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DRUG CLASS:

IMPDH inhibitor

Associations
2d
Successful Treatment with Mycophenolate Mofetil in a Patieint with Anti-MDA 5 Antibody-positive Interstitial Lung Disease and Posterior Reversible Encephalopathy syndrome: A Case Report. (PubMed, Intern Med)
However, the patient reported a severe headache following treatment with oral prednisolone and tacrolimus. Tacrolimus was discontinued, and mycophenolate mofetil was instead administered with a favorable outcome. Mycophenolate mofetil should therefore be considered as an alternative treatment for anti-MDA-5-positive interstitial lung disease in cases where calcineurin inhibitors cannot be used.
Journal
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IFIH1 (Interferon Induced With Helicase C Domain 1)
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prednisolone
9d
I4BiS: 3-month Screening Biopsy to Optimize the Immunosuppression in Renal Transplantation (clinicaltrials.gov)
P3, N=346, Active, not recruiting, Hospices Civils de Lyon | Recruiting --> Active, not recruiting
Enrollment closed • Biopsy
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methylprednisolone sodium succinate
10d
Immune-related adverse event-associated sclerosing cholangitis due to immune checkpoint inhibitors: imaging findings and treatments. (PubMed, Jpn J Clin Oncol)
Various bile duct imaging findings of immune-related adverse event-sclerosing cholangitis were revealed; transpapillary bile duct biopsy may be useful in the diagnosis of immune-related adverse event-sclerosing cholangitis. Despite the combination of multiple immunosuppressive agents, prognosis of immune-related adverse event-sclerosing cholangitis remains poor. Longer follow-up and larger clinical studies are necessary to establish its treatment strategy.
Journal • Adverse events • Checkpoint inhibition
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CD8 (cluster of differentiation 8)
1m
FAVIDOSE: Evaluation of Tolerance and Pharmacokinetic Profile of High Doses of Favipiravir in Healthy Volunteers (clinicaltrials.gov)
P1, N=39, Recruiting, Institut National de la Santé Et de la Recherche Médicale, France | Not yet recruiting --> Recruiting
Enrollment open
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CRP (C-reactive protein)
2ms
SPI-1005 in Adults Receiving Cochlear Implant (clinicaltrials.gov)
P2, N=40, Not yet recruiting, Sound Pharmaceuticals, Incorporated
New P2 trial
2ms
Evaluating the Safety of Myfortic (Mycophenolate Sodium) in Patients With Lupus Nephritis (clinicaltrials.gov)
P=N/A, N=63, Active, not recruiting, Novartis Pharmaceuticals | Recruiting --> Active, not recruiting
Enrollment closed
2ms
LIFT: Liver Immunosuppression Free Trial (clinicaltrials.gov)
P4, N=116, Terminated, King's College London | Active, not recruiting --> Terminated; Primary endpoint not reached.
Trial termination
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cyclosporine
2ms
2-Step Approach to Stem Cell Transplant in Treating Participants With Hematological Malignancies (clinicaltrials.gov)
P2, N=10, Active, not recruiting, Sidney Kimmel Cancer Center at Thomas Jefferson University | Trial primary completion date: Sep 2023 --> Sep 2024
Trial primary completion date
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cyclophosphamide
2ms
FAVIDOSE: Evaluation of Tolerance and Pharmacokinetic Profile of High Doses of Favipiravir in Healthy Volunteers (clinicaltrials.gov)
P1, N=39, Not yet recruiting, Institut National de la Santé Et de la Recherche Médicale, France | Trial completion date: Jun 2027 --> Oct 2027 | Initiation date: Nov 2023 --> Mar 2024 | Trial primary completion date: Jan 2027 --> May 2027
Trial completion date • Trial initiation date • Trial primary completion date
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CRP (C-reactive protein)
3ms
3M-RGD: Graves' Disease Remission Study: MycoMeth Combo (clinicaltrials.gov)
P2/3, N=205, Recruiting, The First Affiliated Hospital of Xiamen University | Not yet recruiting --> Recruiting
Enrollment open
3ms
Development of Favipiravir Dry Powders for Intranasal Delivery: An Integrated Cocrystal and Particle Engineering Approach via Spray Freeze Drying. (PubMed, Int J Pharm)
FAV-INA was safe in RPMI 2650 nasal and SH-SY5Y neuroblastoma cells without any in vitro cytotoxicity observed. This study demonstrated that combining the merits of cocrystallization and particle engineering via SFD can propel the development of advanced dry powder formulations for intranasal drug delivery.
Journal
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CDKN1A (Cyclin-dependent kinase inhibitor 1A)
4ms
Mycophenolate mofetil for the long-term treatment of HTLV-1 associated myelopathy: A case report. (PubMed, J Neuroimmunol)
Characterization of T-cell function and proliferation showed higher levels of GranzymeB in HTLV-1+ donors. The improvement and stability of symptoms in this patient with HAM/TSP following MMA initiation requires further study as a potential treatment for HAM/TSP.
Journal
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GZMB (Granzyme B)
4ms
Microbiome and Immunosuppression: The Mission Study (clinicaltrials.gov)
P=N/A, N=146, Active, not recruiting, Ajay Israni | Recruiting --> Active, not recruiting | N=250 --> 146
Enrollment closed • Enrollment change
4ms
Favipiravir, an antiviral drug, in combination with tamoxifen exerts synergistic effect in tamoxifen-resistant breast cancer cells via hTERT inhibition. (PubMed, Sci Rep)
Indeed, this was associated with reduced levels of hTERT and CDK1 and shift in the cell cycle distribution. Our findings suggest that the TAM/FAV combination exhibits synergistic effects against TAMR-1 human breast cancer cells by targeting hTERT.
Journal • Combination therapy
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TERT (Telomerase Reverse Transcriptase) • CDK1 (Cyclin-dependent kinase 1)
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tamoxifen
4ms
Carnosic Acid Shows Higher Neuroprotective Efficiency than Edaravone or Ebselen in In Vitro Models of Neuronal Cell Damage. (PubMed, Molecules)
Our data indicate that the neuroprotective potential of CA, ED, and EB may be revealed in vitro only under specific conditions, with their rather narrow micromolar concentrations, relevant cellular model, type of toxic agent, and exposure time. Nevertheless, of the three compounds tested, CA displayed the most consistent neuroprotective effects.
Preclinical • Journal
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CASP3 (Caspase 3)
4ms
The Pediatric Lupus Nephritis Mycophenolate Mofetil (PLUMM) Study (clinicaltrials.gov)
P2, N=105, Recruiting, Children's Hospital Medical Center, Cincinnati | Not yet recruiting --> Recruiting
Enrollment open
4ms
New trial
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sirolimus
4ms
Trial completion • Post-transplantation
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cyclophosphamide • fludarabine IV • busulfan • captisol-enabled melphalan
4ms
Biochemical and Histopathological Evaluation of Systemic and Ocular Toxicity of Favipiravir in Rats. (PubMed, Cutan Ocul Toxicol)
The levels of tGSH (7.58 ± 1.98 vs 2.50 ± 0.98 nmol/ml) and SOD (13.63 ± 3.43 vs 3.81 ± 1.43 U/ml) the FAV200 group were lower than the HG (p < 0.05, for all). The degree of damage to the cornea and sclera of the FAV200 group was quite high according to HG (p < 0.001). Favipiravir can cause damage to rat conjunctiva and sclera by increasing oxidant stress and inflammation at high dose.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta)
5ms
STOPMD-3: SPI-1005 for the Treatment of Meniere's Disease (clinicaltrials.gov)
P3, N=254, Active, not recruiting, Sound Pharmaceuticals, Incorporated
Trial completion date
5ms
RESET: Registry for Systemic Eczema Treatments (clinicaltrials.gov)
P=N/A, N=400, Recruiting, Johns Hopkins University | Not yet recruiting --> Recruiting
Enrollment open
5ms
Influence of immunosuppressive drugs on natural killer cells in therapeutic drug exposure in liver transplantation. (PubMed, Hepatobiliary Surg Nutr)
Immunosuppression consists of a triple drug standard regimen comprising tacrolimus (TAC) and corticosteroids (CS) with either mycophenolate mofetil (MMF) or sirolimus (SIR)/everolimus (EVE)...Drug type and concentration: single drug [EVE, 5 ng/mL; SIR, 5 ng/mL; TAC, 5 ng/mL; cyclosporine A (CSA), 125 ng/mL; MMF, 15 µg/mL; CS, 0.5 µg/mL] and combined immunosuppressants (Group 1: TAC, 5 ng/mL + MMF, 15 µg/mL + CS, 0.5 µg/mL; Group 2: TAC, 5 ng/mL + SIR, 5 ng/mL + CS, 0.5 µg/mL; Group 3: TAC, 5 ng/mL + EVE, 5 ng/mL + CS, 0.5 µg/mL)...The SIR group had stronger NK cell activity compared with that of the MMF group, although liver transplantation patients have lower NK cell activity and function. Despite an overall comparable immunosuppressive efficiency in terms of prevention of acute rejection, a mTORIs-including regimen might be considered as having less impact on NK cell function.
Journal
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IFNG (Interferon, gamma) • LAMP1 (Lysosomal Associated Membrane Protein 1)
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everolimus
5ms
Efficacy and Safety of Tacrolimus Versus Mycophenolate in Lupus Nephritis (clinicaltrials.gov)
P4, N=130, Active, not recruiting, The University of Hong Kong | Recruiting --> Active, not recruiting | N=200 --> 130 | Trial completion date: Jun 2024 --> Jan 2025 | Trial primary completion date: Jun 2024 --> Jan 2025
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
5ms
RESET: Registry for Systemic Eczema Treatments (clinicaltrials.gov)
P=N/A, N=400, Not yet recruiting, Johns Hopkins University
Trial initiation date
5ms
A Study of Mycophenolate Mofetil Combined With Glucocorticoid Therapy in Relapse Vogt-Koyanagi-Harada Disease (clinicaltrials.gov)
P=N/A, N=15, Recruiting, Tianjin Medical University | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date
6ms
RESET: Registry for Systemic Eczema Treatments (clinicaltrials.gov)
P=N/A, N=400, Not yet recruiting, Johns Hopkins University
New trial
6ms
Using CRISPR-Cas9 screening to identify biomarkers for MMF sensitivity in glioblastoma multiforme (SNO 2023)
Our phase I clinical trial investigates combining mycophenolate mofetil (MMF) and temozolomide (TMZ) to target de novo purine biosynthesis in GBM. We aim to combine this data with analysis of our Phase I clinical samples to retrospectively establish SLC1A5 as a biomarker for MMF/TMZ sensitivity and investigate its role in tumorigenic purine metabolism. Identifying predictive markers will enhance personalized treatment strategies for GBM, offering hope for improved outcomes.
SLC1A5 (Solute Carrier Family 1 Member 5)
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SLC1A5 overexpression • SLC1A5 expression
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temozolomide
7ms
Budesonide Added to Post-Transplantation Cyclophosphamide, Tacrolimus and Mycophenolate Mofetil for Prevention of Graft-Versus-Host Disease (ASH 2023)
However, previous studies have not demonstrated their efficacy in preventing graft-versus-host disease (GVHD) when combined with the standard GVHD prophylaxis regimen consisting of calcineurin inhibitors and methotrexate...Thirty one pts received conditioning with fludarabine (160 mg/m2) + melphalan (100-140 mg/m2) + TBI (2-4Gy) or thiotepa 5 mg/kg...Among the pts who received treatment for aGVHD, the median cumulative systemic steroid exposure (in prednisone equivalents) was 1,318 mg (IQR 623-3,775) at D+100 and 1,325 mg (IQR 525-1,640) at D+180, with a median treatment duration of 40 days (IQR 25-110)... The addition of budesonide to PTCy-based GVHD prophylaxis regimen (PTCy-TMB) is feasible and appears to be effective in preventing severe GI aGVHD, without compromising transplant outcomes and immunologic reconstitution.
Post-transplantation
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • NCAM1 (Neural cell adhesion molecule 1)
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cyclophosphamide • methotrexate • prednisone • melphalan • fludarabine IV • thiotepa
7ms
New P4 trial
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Bredinin (mizoribine)
7ms
MicrobioTac: Immunosuppressive Drugs and Gut Microbiome: Pharmacokinetic- and Microbiome Diversity Effects (clinicaltrials.gov)
P4, N=100, Active, not recruiting, Oslo University Hospital | Trial completion date: Dec 2023 --> Dec 2025 | Trial primary completion date: Dec 2023 --> Dec 2025
Trial completion date • Trial primary completion date
7ms
Favipiravir Protects Enterocytes From Cell Death After Inflammatory Storm. (PubMed, Cureus)
Our findings suggest that in the treatment group, necroptosis was triggered by increased MLKL and RIPK1, key players in inflammation and cell death. After immunocytochemical evaluation, our findings suggest that, after the onset of inflammation, favipiravir may play a role in cell death by increasing necroptosis rather than apoptosis.
Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • CASP3 (Caspase 3) • RIPK1 (Receptor Interacting Serine/Threonine Kinase 1)
7ms
Haploidentical Allogeneic Peripheral Blood Transplantation: Examining Checkpoint Immune Regulators' Expression (clinicaltrials.gov)
P3, N=20, Active, not recruiting, Dartmouth-Hitchcock Medical Center | Recruiting --> Active, not recruiting | Trial completion date: Dec 2022 --> Sep 2025
Enrollment closed • Trial completion date
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PD-1 (Programmed cell death 1)
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cyclophosphamide • fludarabine IV
7ms
SSc-mILD: Mycophenolate Mofetil in Systemic Sclerosis With Subclinical Interstitial Lung Disease (clinicaltrials.gov)
P2, N=35, Not yet recruiting, Centre hospitalier de l'Université de Montréal (CHUM) | Initiation date: Sep 2023 --> Dec 2023
Trial initiation date
7ms
Unveiling a Novel Link: A Case of Secondary FSGS with Anti-MDA5 Amyopathic Dermatomyositis (KIDNEY WEEK 2023)
The patient was treated with high-dose prednisone and mycophenolate mofetil (MMF) for targeted treatment of both dermatomyositis and FSGS, with subsequent improvement to partial remission in the first 6 months. To our knowledge, this is the first reported case of kidney involvement with amyopathic dermatomyositis. B. Tubuloreticular inclusion on Electron Microscopy
Clinical
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IFIH1 (Interferon Induced With Helicase C Domain 1)
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prednisone
7ms
A case of anti-SAE1/2 antibody-positive dermatomyositis with extensive panniculitis: A possible cutaneous manifestation of treatment resistance. (PubMed, J Dermatol)
These symptoms responded well to a high dose of systemic steroid, but even upon receiving a high-dose intravenous immunoglobulin, the panniculitic lesions and pruritic erythema flared with tapering of steroid dose, further requiring tacrolimus and mycophenolate mofetil to achieve disease remission. To our knowledge, this is the third reported case of anti-SAE autoantibody-positive dermatomyositis with panniculitis. We aim to extend the understanding of the current limitation and further perspective in the clinical management of the extremely rare skin manifestation associated with dermatomyositis.
Journal
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IFIH1 (Interferon Induced With Helicase C Domain 1) • SAE1 (SUMO1 Activating Enzyme Subunit 1)
7ms
Evaluation of the Neuroprotective Effect of Organic Selenium Compounds: An in Vitro Model of Alzheimer's Disease. (PubMed, Biol Trace Elem Res)
The neuroprotective effect of organic Se compounds, selenomethionine (SeMet) and Ebselen, was evaluated through cell viability tests, acetylcholinesterase and antioxidant enzyme activities, and detection of reactive oxygen species (ROS). Cell differentiation induced by RA and BDNF exposure was effective, showing characteristics of neuronal cells, and pointing to a promising model of AD. Ebselen showed a protective effect, but more studies are needed to identify the mechanism of action.
Preclinical • Journal
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BDNF (Brain Derived Neurotrophic Factor)
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selenomethionine (SLM)
8ms
ATG/PTCy in Haplo-PBSCT Randomized Controlled,Multi-center (clinicaltrials.gov)
P4, N=418, Completed, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine | Recruiting --> Completed | Trial primary completion date: Jul 2022 --> Aug 2023
Trial completion • Trial primary completion date
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HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B)
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cyclophosphamide
8ms
UMIT-1 Trial Favipiravir & Ribavirin for the Treatment of CCHF (clinicaltrials.gov)
P2, N=24, Recruiting, Liverpool School of Tropical Medicine | Not yet recruiting --> Recruiting
Enrollment open