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American Transplant Congress abstracts

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Articles tagged "Pharmacokinetics"

  • 2019 American Transplant Congress

    The Reduced Tacrolimus Metabolism Rate and Its Association with Estimated Glomerular Filtration Rate and Interstitial Fibrosis: A Study Using Korean Organ Transplantation Registry (KOTRY) Dataset

    J. Jeong1, H. Ro2, T. Koo3, J. Yang3, M. Kim4, S. Shin5, J. Park6, T. Ban7, S. Han8, T. Kim9, C. Ahn10

    1Ajou University School of Medicine, Suwon, Korea, Republic of, 2Gachon University, Incheon, Korea, Republic of, 3Seoul National University Hospital, Seoul, Korea, Republic of, 4Yonsei University College of Medicine, Seoul, Korea, Republic of, 5Asan Medical Center, Seoul, Korea, Republic of, 6Samsung Medical Center, Seoul, Korea, Republic of, 7Seoul St Mary's Hospital, Seoul, Korea, Republic of, 8Keimyung University School of Medicine, Daegu, Korea, Republic of, 9Inje University, Busan Paik Hospital, Busan, Korea, Republic of, 10Seoul National University College of Medicine, Seoul, Korea, Republic of

    *Purpose: Tacrolimus is the key drug in clinical transplant, which has narrow therapeutic index. A few studies reported the association of tacrolimus metabolism rate with…
  • 2019 American Transplant Congress

    Evaluation of Mycophenolate Mofetil Exposure in Renal Transplant Recipients

    M. C. Ott1, S. Mietz2, S. Chang3

    1Department of Pharmaceutical Services, Erie County Medical Center, Buffalo, NY, 2Department of Pharmacy, Indiana University Health, Indianapolis, IN, 3Department of Medicine, Jacobs School of Medicine & Biomedical Sciencess, Buffalo, NY

    *Purpose: Mycophenolate mofetil (MMF) is the most commonly prescribed immunosuppressant following transplantation in the United States. However, the occurrence of MMF therapy-related adverse events including…
  • 2019 American Transplant Congress

    Retrospective Nested Case Control Study of the Impact of Immunosuppression on Post Transplant Malignancy among Adult Heart Transplant Patients

    S. Crow, R. J. Bubik, S. S. Kushwaha, K. C. Mara, R. A. Dierkhising, N. L. Pereira

    Mayo Clinic, Rochester, MN

    *Purpose: Post-transplant malignancy is diagnosed in approximately 18% of heart transplant (HTx) recipients and is a leading long-term cause of death among these patients. The…
  • 2019 American Transplant Congress

    Development and Validation of a Capillary Blood Mitra-Based Assay for the Quantitative Determination of Advagraf® Concentrations in Transplant Patients

    N. Undre1, I. Dawson2, V. Aluvihare3, N. Kamar4, F. Saliba5, N. Torpey6, S. Anaokar7, G. Kazeem1

    1Astellas Pharma Europe Ltd, Chertsey, United Kingdom, 2Covance Laboratories, Harrogate, United Kingdom, 3Kings College Hospital, London, United Kingdom, 4CHU Rangueil, Toulouse, France, 5Hôpital Paul-Brousse, Villejuif, France, 6Addenbrookes Hospital, Cambridge, United Kingdom, 7Astellas Pharma Europe Ltd, Surrey, United Kingdom

    *Purpose: Therapeutic drug monitoring of tacrolimus (TAC) requires venepuncture blood samples taken by specialists, requiring patients to attend an outpatient clinic; this can be inconvenient…
  • 2018 American Transplant Congress

    Evaluation of Clinical and Safety Outcomes Following Uncontrolled Tacrolimus Conversion in Adult Transplant Recipients

    A. Lichvar,1 S. Tremblay,2 D. Naik,2 E. King,4 A. Vinks,4 U. Christians,3 J. Lipscomb,4 R. Alloway.2

    1U of Illinois at Chicago, Chicago, IL; 2U of Cincinnati, Cincinnati, OH; 3U of Colorado, Denver, CO; 4Cincinnati Children's, Cincinnati, OH.

    Background: Long-term studies with control groups are required to assess tacrolimus (TAC) conversion. The purpose of this study was to compare clinical and safety outcomes…
  • 2018 American Transplant Congress

    Tacrolimus Metabolism in Subjects with Potentially Absent CYP3A Activity

    A. Scheibner,1 R. Remmel,2 D. Schladt,3 W. Oetting,1 W. Guan,4 B. Wu,4 C. Door,5 A. Israni,5 P. Jacobson.1

    1Experimental and Clinical Pharmacology, University of Minnesota, Minneapolis, MN; 2Medicinal Chemistry, University of Minnesota, Minneapolis, MN; 3Minneapolis Medical Research Foundation, Hennepin County Medical Center, Minneapolis, MN; 4Biostatistics, University of Minnesota, Minneapolis, MN; 5Department of Medicine, Hennepin County Medical Center, Minneapolis, MN.

    Purpose: Tacrolimus (TAC) is a well-known cytochrome P450 (CYP) 3A4 and 3A5 substrate. Common single nucleotide polymorphisms (SNPs) in these genes are significantly related to…
  • 2018 American Transplant Congress

    Tacrolimus Pharmacokinetics (PK) at Low, Medium, and High Trough Levels in Patients Converted from Twice-Daily Immediate-Release Tacrolimus (TacBID) to Once-Daily Extended-Release Tacrolimus (LCPT)

    P. Malvezzi,1 S. Bunnapradist,2 D. Stevens,3 M. Moten,3 A. Loh,3 S. Patel,3 L. Rostaing.1

    1Service De Néphrologie, Hémodialyse, Aphérèses Et Transplantation Rénale, Chu Grenoble Alpes, La Tronche, France; 2Nephrology, University of California, Los Angeles, Los Angeles, CA; 3Veloxis, Cary, NC.

    LCPT (Envarsus XR®) is a once-daily, extended-release formulation of tacrolimus which has demonstrated greater bioavailability and a smoother PK profile compared to TacBID. This post-hoc…
  • 2018 American Transplant Congress

    Association of CYP3A5*3*6*7 Metabolic Composites to Tacrolimus Pharmacokinetics in African American and Caucasian Renal Transplant Recipients

    K. Tornatore,1,5 D. Brazeau,2 C. Meaney,1 K. Attwood,3,4 G. Wilding,4 S. Chang,5 R. Venuto.5

    1Pharmacy, School of Pharmacy, University at Buffalo(UB), Buffalo; 2Pharmaceutical Sciences, College of Pharmacy; University of New England, Portland; 3Biostatistics, Roswell Park Cancer Institute, Buffalo; 4Biostatistics, UB School of Public Health, Buffalo; 5Nephrology, UB School of Medicine, Buffalo.

    Background: Interpatient variability in tacrolimus pharmacokinetics(PK) is due primarily to metabolism by cytochrome P-450 3A5(CYP3A5) isoenzymes. African Americans(AA) require higher tacrolimus doses to achieve comparable…
  • 2018 American Transplant Congress

    The Providers Can't Let Go! An Analysis of an RN Driven Tacrolimus Dose Adjustment Protocol

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

    MUSC, Charleston.

    Introduction: Tacrolimus (FK) dose adjustment is frequently performed by non-MD staff. Standard protocols to evaluate the ability of non-providers to maintain pts within a goal…
  • 2018 American Transplant Congress

    Institution-Based, Pharmacist-Managed Anticoagulation in Patients with a Left Ventricular Assist Device

    T. Bibb,1 L. Halder,1 D. McDanel,1 A. Briasoulis,2 P. Alvarez,2 K. Horner,1 J. Bhama,3 S. Larson.3

    1Department of Pharmaceutical Care, University of Iowa Hospitals and Clinics, Iowa City, IA; 2Division of Cardiovascular Medicine, Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA; 3Division of Cardiothoracic Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.

    Long-term anticoagulation with warfarin is required for patients with left ventricular assist devices (LVADs). There is limited data of time in therapeutic range (TTR) in…
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