ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Once-Daily versus Twice-Daily Tacrolimus in Living Kidney Transplantation: A Multicenter, Parallel Group, Open-Label, 5-Year, Randomized Non-Inferiority Trial.

K. Unagami,1 M. Okumi,2 T. Hirai,2 D. Toki,3 H. Shirakawa,4 T. Shimizu,2 K. Omoto,5 M. Inui,3 H. Ishida,2 K. Nitta,1 K. Tanabe.2

1Nephrology, Tokyo Women's Medical University, Tokyo, Japan
2Urology, Tokyo Women's Medical University, Tokyo, Japan
3Urology, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan
4Urology, Ohkubo Hospital, Tokyo, Japan
5Transplant Surgery, Toda Chuo General Hospital, Toda, Japan

Meeting: 2017 American Transplant Congress

Abstract number: D92

Keywords: Area-under-curve (AUC), Calcineurin, Immunosuppression, Kidney transplantation

Session Information

Session Name: Poster Session D: Kidney Immunosuppression: Novel Regimens and Drug Minimization

Session Type: Poster Session

Date: Tuesday, May 2, 2017

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

Background:

Tacrolimus (TAC)-based induction therapy appears to be the standard immunosuppressive regimen for most kidney transplantation recipients (KTRs). TAC is available as a twice-daily (TAC-BID) and once-daily (QD) formulation. We conducted a 5-year, long-term, multicenter, parallel group, open-label, randomized trial to determine whether TAC-QD would be noninferior to BID with respect to clinical outcomes among de novo living KTRs.

Study design and population:

A total of 130 transplant candidates were randomly assigned to either of two treatment groups.

KTRs were treated with combination immunosuppressive regimens (TAC-QD or BID, mycophenolate mofetil, methylprednisolone, and basiliximab) .

Results:

For TAC exposure-control, similar levels were maintained between groups (P=0.448), except during the pretransplant and immediate posttransplant period . Between-group coefficients of variation were similar, and decreased over time.

In intention-to-treat analysis, the 5-year cumulative graft failure rates were 6.5% (95% CI: 0.3 to 12.6) and 9.5% (95% CI: 2.3 to 16.8) in TAC-QD and BID groups, respectively . TAC-QD was not inferior to BID (noninferiority test: P=0.008). TAC-QD was not also inferior to BID regarding rate of biopsy-proven acute rejection, serum creatinine or estimated glomerular filtration rate (noninferiority test: p=0.008, P<0.001, p<0.001).

Conclusions:

TAC-QD showed conclusive noninferiority in adverse event rates.

CITATION INFORMATION: Unagami K, Okumi M, Hirai T, Toki D, Shirakawa H, Shimizu T, Omoto K, Inui M, Ishida H, Nitta K, Tanabe K. Once-Daily versus Twice-Daily Tacrolimus in Living Kidney Transplantation: A Multicenter, Parallel Group, Open-Label, 5-Year, Randomized Non-Inferiority Trial. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Unagami K, Okumi M, Hirai T, Toki D, Shirakawa H, Shimizu T, Omoto K, Inui M, Ishida H, Nitta K, Tanabe K. Once-Daily versus Twice-Daily Tacrolimus in Living Kidney Transplantation: A Multicenter, Parallel Group, Open-Label, 5-Year, Randomized Non-Inferiority Trial. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/once-daily-versus-twice-daily-tacrolimus-in-living-kidney-transplantation-a-multicenter-parallel-group-open-label-5-year-randomized-non-inferiority-trial/. Accessed May 9, 2025.

« Back to 2017 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences