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Articles tagged "Pharmacokinetics"

  • 2015 American Transplant Congress

    Influence of POR*28 Genotype on Tacrolimus Disposition in Heart Transplant Recipients

    T. Alford,1 R. Page,1 J. Lindenfeld,2 C. Aquilante.1

    1University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO; 2University of Colorado School of Medicine, Aurora, CO.

    Polymorphisms in P450 oxidoreductase (POR) have been shown to modulate CYP3A activity and alter the pharmacokinetics of CYP3A substrates, such as tacrolimus (TAC). The objective…
  • 2015 American Transplant Congress

    Opportunities in Tacrolimus Therapeutic Drug Monitoring

    N. Jandovitz, J. Lee, S. Hammad, J. McKeen, S. Martin, D. Tsapepas.

    Department of Pharmacy, NewYork-Presbyterian Hospital, NY.

    Tacrolimus requires diligent therapeutic drug monitoring (TDM) to maintain appropriate serum concentrations after transplant. To optimize efficacy & minimize toxicity frequent levels are drawn, commonly…
  • 2015 American Transplant Congress

    Prospective, 6 Month, Open Label, Conversion Study from Mycophenolate Mofetyl to Mycophenolic Acid Evaluating the Severity of Gastro-Intestinal Symptoms and Mycophenolic Acid Urinary Metabolite as a Surrogate Marker of Plasmatic Area Under the Curve

    D. Tran,1 A. Boucher,1 L. Senécal,1 V. Pichette,1 F. Leblond,2 S. Collette.1

    1Nephrology, Hôpital Maisonneuve-Rosemont, Montréal, QC, Canada; 2Research Center, Hôpital Maisonneuve-Rosemont, Montréal, QC, Canada.

    Introduction: Treatment with mycophenolate mofetil (MMF) often results in adverse gastro-intestinal (GI) events, which can lead to dose reductions that in turn can increase the…
  • 2015 American Transplant Congress

    No Pharmacokinetic Interaction Between Pantoprazole and Mycophenolic Acid in Renal Transplant Patents: A Randomized Crossover Study

    O. Rissling, P. Glander, P. Hambach, M. Mai, S. Brakemeier, D. Klonower, F. Halleck, E. Singer, E. Schrezenmeier, M. Duerr, H. Neumayer, K. Budde.

    Department of Nephrology, Charité University Hospital, Berlin, Germany.

    Mycophenolic acid (MPA) is used as an immunosuppressive agent in renal transplant (tx) patients (pts). 2 formulations are on the market: The prodrug Mycophenolate-Mofetil (MMF)…
  • 2015 American Transplant Congress

    Does Infection Impact On Tacrolimus Blood Levels in Kidney Transplant Recipients?

    N. Kanaan,1 C. Percy,1 Z. Hassoun,2 M. Mourad,3 C. Beguin,4 M. De Meyer,3 E. Goffin.1

    1Nephrology, Cliniques Universitaires Saint Luc, Brussels, Belgium; 2Gastroenterology, Cliniques Universitaires Saint Luc, Brussels, Belgium; 3Abdominal Surgery and Transplantation, Cliniques Universitaires Saint Luc, Brussels, Belgium; 4Medical Information and Statistics, Cliniques Universitaires Saint Luc, Brussels, Belgium.

    Background Tacrolimus (Tac) is the cornerstone of immunosuppressive therapy in kidney transplant recipients. It is metabolized by members of the cytochrome p450 (CYP) 3A subfamily…
  • 2015 American Transplant Congress

    Development and Validation of a Genotype Guided Tacrolimus Dosing Equation for African American (AA) Kidney Transplant Recipients

    K. Sanghavi,1 R. Brundage,1 M. Miller,2 D. Schaldt,3 A. Israni,3 W. Guan,4 W. Oetting,1 R. Mannon,5 R. Remmel,1 A. Matas,6 P. Jacobson.1

    1College of Pharmacy, University of MN, Minneapolis, MN; 2Dept of Psychology, University of MN, Minneapolis, MN; 3Minneapolis Medical Research Foundation, Hennepin County Medical Center, Minneapolis, MN; 4Dept of Biostatistics, University of MN, Minneapolis, MN; 5Dept of Nephrology, University of AL, Birmingham, AL; 6Dept of Surgery, University of MN, Minneapolis, MN.

    Tacrolimus (tac) has a strong exposure-response relationship with high inter-individual variability in troughs and dose. Tac dose requirements for AA patients are higher than Caucasians,…
  • 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

    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

    Safety and Efficacy of Low Dose and Very Low Dose Extended-Release Tacrolimus / MMF in De Novo Kidney Transplant Recipients

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

    1Transplant Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan; 2Applied Immunology, Nagoya University Graduate School of Medicine, Nagoya, 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…
  • 2015 American Transplant Congress

    Pharmacokinetics of Mycophenolic Acid (MPA) in Elderly Compared to Young Recipients in the First Year After Renal Transplantation. Data from the NEverOLd Trial

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

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

    Elderly (≥60years) recipients are nowadays receiving renal transplants more frequently. The pharmacokinetics studies (PK) of immunosuppressive drugs in healthy volunteers, rarely, if ever, include old…
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