 100000004865

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. In order to be eligible to participate in this study, a subject must meet all of the following criteria: • Healthy volunteers (male) as determined by medical history, clinical laboratory tests and physical examination. • ≥ 18 and ≤ 55 years of age • Body weight > 50 kg and Body Mass Index (BMI) between 18.5 and 30 kg/m2 • Vital signs (systolic blood pressure 90–149 mmHg, diastolic blood pressure 50–89 mmHg, heart rate 50–90 bpm, measured after 5 min at rest in the sitting position) • Clinical laboratory test (biochemistry and haematology blood tests and urinalysis) results within normal reference range for the investigative site, or results with acceptable deviations that are judged to be not clinically significant by the investigator. • The ability to fully comprehend the nature and aims of the study, including possible risks and side effects. • Written informed consent

Exclusion criteria 1

  1. A potential subject who meets any of the following criteria will be excluded from participation in this study: • Hypersensitivity to the active substance and/or any of the excipients of the formulations or a history of anaphylaxis to drugs or allergic reactions in general. • Moderate or severe hepatic impairment (Child-Pugh A, B or C) • Moderate or severe renal impairment (eGFR below 60 mL/min) • History or presence of clinically significant disease • Clinically significant abnormal physical findings • Clinically significant abnormal laboratory values indicative of physical illness (including hepatic and renal panels, complete blood count). • Participation in the evaluation of any investigational product or donation of blood for 3 months before this study • History of alcohol or drug abuse within the last year • Use of prescription medications within 14 days of study drug administration or over-the-counter (OTC) medications, herbal supplements, or multivitamins within 7 days, with the exception of paracetamol (up to 4 gram/day).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. As primary endpoint the C-max and the area under the concentration-time curve (AUC)(0-12) of MPA will be calculated. Comparisons will be made between the three formulations in AUC according to the criteria for demonstrating bio-equivalence.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

CellCept 500 mg film-coated tablets

PRD2153968 · Product

Active substance
Mycophenolate Mofetil
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L04AA06 — MYCOPHENOLIC ACID
Marketing authorisation
EU/1/96/005/002
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Pantoprazole Teva 40 mg maagsapresistente tabletten

PRD3784221 · Product

Active substance
Pantoprazole
Pharmaceutical form
GASTRO-RESISTANT TABLET
Route of administration
ORAL
Max daily dose
40 mg milligram(s)
Max total dose
40 mg milligram(s)
Max treatment duration
4 Day(s)
Authorisation status
Authorised
ATC code
A02BC02 — PANTOPRAZOLE
Marketing authorisation
BE390293
MA holder
TEVA PHARMA BELGIUM N.V./S.A
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 2

Mycophenolate mofetil Sandoz 500 mg Film-coated Tablets

PRD757400 · Product

Active substance
Mycophenolate Mofetil
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L04AA06 — MYCOPHENOLIC ACID
Marketing authorisation
PL 04416/0822
MA holder
SANDOZ LTD
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Mycophenolate Mofetil Accord 500 mg plėvele dengtos tabletės

PRD4692584 · Product

Active substance
Mycophenolate Mofetil
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L04AA06 — MYCOPHENOLIC ACID
Marketing authorisation
LT/1/09/1641/005
MA holder
ACCORD HEALTHCARE B.V.
MA country
Lithuania
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Leids Universitair Medisch Centrum (LUMC)

Sponsor organisation
Leids Universitair Medisch Centrum (LUMC)
Address
Albinusdreef 2
City
Leiden
Postcode
2333 ZA
Country
Netherlands

Scientific contact point

Organisation
Leids Universitair Medisch Centrum (LUMC)
Contact name
Kim Gombert-Handoko

Public contact point

Organisation
Leids Universitair Medisch Centrum (LUMC)
Contact name
Kim Gombert-Handoko

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Netherlands Ended 12 1
Rest of world 0

Investigational sites

Netherlands

1 site · Ended
Lumc
Clinical Pharmacy & Toxicology LUMC, Albinusdreef 2, 2333 ZA, Leiden

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Netherlands 2025-07-08 2025-11-18 2025-07-15 2025-10-21

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1 IPCOM CTR protocol 2.1
Recruitment arrangements (for publication) K1 Recruitment procedure IPCOM 2
Subject information and informed consent form (for publication) L1 PIF_IPCOM Studie 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_CellCept 2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mycofenolaat Accord 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Mycofenolaat Sandoz 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Pantoprazol 1
Synopsis of the protocol (for publication) D1_Protocol synopsis Dutch IPCOM 2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-13 Netherlands Acceptable
2025-02-28
2025-02-28