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Articles tagged "FK506"

  • 2018 American Transplant Congress

    Does One Size Fit All? Implementing a Protocolized Ambulatory Tacrolimus Dosing Strategy in a Predominantly African American Renal Transplant Population

    L. Gylten, C. Mardis, D. Taber, H. Meadows, C. Perez, Z. Elmaasarani, J. Fleming, N. Patel, P. Baliga, V. Rao, V. Rohan, N. Pilch.

    Medical University of South Carolina, Charleston, SC.

    Introduction: African American (AA) KTx recipients have significant tacrolimus (FK) inter patient variability making protocolized dosage adjustment challenging. We sought to evaluate the efficacy &…
  • 2018 American Transplant Congress

    Assessment of Peak Levels and Metabolism Rates in African American (AA) and Non-AA Kidney Transplant Recipients (KTR) on Immediate-Release Tacrolimus (IR-tac)

    T. Horwedel,1 R. Sodhi,2 D. Tsapapas,3 M. Mills,4 S. Patel,4 G. Towns.5

    1Barnes-Jewish Hospital, St. Louis, MO; 2St. Louis University, St. Louis, MO; 3Columbia University, New York, NY; 4Veloxis Pharmaceuticals, Cary, NC; 5University of Alabama, Birmingham, AL.

    Trough-to-daily dose (C/D) ratio has been used as a simple method for evaluation of IR-tac metabolism rate. Recent studies have shown that fast metabolizers defined…
  • 2018 American Transplant Congress

    Long-Term Effects of Ketoconazole in Rapid Tacrolimus Metabolizers Post-Renal Transplantation

    J. Ching,1 S. Anders,1 M. Janusek,1 L. Hutchinson,1 A. Freeman,1 U. Patel,1 A. Mohammed,4 H. Bohorquez.2,3

    1Department of Pharmacy, Ochsner Clinical Foundation, New Orleans, LA; 2Multi-Organ Transplant Institute, Ochsner Clinical Foundation, New Orleans, LA; 3The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA; 4Academic Center, Ochsner Clinical Foundation, New Orleans, LA.

    Introduction: Genetic polymorphisms in cytochrome P-450 enzymes can cause variations in tacrolimus (tac) metabolism. Ketoconazole (keto), a potent CYP450 and P-glycoprotein inhibitor, can be used…
  • 2018 American Transplant Congress

    Time within Therapeutic Range: A Comparison of Three Tacrolimus Formulations in Renal Transplant Recipients

    K. Khalil, P. West-Thielke, A. Lichvar, E. Benedetti, S. Patel.

    University of Illinois Hospital & Health Sciences System, Chicago, IL.

    Purpose: To compare three formulations of tacrolimus (TAC) and assess differences in time within therapeutic range (TTR) and variability in levels.Methods: Renal transplant recipients from…
  • 2018 American Transplant Congress

    Evaluation of Tacrolimus Extended-Release in African American Renal Transplant Recipients

    T. Sparkes, B. Ravichandran, C. Williams, B. Thomas, B. Masters.

    University of Maryland, Baltimore.

    Purpose: Limited data exists to guide appropriate dosing strategies for novel tacrolimus formulations, such as tacrolimus XL (Astagraf XL). This is especially true in the…
  • 2018 American Transplant Congress

    Comparison of Low Dose and Very Low Dose Extended-Release Tacrolimus / MMF in De Novo Kidney Transplant Recipients- 3 Years Follow-Up

    S. Narumi,1 Y. Watarai,1 N. Goto,2 T. Hiramitsu,1 M. Tsujita,2 M. Okada,1 K. Futamura,2 T. Kobayashi.3

    1Transplant Surgery, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan; 2Transplant Nephrology, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Aichi, Japan; 3Kidney Transplant Surgery, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan.

    Recently, once-daily tacrolimus extended-release formulation (TACER) has been accepted in kidney transplantation, however its optimal dosing are not well evaluated. We have validated low dose…
  • 2018 American Transplant Congress

    Clinical Significance of Tacrolimus Trough Level at the Early Period after Kidney Transplantation

    W. Park,1,2 S. Yeo,1 S. Kang,1,2 H. Park,1 K. Jin,1,2 S. Park,1,2 S. Han.1,2

    1Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea; 2Keimyung University Kidney Institute, Daegu, Republic of Korea.

    Background:The stable immunosuppressant level at the early period after kidney transplantation (KT) is one of the most important factors to decide the prognosis of KT.…
  • 2018 American Transplant Congress

    Tacrolimus and Isavuconazole Therapy: What about the Drug Interaction?

    C. Gill,1 N. Mercuro,1 R. Kenney,1 A. Jantz,1 B. Summers,1 N. Sulejmani,1 S. Davis.1,2

    1Henry Ford Hospital, Detroit; 2Wayne State University, Detroit, MI.

    Introduction:Isavuconazole (ISV) is a triazole antifungal that is often utilized in solid organ transplant recipients (SOTR) for the treatment of invasive aspergillosis and mucormycosis. Isavuconazole…
  • 2018 American Transplant Congress

    Target Tacrolimus Troughs and CYP3A5 Polymorphisms Do Not Predict Therapeutic Drug Exposure in African American and Caucasian Renal Transplant Recipients

    K. Tornatore,1,4 K. Attwood,2 D. Brazeau,3 S. Chang,4 R. Venuto.4

    1Pharmacy, School of Pharmacy, University at Buffalo(UB), Buffalo; 2Biostatistics, RPCI, Buffalo; 3Pharmaceutical Sciences, University of New England, Portland; 4Nephrology, UB School of Medicine, Buffalo.

    Background: African American(AA) renal transplant recipients(RTR) require larger tacrolimus(TAC) doses to achieve similar troughs to Caucasians which may be due to CYP3A5 polymorphisms. TAC pharmacokinetics…
  • 2018 American Transplant Congress

    Prevalence and Impact of CYP3A5 Genomic Variances on Clinical Outcomes among African-American Kidney Transplant Recipients

    A. Maldonado,1 S. Hudson,2 L. Rebellato,2 T. Asempa.1

    1Vidant Medical Center, Greenville, NC; 2East Carolina University, Greenville, NC.

    Introduction: Kidney transplantation in African American (AA) recipients continues to demonstrate inferior outcomes when compared with other race/ethnicities. Contributing factors encompass differences in pharmacogenomics, and…
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