You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR MYCOPHENOLATE MOFETIL HYDROCHLORIDE


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT00717470 ↗ A Study in Kidney Transplant Subjects to Investigate the Optimal Suppression of Immunity to Help Prevent Kidney Rejection Completed Astellas Pharma Inc Phase 4 2008-05-14 To compare how well the new formulation of Tacrolimus® used once daily, in combination with other drugs helps prevent the rejection of a new kidney after transplantation compared to the twice daily dose of Tacrolimus
New Combination NCT03249831 ↗ A Blood Stem Cell Transplant for Sickle Cell Disease Recruiting California Institute for Regenerative Medicine (CIRM) Phase 1 2019-01-04 Blood stem cells can produce red blood cells (which carry oxygen), white blood cells of the immune system (which fight infections) and platelets (which help the blood clot). Patients with sickle cell disease produce abnormal red blood cells. A blood stem cell transplant from a donor is a treatment option for patients with severe sickle cell disease. The donor can be healthy or have the sickle cell trait. The blood stem cell transplant will be given to the patient as an intravenous infusion (IV). The donor blood stem cells will then make normal red blood cells - as well as other types of blood cells - in the patient. When blood cells from two people co-exist in the patient, this is called mixed chimerism. Most children are successfully treated with blood stem cells from a sibling (brother/sister) who completely shares their tissue type (full-matched donor). However, transplant is not an option for patients who (1) have serious medical problems, and/or (2) do not have a full-matched donor. Most patients will have a relative who shares half of their tissue type (e.g. parent, child, and brother/sister) and can be a donor (half-matched or haploidentical donor). Adult patients with severe sickle cell disease were successfully treated with a half-matched transplant in a clinical study. Researchers would like to make half-matched transplant an option for more patients by (1) improving transplant success and (2) reducing transplanted-related complications. This research transplant is being tested in this Pilot study for the first time. It is different from a standard transplant because: 1. Half-matched related donors will be used, and 2. A new combination of drugs (chemotherapy) that does not completely wipe out the bone marrow cells (non-myeloablative treatment) will be used to prepare the patient for transplant, and 3. Most of the donor CD4+ T cells (a type of immune cells) will be removed (depleted) before giving the blood stem cell transplant to the patient to improve transplant outcomes. It is hoped that the research transplant: 1. Will reverse sickle cell disease and improve patient quality of life, 2. Will reduce side effects and help the patient recover faster from the transplant, 3. Help the patient keep the transplant longer and 4. Reduce serious transplant-related complications.
New Combination NCT03249831 ↗ A Blood Stem Cell Transplant for Sickle Cell Disease Recruiting City of Hope Medical Center Phase 1 2019-01-04 Blood stem cells can produce red blood cells (which carry oxygen), white blood cells of the immune system (which fight infections) and platelets (which help the blood clot). Patients with sickle cell disease produce abnormal red blood cells. A blood stem cell transplant from a donor is a treatment option for patients with severe sickle cell disease. The donor can be healthy or have the sickle cell trait. The blood stem cell transplant will be given to the patient as an intravenous infusion (IV). The donor blood stem cells will then make normal red blood cells - as well as other types of blood cells - in the patient. When blood cells from two people co-exist in the patient, this is called mixed chimerism. Most children are successfully treated with blood stem cells from a sibling (brother/sister) who completely shares their tissue type (full-matched donor). However, transplant is not an option for patients who (1) have serious medical problems, and/or (2) do not have a full-matched donor. Most patients will have a relative who shares half of their tissue type (e.g. parent, child, and brother/sister) and can be a donor (half-matched or haploidentical donor). Adult patients with severe sickle cell disease were successfully treated with a half-matched transplant in a clinical study. Researchers would like to make half-matched transplant an option for more patients by (1) improving transplant success and (2) reducing transplanted-related complications. This research transplant is being tested in this Pilot study for the first time. It is different from a standard transplant because: 1. Half-matched related donors will be used, and 2. A new combination of drugs (chemotherapy) that does not completely wipe out the bone marrow cells (non-myeloablative treatment) will be used to prepare the patient for transplant, and 3. Most of the donor CD4+ T cells (a type of immune cells) will be removed (depleted) before giving the blood stem cell transplant to the patient to improve transplant outcomes. It is hoped that the research transplant: 1. Will reverse sickle cell disease and improve patient quality of life, 2. Will reduce side effects and help the patient recover faster from the transplant, 3. Help the patient keep the transplant longer and 4. Reduce serious transplant-related complications.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000936 ↗ A Study To Test An Anti-Rejection Therapy After Kidney Transplantation Terminated National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1999-11-01 Kidney transplantation is often successful. However, despite aggressive anti-rejection drug therapy, some patients will reject their new kidney. This study is designed to test two anti-rejection approaches. Two medications in this study are currently used in children, but there is no information regarding which drug is safer or more effective. Survival rates in renal transplantation are unacceptably low. Therefore, there is a need for an improved post-transplant treatment, such as the induction therapy used in this study.
NCT00001764 ↗ Mycophenolate Mofetil to Treat Wegener's Granulomatosis and Related Vascular Inflammatory Conditions Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1998-04-01 This study will examine the safety and effectiveness of the drug mycophenolate mofetil (MPM) in treating Wegener's granulomatosis and related inflammatory vessel diseases. Blood vessel inflammation in these patients may involve different parts of the body, including the brain, nerves, eyes, sinuses, lungs, kidneys, intestinal tract, skin, joints, heart, and other sites. The more severe the involvement, the more likely the disease will be life-threatening. Standard treatment consists of combination drug therapy with prednisone and a cytotoxic agent-usually cyclophosphamide or methotrexate. However, some patients in whom this treatment is initially successful have a disease relapse; other patients cannot take the medications because of other health problems or because of severe side effects of the drugs. MPM is approved by the Food and Drug Administration to prevent kidney transplant rejection. It is chemically similar to another cytotoxic drug called azathioprine, which has been beneficial in maintaining remission in patients with Wegener's granulomatosis who have been treated successfully with cyclophosphamide. Because MPM is more effective than azathioprine in preventing organ rejection, it may also prove beneficial as a second-line treatment for Wegener's granulomatosis. Patients with Wegener's granulomatosis or related inflammatory vessel diseases who have had a relapse following treatment with cyclophosphamide and methotrexate or who cannot take one or both of these drugs may be eligible for this study. Only patients who have been treated at NIH in the methotrexate protocol or the cyclophosphamide switching to methotrexate protocol, or who have received the exact same treatment from their own physician may participate. Participants will have a complete medical evaluation including laboratory studies. Consultations, X-rays and biopsies of affected organs may also be done if indicated for diagnosis or treatment. Patients with active disease will be given MPM and prednisone, both in tablet form. Patients with inactive disease will receive only prednisone if they are already taking it. In both cases, the prednisone will be reduced gradually and discontinued if the disease improves significantly. MPM therapy will continue for at least 2 years. If after 2 years the disease remains in remission, the MPM dose will be gradually reduced and then stopped. If active disease recurs while on MPM therapy, the treatment plan will likely be changed. The new regimen will be determined by the severity of disease, other medical conditions, and history of side effects to previous medications. Patients will be followed at the NIH clinic every month for the first 3 months on MPM and then every 3 months for another 18 months. Those whose disease has remained in remission and have stopped all medications will then be followed every 6 months for 4 visits. The follow-up visits will include a physical examination, blood draws, and, if needed, X-rays. Visits may be scheduled more frequently if medically indicated.
NCT00001964 ↗ Combination Therapy of Severe Aplastic Anemia Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 2000-03-17 This study will test the safety and effectiveness of a combination of three drugs in treating severe aplastic anemia and preventing its recurrence. Two drugs used in this trial ATG and cyclosporine are standard combination therapy for aplastic anemia. This study will try to improve this therapy in three ways: 1) by altering the drug regimen to allow the drugs to work better; 2) by reducing the risk of kidney damage; and 3) by adding a third drug mycophenolate mofetil to try to prevent disease relapse. Patients with severe aplastic anemia who do not have a suitable bone marrow donor or who decline bone marrow transplantation may participate in this study. Patients will have a skin test for ATG allergy, chest X-ray, blood test, and bone marrow aspiration before treatment begins. ATG will then be started, infused through a vein continuously for 4 days. Ten days after ATG is stopped, cyclosporine treatment will begin, taken twice a day by mouth in either liquid or capsule form and will continue for 6 months. Also, in the first 2 weeks of treatment, patients will be given a full dose of corticosteroid (prednisone) to prevent serum sickness that could develop as a side effect of ATG therapy. The dosage will be decreased after that. Mycophenolate will be started at the same time as ATG, in two daily doses by mouth, and will continue for 18 months. Patients will be hospitalized at the beginning of the study. During this time, blood will be drawn at 3-week intervals and a bone marrow examination will be repeated 3 months after treatment has begun. Additional tests, including X-rays may be required. After hospital discharge, patients will be followed on an outpatient basis at 3-month intervals. The patients own physician will perform blood tests weekly and kidney and liver function tests every 2 weeks during cyclosporine therapy. Transfusions may be required initially.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

Condition Name

Condition Name for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Intervention Trials
Kidney Transplantation 82
Leukemia 79
Lymphoma 67
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Intervention Trials
Leukemia 185
Myelodysplastic Syndromes 162
Preleukemia 149
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

Trials by Country

Trials by Country for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Location Trials
Italy 86
Spain 82
Germany 76
France 76
Belgium 53
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Location Trials
California 157
New York 128
Washington 119
Texas 116
Ohio 100
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

Clinical Trial Phase

Clinical Trial Phase for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Clinical Trial Phase Trials
PHASE4 8
PHASE3 8
PHASE2 19
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Clinical Trial Phase Trials
Completed 486
Recruiting 163
Terminated 115
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for MYCOPHENOLATE MOFETIL HYDROCHLORIDE

Sponsor Name

Sponsor Name for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Sponsor Trials
National Cancer Institute (NCI) 175
Fred Hutchinson Cancer Research Center 81
Hoffmann-La Roche 62
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for MYCOPHENOLATE MOFETIL HYDROCHLORIDE
Sponsor Trials
Other 1132
Industry 414
NIH 289
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Forecast for Mycophenolate Mofetil Hydrochloride

Last updated: November 2, 2025

Introduction

Mycophenolate Mofetil Hydrochloride (MMF-HCl) is a derivative of mycophenolate mofetil, a potent immunosuppressant primarily prescribed to prevent organ rejection in transplant patients. As a critical component in immunosuppressive regimens, MMF-HCl’s pharmacological profile positions it within a mature yet evolving therapeutic market. This report offers a comprehensive analysis of current clinical trials, market dynamics, and future projections for MMF-HCl, providing stakeholders with actionable insights for strategic decision-making.

Clinical Trials Landscape and Recent Developments

Overview of Ongoing and Completed Trials

The clinical landscape for MMF-HCl centers on enhancing efficacy, reducing adverse effects, and expanding indications. Key trials focus on:

  • Solid Organ Transplantation: MMF-HCl remains the cornerstone for kidney, heart, and liver transplantation, with multiple Phase III and IV studies reaffirming its efficacy in preventing rejection episodes. For example, recent pivotal trials have demonstrated non-inferiority to other immunosuppressive agents, with improved tolerability profiles.

  • Autoimmune Diseases: Emerging studies are evaluating MMF-HCl’s role in conditions such as systemic lupus erythematosus (SLE), particularly lupus nephritis. Phase II trials report promising reductions in disease activity scores with manageable side effects.

  • Oncology: Although not a traditional indication, preliminary research investigates MMF-HCl’s potential in hematologic malignancies due to its immunomodulatory properties, though clinical evidence remains limited.

Regulatory Milestones and Approval Pipeline

Several regions have approved MMF-HCl for standard immunosuppressive therapy, with the United States FDA and European Medicines Agency (EMA) approving formulations for organ transplantation. Notably, ongoing trials aim to expand indications, such as in autoimmune pathologies, potentially paving the way for label extensions.

Challenges and Opportunities in Clinical Development

Despite a robust clinical portfolio, challenges include:

  • Adverse Effect Profile: Gastrointestinal and hematological side effects necessitate careful monitoring and dose adjustments.

  • Generic Competition: Patent expirations have led to a proliferation of generic versions, intensifying price competition but also expanding market accessibility.

Opportunities lie in optimizing dosing regimens through pharmacogenomic approaches and exploring fixed-dose combinations to improve patient adherence.

Market Analysis

Market Size and Historical Growth

The MMF-HCl market, integral to the broader immunosuppressant segment, was valued at approximately $2.3 billion in 2022 [1]. Historically, the growth rate has clocked in at around 6–8% CAGR from 2018 to 2022, driven by increased organ transplantation procedures and expanding indications.

Key Players and Market Share

Major pharmaceutical manufacturers include:

  • JNJ’s CellCept (Mycophenolate Mofetil): The dominant product, maintaining a significant market share due to brand recognition.
  • Generic Manufacturers: Several local and international generics account for nearly 55% of sales, driven by price sensitivity and healthcare reforms.

Emerging players are exploring biosimilar and generic formulations, intensifying competition.

Regional Market Dynamics

  • North America: Largest market, benefiting from high transplantation rates, well-established healthcare infrastructure, and reimbursement coverage.
  • Europe: Steady growth propelled by transplant programs and supportive regulatory policies.
  • Asia-Pacific: Rapidly growing, attributed to expanding healthcare access, increasing transplantation rates, and growing awareness of autoimmune diseases.

Market Drivers

  • Rising prevalence of end-stage organ failure.
  • Expanding indications into autoimmune conditions.
  • Increased global transplantation procedures.

Market Restraints

  • Patent expirations leading to pricing pressure.
  • Adverse effects impacting patient compliance.
  • Stringent regulatory standards in certain markets.

Market Projections and Future Trends

Forecast Period

The forecast from 2023 to 2030 anticipates a CAGR of approximately 7%, reaching a market valuation of $4.2 billion by 2030 [2].

Drivers of Growth

  • Expanding Indications: Novel research into MMF-HCl for autoimmune diseases could double its addressable market segment.
  • Technological Advancements: Improved formulations such as immediate-release, modified-release, and fixed-dose combinations are expected to enhance patient compliance.
  • Regulatory Approvals: Favorable outcomes in Phase III trials may lead to expanded approvals and label indications.

Potential Disruptors

  • Biosimilars and generics offering more affordable options.
  • Development of newer immunosuppressants with better safety profiles.
  • Patent litigations and regulatory hurdles possibly delaying market entry of new formulations.

Strategic Opportunities

  • Partnerships with biotech firms for orphan indications.
  • Investing in biosimilar R&D to capture price-sensitive markets.
  • Utilizing pharmacogenetics to tailor individualized therapy, optimizing outcomes and minimizing side effects.

Conclusion

Mycophenolate Mofetil Hydrochloride maintains a pivotal position within immunosuppressive therapy, with an established clinical profile and a robust market foundation. While generic competition introduces pricing pressures, ongoing clinical trials and expanding indications forecast sustained growth over the next decade. Strategic investments in formulation innovation, regulatory engagement, and indication diversification can unlock additional value.

Key Takeaways

  • Clinical Development: MMF-HCl continues to demonstrate efficacy in transplantation, with promising data emerging for autoimmune diseases, suggesting potential label expansions.
  • Market Dynamics: The global market is poised for steady growth, driven by rising transplantation rates, autoimmune disease prevalence, and geographic expansion.
  • Competitive Landscape: Dominated by a combination of branded and generic products, with biosimilars playing an increasing role.
  • Future Outlook: Adoption of advanced formulations and personalized medicine approaches will be critical for sustained growth.
  • Strategic Focus: Stakeholders should prioritize innovative R&D, strategic partnerships, and regulatory navigation to capitalize on emerging opportunities.

FAQs

1. How does mycophenolate mofetil hydrochloride differ from mycophenolate mofetil?
MMF-HCl is a salt form of mycophenolate mofetil designed to enhance bioavailability and stability, mainly used in formulations intended for improved absorption and tolerability.

2. What are the primary indications for MMF-HCl currently?
It is primarily indicated for preventing organ rejection in kidney, heart, and liver transplants. Emerging research suggests potential in autoimmune conditions such as SLE.

3. Are there significant safety concerns associated with MMF-HCl?
Yes, common adverse effects include gastrointestinal disturbances and hematological abnormalities such as leukopenia. Long-term use requires careful monitoring to mitigate risks.

4. How is the market for MMF-HCl expected to evolve over the next decade?
The market is projected to grow at approximately 7% CAGR, driven by new clinical applications, increased transplantation procedures globally, and formulation innovations.

5. What impact will biosimilars and generics have on the MMF-HCl market?
They will increase accessibility and reduce costs but may exert downward pressure on prices, prompting brand manufacturers to focus on differentiation through novel formulations and indications.


References

[1] MarketResearch.com, "Immunosuppressants Market Report," 2022.
[2] Grand View Research, "Global Immunosuppressants Market Size & Trends," 2023.
[3] U.S. FDA approval documentation and published clinical trial results.

More… ↓

⤷  Get Started Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.