Status:

TERMINATED

Mycophenolate for Pulmonary Sarcoidosis

Lead Sponsor:

Medical University of South Carolina

Collaborating Sponsors:

Hoffmann-La Roche

Conditions:

Pulmonary Sarcoidosis

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Corticosteroids are presently the drug of choice for the treatment of pulmonary sarcoidosis. However, corticosteroids are associated with many significant side effects. For this reason, it would be be...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • New acute pulmonary sarcoidosis defined as a FVC or FEV1 less than 80 percent of predicted plus symptoms of worsening dyspnea, cough, chest pain, or wheezing in patients without a prior history of pulmonary sarcoidosis. All such patients will also require bronchoscopy with transbronchial biopsy that demonstrates noncaseating granulomas of unknown cause. Such patients are usually treated for acute pulmonary sarcoidosis. The transbronchial biopsy specimens must have negative stains for mycobacteria and fungi.
  • \> 18 years of age
  • Signing a written informed consent form.
  • Exclusion Criteria
  • Previous history of an adverse reaction to mycophenolate.
  • Current use of another immunosuppressive medication.
  • History of active hepatitis or another significant liver disease with the exception of proven or presumed sarcoidosis of the liver.
  • Previous history of skin cancer
  • Active peptic ulcer disease
  • Pregnant and/ or lactating female
  • Serum creatinine \> 2.0 mg/dl
  • Serum bilirubin \> 3.0 mg/dl
  • WBC \< 4,000/cu mm3
  • Has demonstrated non-compliance in the past
  • Current alcohol or drug abuse
  • Evidence of significant sarcoidosis in extrapulmonary organs that requires therapy such that the mycophenolate doses could not be tapered if the pulmonary sarcoidosis was stable or improved.
  • History of previous severe digestive system disease
  • Patients taking azathioprine
  • Patients taking cholestyramine or other drugs that affect enterohepatic recirculation
  • Patients with Lesch-Nyhan or Kelley-Seegmiller syndrome
  • Patients be willing not to receive live vaccines during the study
  • Patients with phenylketonuria
  • Patients with elevated serum transaminases or total bilirubin at baseline

Exclusion

    Key Trial Info

    Start Date :

    September 1 2003

    Trial Type :

    INTERVENTIONAL

    End Date :

    August 1 2006

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT00262132

    Start Date

    September 1 2003

    End Date

    August 1 2006

    Last Update

    June 18 2018

    Active Locations (1)

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    1

    Medical University of South Carolina

    Charleston, South Carolina, United States, 29425