| Drug Name |
Mycophenolate mofetil |
| Drug ID |
BADD_D01507 |
| Description |
Mycophenolate mofetil, also known as MMF or CellCept, is a prodrug of mycophenolic acid, and classified as a reversible inhibitor of inosine monophosphate dehydrogenase (IMPDH).[A180805] This drug is an immunosuppressant combined with drugs such as [Cyclosporine] and corticosteroids to prevent organ rejection after hepatic, renal, and cardiac transplants.[L7363] It is marketed by Roche Pharmaceuticals and was granted FDA approval for the prophylaxis of transplant rejection in 1995.[A180826] In addition to the above uses, mycophenolate mofetil has also been studied for the treatment of nephritis and other complications of autoimmune diseases. Unlike another immunosuppressant class, the calcineurin inhibitors, MMF generally does not cause nephrotoxicity or fibrosis.[A180799,A180805]
Previously, mycophenolic acid (MPA) was administered to individuals with autoimmune diseases beginning in the 1970s, but was discontinued due to gastrointestinal effects and concerns over carcinogenicity.[A180826] The new semi-synthetic 2-morpholinoethyl ester of MPA was synthesized to avoid the gastrointestinal effects associated with the administration of MPA. It demonstrates an increased bioavailability, a higher efficacy, and reduced gastrointestinal effects when compared to MPA.[A180826] |
| Indications and Usage |
Mycophenolate mofetil is indicated for the prophylaxis of organ rejection in patients undergoing allogeneic renal, hepatic, or cardiac transplants. It should be used with cyclosporine and corticosteroids.[L7363] Mycophenolate mofetil may also be used off-label as a second-line treatment for autoimmune hepatitis that has not responded adequately to first-line therapy.[A180814] Other off-label uses of this drug include lupus-associated nephritis and dermatitis in children.[A180817] |
| Marketing Status |
approved; investigational |
| ATC Code |
L04AA06 |
| DrugBank ID |
DB00688
|
| KEGG ID |
D00752
|
| MeSH ID |
D009173
|
| PubChem ID |
5281078
|
| TTD Drug ID |
D04FBR
|
| NDC Product Code |
0904-7074; 0904-7078; 47848-019; 52076-6220; 0004-0260; 60687-494; 64380-725; 67457-386; 68254-5000; 70518-2835; 52972-0037; 55486-1589; 16729-019; 23155-830; 50268-557; 51079-721; 55154-6262; 68254-5003; 70748-186; 70966-0015; 17478-422; 23155-836; 42023-172; 51079-379; 60429-070; 0054-0166; 69238-1595; 66689-307; 0480-1175; 0527-5160; 70518-2767; 70771-1084; 65050-2101; 50268-558; 64380-726; 0378-2250; 0054-0163; 72485-415; 0781-5175; 83270-000; 46014-1123; 68254-0015; 71052-317; 67877-266; 70121-1584; 70518-3068; 70748-262; 0004-0259; 17478-957; 0093-7334; 60687-438; 63629-9582; 67877-230; 0480-3571; 71288-803; 71610-033; 0781-2067; 81293-000; 51927-5125; 65727-005; 66499-0006; 68254-2500; 0004-0261; 16714-345; 16729-094; 55154-5382; 0378-4472; 67877-225; 68382-669; 68254-0005; 78848-004; 50090-4275; 55154-3571; 60219-2135; 60429-059 |
| UNII |
9242ECW6R0
|
| Synonyms |
Mycophenolic Acid | Mycophenolate Mofetil | Mofetil, Mycophenolate | Mycophenolic Acid Morpholinoethyl Ester | Cellcept | Mycophenolate Sodium | Sodium Mycophenolate | Mycophenolate, Sodium | Myfortic | Mycophenolate Mofetil Hydrochloride | Mofetil Hydrochloride, Mycophenolate | RS 61443 | RS-61443 | RS61443 |
