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American Transplant Congress abstracts

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  • 2015 American Transplant Congress

    Influence of CYP3A5 and ABCB1 Genotypes on Pharmacokinetics of Immediate and Prolonged Release Tacrolimus Preparations

    T. Elnahhas,1,2 T. Lee,2 M. Moreton,2 D. McKeown,2 J. Popoola,3 R. Ramkhelawon,3 A. Johnston,1,2 I. MacPhee.3

    1Clinical Pharmacology Department, Queen Mary University of London, London, United Kingdom; 2Analytical Services International, St.George's University of London, London, United Kingdom; 3Institute of Medical and Biomedical Education-Renal Medicine, St.George's University of London, London, United Kingdom.

    Background. Tacrolimus is available in two formulations, immediate-release, (Prograf®) and prolonged -release formulation of tacrolimus (Advagraf®). Tacrolimus has a narrow therapeutic index with wide variation…
  • 2015 American Transplant Congress

    Once Daily Dosing Is as Effective as Twice Daily Dosing of Immediate Release Tacrolimus

    L. Bowman,1 T. Horwedel,1 J. Hagopian,1 B. Bone,2 H. Wijeweera,2 D. Brennan.2

    1Barnes-Jewish Hospital, St. Louis; 2Washington University School of Medicine, St. Louis.

    Purpose: Extended release (ER) tacrolimus (tac) has been available as Advagraf® for many years and as Astagraf XL® in the US since 2013. Immediate release…
  • 2015 American Transplant Congress

    Pharmacokinetics of Everolimus (EVL) in Elderly Recipients Under Low-Tacrolimus(TAC)/Everolimus in the First Year After Renal Transplantation. Data from the NEverOLd Trial

    E. David-Neto,1 P. Romano,2 F. Agena,1 P. Ebner,2 A. Triboni,1 F. Ramos,1 N. Galante,1 F. Lemos.1

    1Renal Transplantation Service, Hospital das Clinicas – University of São Paulo School of Medicine, Sao Paulo, Brazil; 2Division of Central Laboratory, Hospital das Clinicas – University of São Paulo School of Medicine, Sao Paulo, Brazil.

    Elderly ( >60 years) recipients are being renal transplanted more frequently. The pharmacokinetics studies (PK) of immunosuppressive drugs in healthy volunteers, rarely, if ever, include…
  • 2015 American Transplant Congress

    Treatment With Everolimus and Reduced-Exposure Cyclosporine Is Efficacious in De Novo Renal Transplant Recipients at Increased Risk for Efficacy Failure: Post-Hoc Analysis from the A2309 Study

    M. Carmellini,1 V. Garcia,1 Z. Wong,2 M. Vergara,2 C. Escrig,2 G. Russ.1

    1For the A2309 Study Group, Italy; 2Novartis, Basel, Switzerland.

    Purpose: Data is limited on the effect of everolimus (EVR) based regimens in renal transplant recipients (RTxR) who are at increased risk for rejection and…
  • 2015 American Transplant Congress

    Factors Affecting Efficacy Outcomes at 12 and 24-Months After Kidney Transplantation in Patients from the A2309 Study

    C. Escrig,1 G. Colussi,2 R. Roland,2 M. Vergara,3 Z. Wang.3

    1Novartis, Basel, Switzerland; 2A2309 Study Group, Basel, Switzerland; 3Novartis, East Hanover, NJ.

    Purpose: Efficacy outcomes post-transplantation are influenced by donor and recipient variables and interactions between them. Here, we present data from a multivariate analysis of risk…
  • 2015 American Transplant Congress

    Everolimus Plus Reduced-Exposure Calcineurin Inhibitor Versus Mycophenolate Mofetil Plus Standard-Exposure Calcineurin Inhibitor: 2-Year Results in Living Donor Kidney Transplant Recipients

    Y. Watarai,1 N. Akutsu,2 K. Saito,3 Y. Nakagawa,3 O. Kamisawa,4 T. Kenmochi.5

    1Transplant Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan; 2Surgery, Chiba-East Hospital, Chiba, Japan; 3Urology, Niigata University, Niigata, Japan; 4Medical Division, Novartis Pharma K.K., Tokyo, Japan; 5Transplant Surgery, Fujita Health University, Toyoake, Japan.

    Purpose: To evaluate the long-term efficacy and safety of everolimus (EVR) plus reduced cyclosporine (rCsA) compared to mycophenolate mofetil (MMF) plus standard cyclosporine at 24…
  • 2015 American Transplant Congress

    Increasing Tacrolimus Exposure to Minumize Chronic Rejection: How Can We Do It? What Are the Risks?

    T. Hsu,1 J. Yin,1 L. Awdishu,1 J. Kerr,1 R. Steiner.2

    1Pharmacy, UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla; 2Medicine, UC San Diego School of Medicine, La Jolla.

    Background: Recent studies suggest that increased tacrolimus (TAC) exposure may help prevent production of donor specific HLA antibodies (DSAs) that mediate chronic rejection of renal…
  • 2015 American Transplant Congress

    "What's the Mileage?" Determining the Length of Time in Which Renal Function Returns to Pre-Calcineurin Discontinuation Levels in Patients With Interstitial Fibrosis

    A. Diez, J. Von Visger, U. Nori, T. Pesavento, M. Henry, E. Davies, R. Pelletier.

    The Ohio State University, Columbus.

    Calcineurin Inhibitors (CNI) use may be associated with progressive renal dysfunction. Clinical trials have shown that CNI minimization or discontinuation may aid in improvement in…
  • 2015 American Transplant Congress

    Superior Renal Function in an Everolimus-Based Calcineurin Inhibitor Free Regimen Compared to Standard Cyclosporine/Mycophenolate and Low Cyclosporine/Everolimus: Follow-Up of the HERAKLES Study at Month 48

    K. Budde,1 C. Sommerer,1 P. Weithofer,1 O. Witzke,1 M. Guba,1 J. Jacobi,1 B. Vogt,3 I. Hauser,1 R. Stahl,1 P. Reinke,1 T. Rath,1 D. Baeumer,2 M. Porstner,2 M. Zeier,1 F. Lehner,1 W. Arns.1

    1Herakles Study Group, Germany; 2Novartis, Pharma, Germany; 3Herakles Study Group, Switzerland.

    Aim: To follow up on renal function (GFR) at month (Mo) 48 after kidney transplantation (Tx) in patients (pts) on immunosuppressive regimen with different calcineurin…
  • 2015 American Transplant Congress

    NFAT Regulated Cytokine Gene Expression for Immune Monitoring in Kidney Transplant Recipients

    V. Tatapudi, A. Webber, C. Leung, F. Vincenti.

    Div. of Nephrology, Dept. of Medicine, University of California, San Francisco Medical Center, San Francisco, CA.

    Purpose of Study:To demonstrate that profiling kidney transplant recipients (KTR) on Tacrolimus (Tac) based immunosuppression based on quantitative analysis of NFAT (nuclear factor of activated…
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