MedPath

Leflunomide

Generic Name
Leflunomide
Brand Names
Arava, Leflunomide medac, Leflunomide Zentiva (previously Leflunomide Winthrop), Leflunomide ratiopharm
Drug Type
Small Molecule
Chemical Formula
C12H9F3N2O2
CAS Number
75706-12-6
Unique Ingredient Identifier
G162GK9U4W
Background

Leflunomide is a pyrimidine synthesis inhibitor belonging to the DMARD (disease-modifying antirheumatic drug) class of drugs, which are chemically and pharmacologically very heterogeneous. Leflunomide was approved by FDA and in many other countries (e.g., Canada, Europe) in 1999.

Indication

For the management of the signs and symptoms of active rheumatoid arthritis (RA) to improve physical function and to slow the progression of structural damage associated with the disease. Has also been used for the prevention of acute and chronic rejection in recipients of solid organ trasnplants and is designated by the FDA as an orphan drug for this use.

Associated Conditions
Juvenile Idiopathic Arthritis (JIA), Rheumatoid Arthritis

Impact of Tapering Immunosuppressants on Maintaining Minimal Disease Activity in Adult Subjects With Psoriatic Arthritis

First Posted Date
2020-10-30
Last Posted Date
2022-11-14
Lead Sponsor
University of Erlangen-Nürnberg Medical School
Target Recruit Count
270
Registration Number
NCT04610476
Locations
🇩🇪

Universitätsklinikum Erlangen, Erlangen, Bavaria, Germany

Leflunomide for the Treatment of Severe COVID-19 in Patients With a Concurrent Malignancy

Phase 1
Completed
Conditions
Hematopoietic and Lymphoid Cell Neoplasm
Symptomatic COVID-19 Infection Laboratory-Confirmed
Malignant Solid Neoplasm
Interventions
Other: Best Practice
Drug: Placebo Administration
First Posted Date
2020-08-31
Last Posted Date
2024-07-03
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
2
Registration Number
NCT04532372
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Leflunomide, Pomalidomide, and Dexamethasone for the Treatment of Relapsed or Refractory Multiple Myeloma

Phase 2
Recruiting
Conditions
Recurrent Plasma Cell Myeloma
Refractory Plasma Cell Myeloma
Interventions
First Posted Date
2020-08-11
Last Posted Date
2024-08-06
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
29
Registration Number
NCT04508790
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Leflunomide for the Treatment of Relapsed or Refractory CD30+ Lymphoproliferative Disorders

Phase 2
Completed
Conditions
Recurrent Lymphoproliferative Disorder
Refractory Lymphoproliferative Disorder
Interventions
First Posted Date
2020-07-09
Last Posted Date
2023-12-05
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
1
Registration Number
NCT04463615
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Leflunomide for the Treatment of High-Risk Smoldering Multiple Myeloma

Early Phase 1
Active, not recruiting
Conditions
Smoldering Plasma Cell Myeloma
Interventions
Other: Quality-of-Life Assessment
First Posted Date
2020-05-01
Last Posted Date
2025-03-26
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
1
Registration Number
NCT04370483
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Leflunomide in Mild COVID-19 Patients

Phase 1
Terminated
Conditions
COVID-19
Interventions
First Posted Date
2020-04-24
Last Posted Date
2024-02-07
Lead Sponsor
University of Chicago
Target Recruit Count
11
Registration Number
NCT04361214
Locations
🇺🇸

University of Chicago, Chicago, Illinois, United States

Leflunomide in Treating Patients With Steroid Dependent Chronic Graft Versus Host Disease

Phase 1
Active, not recruiting
Conditions
Chronic Graft Versus Host Disease
Steroid Refractory Graft Versus Host Disease
Interventions
First Posted Date
2019-12-27
Last Posted Date
2024-12-17
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
18
Registration Number
NCT04212416
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Assessment of Leflunomide Efficacy and Hepatotoxicity in Patients With Rheumatoid Arthritis Through Pharmacokinetic and Genetic Approaches

Completed
Conditions
Rheumatoid Arthritis
Interventions
First Posted Date
2019-07-17
Last Posted Date
2020-09-09
Lead Sponsor
Assiut University
Target Recruit Count
80
Registration Number
NCT04022525
Locations
🇪🇬

Assiut University Hospital, Assiut, Egypt

Leflunomide Plus Low Dose Corticosteroid in Immunoglobulin A (IgA) Nephropathy With Renal Insufficiency

Phase 4
Conditions
Renal Insufficiency, Chronic
Glomerulonephritis, IGA
Interventions
First Posted Date
2019-07-16
Last Posted Date
2020-02-18
Lead Sponsor
Shenzhen Second People's Hospital
Target Recruit Count
70
Registration Number
NCT04020328
Locations
🇨🇳

Xu Yi, Shenzhen, Guangdong, China

Leflunomide in Treating Patients With High-Risk Smoldering Multiple Myeloma

Phase 2
Withdrawn
Conditions
Smoldering Plasma Cell Myeloma
Interventions
Other: Quality-of-Life Assessment
Other: Questionnaire Administration
First Posted Date
2019-05-16
Last Posted Date
2019-11-14
Lead Sponsor
City of Hope Medical Center
Registration Number
NCT03952832
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

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