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Articles tagged "Pharmacokinetics"

  • 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…
  • 2015 American Transplant Congress

    New Insights in Clinical and Genetic Determinants of Longitudinal Dose-Corrected CNI Exposure in Children After Renal Transplantation

    N. Knops,1 M. van Dyck,1 E. Levtchenko,1 D. Kuypers,2 J. Herman.1

    1Pediatric Nephrology and Solid Organ Transplantation, University Hospitals Leuven, Leuven, Belgium; 2Nephrology and Renal Transplantation, University Hospitals Leuven, Leuven, Belgium.

    Purpose: Calcineurin-inhibitors (CNI) have a narrow therapeutic index and dosing is difficult due to inter- and intra-individual variation in pharmacokinetics (PK). Polymorphisms in genes involved…
  • 2015 American Transplant Congress

    Impacts of Mycophenolate Mofetile Addition to Very Low Exposure Everolimus and Calcineurine Inhibitor Based Immunosuppression in De Novo Kidney Transplantation

    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 Immunity, Nagoya University Graduate School of Medicine, Nagoya, Japan.

    Purpose: Prospective randomized study of MMF addition to everolimus (EVR) based immunosuppression was evaluated in clinical outcomes as well as protocol biopsies findings and donor…
  • 2015 American Transplant Congress

    Pharmacogenomic Predictors of Acute Rejection in Kidney Transplant Recipients Identified Using a DNA Biobank Linked to Electronic Medical Records

    K. Birdwell,1 D. Velez-Edwards,2 G. Vranic,5 J. Denny,1,3 L. Choi,4 T. Ikizler,1 D. Haas.1

    1Medicine, Vanderbilt University Medical Center, Nashville, TN; 2Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN; 3Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN; 4Biostatistics, Vanderbilt University Medical Center, Nashville, TN; 5Medicine, University of Virginia, Charlottesville, VA.

    Purpose: Risk for acute rejection (AR) complicating transplant immunosuppression may be affected by frequent variants in pharmacogenes. Using a DNA biobank linked to electronic medical…
  • 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…
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