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Pharmacokinetics of tacrolimus in kidney transplant recipients: Once daily versus twice daily dosing



Pharmacokinetics of tacrolimus in kidney transplant recipients: Once daily versus twice daily dosing

For Condition: Kidney Transplantation
Status: Completed
Sponsor(s): National Center for Research Resources (NCRR) ,
Synopsis: Tacrolimus is a medication given to transplant patients to help prevent rejection. The purpose of this study is to see if tacrolimus can be taken once a day instead of twice a day in kidney transplant patients. Transplant patients are required to take several medications to prevent rejection and to treat complications after their transplantation. Because of the complicated dosing schedule, it can be difficult for patients to follow their medication schedule. Taking fewer medications less frequently may help transplant patients to better manage their drug therapy. Tacrolimus is better absorbed in the body if it is taken in the morning than if it is taken in the evening. This suggests that tacrolimus can be taken once every morning instead of twice daily in order to produce appropriate drug exposure to prevent organ rejection without increased side effects.
Details:
Eligibility:
Study Type:  Interventional, Treatment, Non-Randomized, Open Label, Pharmacokinetics Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: 1) Kidney transplant recipients (18 years or older) at Washington University/Barnes Hospital taking tacrolimus-based immunosuppression; 2) Stable kidney transplant recipients (>6 months post-transplantation, serum creatinine < 2 ml/dL, no history of rejection); 3) Stable immunosuppression (therapeutic tacrolimus concentrations, no change in tacrolimus dose within one month prior to the study); 4) Subjects must agree to abstain from alcohol and caffeine for 48 hours prior to the pharmacokinetics studies. Exclusion Criteria: 1) Pregnant women or nursing mothers; 2) Patients unwilling or unable to comply with the protocol; 3) Significant liver impairment (AST or ALT > 2 x upper limit of normal, or total bilirubin > upper limit of normal); 4) Anemia: Hematocrit < 30%; 5) Use of concomitant P450 3A4/p-glycoprotein inducers or inhibitors; 6) Current smoking; 7) Patients with diabetes mellitus
Total Enrollment: 

Location and Contact Information:

Washington University/Barnes Jewish Hospital
St. Louis,  Missouri,  63110
United States
 


Additional Information:
Study ID Numbers:  NCRR-M01RR00036-0824; 
Study Start Date: 
Record last reviewed: December 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00028171

Other Kidney Transplantation Studies:
1. TThe Role of Connective Tissue Growth Factor in the Development of Kidney Disease After Organ Transplantation

2. An Evaluation of IV Gamma Globulin As a Method to Improve Kidney Transplant Survival in Patients with End-Stage Renal Disease Who are Highly Sensitized to Transplant Antigens

3. Study comparing the safety and efficacy of BMS-224818 to cyclosporine, in patients receiving a kidney transplant, when used in combination with CellCept, Simulect, and corticosteroids.

4. Kidney and Liver Transplantation in People with HIV

5. Live Donors for Kidney Transplants

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