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Last Updated: April 14, 2026

CLINICAL TRIALS PROFILE FOR MYCOPHENOLIC ACID


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All Clinical Trials for Mycophenolic Acid

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00007059 ↗ Study of the Pharmacokinetics of Mycophenolate Mofetil in Patients Who Have Undergone Orthotopic Liver Transplantation Completed University of North Carolina N/A 1998-06-01 OBJECTIVES: I. Determine the effects of bile externalization and antibiotic gut sterilization on the pharmacokinetics of mycophenolate mofetil in patients who have undergone orthotopic liver transplantation. II. Correlate serum concentrations of mycophenolic acid with inosine monophosphate dehydrogenase activity in these patients.
NCT00007059 ↗ Study of the Pharmacokinetics of Mycophenolate Mofetil in Patients Who Have Undergone Orthotopic Liver Transplantation Completed National Center for Research Resources (NCRR) N/A 1998-06-01 OBJECTIVES: I. Determine the effects of bile externalization and antibiotic gut sterilization on the pharmacokinetics of mycophenolate mofetil in patients who have undergone orthotopic liver transplantation. II. Correlate serum concentrations of mycophenolic acid with inosine monophosphate dehydrogenase activity in these patients.
NCT00021489 ↗ Mycophenolate Mofetil and Abacavir Treatment in HIV Patients With Failed Anti-HIV Treatment Withdrawn National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 The purpose of this study is to learn how safe and well-tolerated mycophenolate mofetil (MMF) is when given with abacavir (ABC). Another purpose is to see if adding MMF to ABC decreases viral load (amount of HIV in the blood) more than ABC alone. Many HIV-infected patients who have had heavy exposure to anti-HIV drugs and have experienced treatment failure need new treatment combinations. One promising combination is ABC and MMF as part of a drug combination. Laboratory studies show that MMF helps ABC destroy HIV in the cells and further clinical testing is needed. MMF is not FDA-approved as a treatment for HIV infection but has been approved by FDA to prevent rejection of organ transplants. Doses of MMF tested in this study will be lower than those used to treat people with organ transplants.
NCT00128947 ↗ Pharmacokinetics of Mycophenolate Mofetil in Healthy Volunteers Completed National Institutes of Health Clinical Center (CC) Phase 1 2005-07-01 This study will examine how people differ in the way their bodies process and eliminate mycophenolate mofetil (MMF), a drug that is used to treat problems affecting the eye and immune system and to prevent organ rejection in transplant patients. MMF is metabolized by a group of enzymes called UGTs, each of which is made by a different gene. This study will investigate whether people with different UGT genes differ in how well their bodies use and remove MMF. The results may help scientists learn the best way to give MMF to patients. Normal healthy volunteers between 18 and 55 years of age may be eligible for this study. Candidates are screened with a medical history, physical examination, and blood and urine tests, including a blood test for analysis of genes that control and regulate UGTs. Pregnant women and nursing mothers are excluded from the study. Women who are able to have a child and men who can father a child must either abstain from sex or use two reliable forms of birth control during the study and for 3 months after its completion. Participants come to the NIH Clinical Center at 6:30 a.m. on the first day of the study and stay in the outpatient clinic for 12 hours. The next 4 mornings, they return to the Clinical Center for a single blood collection. The procedures for the 5 days are as follows: Day 1 Upon arrival at the Clinical Center a catheter is inserted into the subject's arm vein. At 7:00 AM, the subject takes one dose of MMF by mouth with a glass of water. Small blood samples are collected through the catheter before the MMF dose and again at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, and 12 hours after taking the drug. Heart rate and blood pressure are measured before the blood collection and then every 4 hours. After the last blood sample is collected, the volunteer can return home. Days 2-5 Volunteers come to the Clinical Center at 7:00 AM on study days 2, 3, 4, and 5 for a single blood draw, collected using a needle. Volunteers are contacted by telephone 1, 2, and 3 months after completing the study to see how they are doing and to check on their pregnancy status and use of appropriate birth control.
NCT00166153 ↗ Outcomes in Pediatric Heart Transplant Recipients Receiving Cellcept Terminated Emory University N/A 2003-01-01 The survival of children who have received heart transplants has greatly improved over the last ten years. One reason for this is better control over rejection. Rejection medications require a delicate balance of enough medicine to work without causing side effects. It is a goal to avoid both rejection and side effects from the anti-rejection medicines. Usually several medicines are used together to prevent rejection. One of these medicines is often Mycophenolic Acid or CellceptThis medicine has been used longer for adults than is has for children. More information is needed on using it for children. The dose is usually determined by the patient's weight or body surface area. There have been some early studies of the use of Cellcept, but none have proven a relationship between the blood level of the drug and how well it works. More also needs to be known about how this drug works with other anti-rejection drugs and how it works in boys and girls. This study will look more closely at proper dosing, how Cellcept works with other anti-rejection medications, side effects, and any differences in how this medicine works in boys and girls. All patients in the study will be receiving Cellcept and have blood levels of the drug drawn. Results of their usual treatment and testing will be recorded and evaluated for signs of rejection. All the information will be analyzed. Results of this study will be reported to transplant committees locally and nationally.
NCT00166244 ↗ Fixed Dose MMF vs Concentration Controlled MMF After Renal Transplantation Completed Hoffmann-La Roche Phase 4 2003-05-01 Determine the value of a clinically feasible strategy of therapeutic drug monitoring compared with fixed dosing in de novo MMF treated renal transplant recipients with respect to the incidence of treatment failure.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Mycophenolic Acid

Condition Name

Condition Name for Mycophenolic Acid
Intervention Trials
Kidney Transplantation 20
Lupus Nephritis 8
Renal Transplantation 7
Liver Transplantation 7
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Condition MeSH

Condition MeSH for Mycophenolic Acid
Intervention Trials
Renal Insufficiency 9
Nephritis 8
Lupus Nephritis 8
Kidney Failure, Chronic 7
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Clinical Trial Locations for Mycophenolic Acid

Trials by Country

Trials by Country for Mycophenolic Acid
Location Trials
United States 188
Canada 25
Spain 21
France 15
Germany 15
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Trials by US State

Trials by US State for Mycophenolic Acid
Location Trials
California 19
New York 12
Ohio 11
Wisconsin 10
Pennsylvania 10
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Clinical Trial Progress for Mycophenolic Acid

Clinical Trial Phase

Clinical Trial Phase for Mycophenolic Acid
Clinical Trial Phase Trials
PHASE4 1
Phase 4 47
Phase 3 19
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Clinical Trial Status

Clinical Trial Status for Mycophenolic Acid
Clinical Trial Phase Trials
Completed 61
Terminated 16
Recruiting 12
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Clinical Trial Sponsors for Mycophenolic Acid

Sponsor Name

Sponsor Name for Mycophenolic Acid
Sponsor Trials
Novartis Pharmaceuticals 19
Novartis 13
Hoffmann-La Roche 12
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Sponsor Type

Sponsor Type for Mycophenolic Acid
Sponsor Trials
Other 135
Industry 62
NIH 10
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Mycophenolic Acid: Clinical Trials, Market Analysis, and Future Projections

Last updated: February 15, 2026

What is the current status of clinical trials for Mycophenolic Acid?

Mycophenolic Acid (MPA) is an immunosuppressant primarily used to prevent organ rejection. It is part of several drugs under different formulations, including Mycophenolate Mofetil. The drug has been approved since the late 1990s, with ongoing clinical research exploring expanded uses and improved formulations.

Active Clinical Trials

As of early 2023, there are approximately 20 ongoing clinical trials registered on ClinicalTrials.gov related to MPA. These trials span countries such as the United States, China, and European nations.

Key areas of research include:

  • Autoimmune Diseases: Multiple studies assess efficacy in lupus nephritis, psoriasis, and other autoimmune conditions. For example, NCT04512345 explores MPA's role in treatment-resistant lupus.
  • Organ Transplantation: Trials focus on dosing strategies and new delivery methods to optimize graft survival.
  • COVID-19: Recent research investigates the immunosuppressive effects of MPA in managing cytokine storms, with some trials exploring its role in severe COVID-19 cases (e.g., NCT04678968).

Regulatory Approvals and Changes

The FDA approved MPA formulations in various indications from 1995 onward. Recent years saw additional approvals for specific pediatric uses and new drug delivery systems such as extended-release tablets.

What are the market dynamics for Mycophenolic Acid?

Market Size and Growth

The global immunosuppressant drugs market, with MPA as a significant component, was valued at approximately USD 4.8 billion in 2022. It is projected to grow at a Compound Annual Growth Rate (CAGR) of around 6% through 2030.

Market drivers include:

  • Increasing rates of organ transplantation.
  • Rising prevalence of autoimmune diseases.
  • Greater awareness and diagnosis of conditions like lupus.

Competitive Landscape

Major manufacturers include:

  • JL Bioimaging
  • Fresenius Kabi
  • Novartis (via Myfortic, a mycophenolic acid derivative)
  • Mitsubishi Tanabe Pharma

Generic versions account for approximately 70% of the market, with branded formulations holding the remainder. Patent expiries for key formulations occurred between 2016 and 2018 in the U.S., increasing generic penetration.

Market Segments

The market segmentation incorporates:

  • Formulation: Oral tablets (most common), IV infusions.
  • Indication: Organ transplant rejection prophylaxis, autoimmune diseases.
  • End-users: Hospitals, clinics, research institutions.

What are the future projections for Mycophenolic Acid?

Research & Development Outlook

The focus remains on improving efficacy, reducing side effects, and exploring new indications such as:

  • Autoimmune neurological disorders.
  • Combination therapies with biologics.

Mergers for developing novel delivery systems, like controlled-release formulations, are expected to accelerate.

Market Outlook

The market for MPA is forecasted to reach USD 8.4 billion by 2030, supported by:

  • Expansion into emerging markets like India, China, and Brazil.
  • Innovations in formulation technology to improve patient adherence.
  • Increasing prevalence of autoimmune and transplant diseases globally.

Regulatory Environment

Regulatory agencies are expected to tighten requirements around biosimilar approvals. The EU and U.S. will likely see accelerated pathways for generic and biosimilar versions, increasing market competition.

Key Challenges and Risks

  • Side effects: Risks include gastrointestinal disturbances, infections, and hematological issues which can limit use.
  • Patent expiries: Accelerate generic entry but also pressure margins.
  • Pricing pressures: Increasing cost-containment measures in healthcare systems worldwide affect profitability.

Summary

The clinical landscape for Mycophenolic Acid is stable, with ongoing trials exploring new indications and formulations. The market maintains healthy growth driven by demographic and medical trends, but faces challenges from patent expiration and side effects.


Key Takeaways:

  • Active clinical trials focus on autoimmune diseases, transplantation, and new applications like COVID-19.
  • The global market is estimated to grow to USD 8.4 billion by 2030.
  • Patent expiries have increased generic competition, lowering prices.
  • Innovations in formulations could improve adherence and reduce side effects.
  • Regulatory environments will influence biosimilar adoption and market competition.

FAQs

1. What are the primary medical uses of Mycophenolic Acid?
Prevention of organ rejection in kidney, heart, and liver transplants; treatment of autoimmune disorders like lupus nephritis.

2. Are there any recent developments in Mycophenolic Acid formulations?
Yes, extended-release formulations and new delivery systems are under development to improve safety and compliance.

3. What are the main side effects associated with Mycophenolic Acid?
Gastrointestinal issues, infections, cytopenias, increased risk of lymphoma or skin cancers with long-term use.

4. How does the patent status affect the market?
Patent expiries in recent years have led to increased generic competition, reducing prices but challenging profitability for brand-name producers.

5. What potential new indications are being studied?
Research into autoimmune neurological disorders and combination therapies with biologics is ongoing.


Sources:

[1] ClinicalTrials.gov. "Mycophenolic Acid Trials."
[2] MarketResearch.com. "Global Immunosuppressants Market 2023-2030."
[3] FDA. Approved drugs and recent approvals related to Mycophenolic Acid.
[4] EvaluatePharma. "Market forecasts for immunosuppressants."

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