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Articles tagged "Pharmacokinetics"

  • 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…
  • 2019 American Transplant Congress

    The Comparative Safety and Efficacy of Direct Acting Oral Anticoagulants Relative to Warfarin Following Liver Transplantation

    A. Santeusanio, A. Weinberg, T. Schiano

    Mount Sinai Hospital, New York, NY

    *Purpose: This study describes the comparative safety and efficacy of direct acting oral anticoagulants (DOACs) relative to warfarin following liver transplantation, at a large academic…
  • 2019 American Transplant Congress

    Impact of Liver Recipient Genotype on Tacrolimus

    S. Tremblay1, T. Fukuda2, T. Mizuno2, A. A. Vinks2, E. Woodle1, J. Klawitter3, J. Klawitter3, U. Christians3, R. R. Alloway1

    1University of Cincinnati, Cincinnati, OH, 2Cincinnati Children's Hospital and Medical Center, Cincinnati, OH, 3iC42 Clinical Research and Development, Aurora, CO

    *Purpose: In kidney transplant recipients, recipient genotype (CYP3A5 *3) has the greatest influence on tacrolimus pharmacokinetics (PK). However, in liver transplant recipient, donor liver and…
  • 2019 American Transplant Congress

    A Clinical Pharmacogenetic Model to Predict the Efficacy of Sirolimus during the Early Administration in Renal Transplant Recipients

    Z. Wang, S. Fei, Z. Han, J. Tao, R. Tan, M. Gu

    No.300 Guangzhou Road of Nanjing, Nanjing, China

    *Purpose: This study was to develop a clinical pharmacogenetic model to predict the efficacy of sirolimus during the early administration in renal transplant recipients. 70…
  • 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…
  • 2018 American Transplant Congress

    Single-Dose Pharmacokinetics and Pharmacodynamics of Belatacept in Adolescent Kidney Transplant Recipients

    A. Moudgil,1 V. Dharnidharka,2 D. Feig,3 B. Warshaw,4 V. Perera,5 B. Murthy,5 M. Roberts,5 M. Polinsky,5 R. Ettenger.6

    1Children's National Medical Center, Washington, DC; 2Washington University, St. Louis, MO; 3University of Alabama, Birmingham, AL; 4Emory University & Children's Healthcare of Atlanta, Atlanta, GA; 5Bristol-Myers Squibb, Lawrenceville, NJ; 6University of California, Los Angeles, CA.

    Purpose: To assess the pharmacokinetics (PK) and pharmacodynamic (PD) effect of a single dose of belatacept (bela) administered to adolescent kidney transplant recipients (KTR).Methods: In…
  • 2018 American Transplant Congress

    High Tacrolimus Variability is Associated with Worse Outcomes in Pediatric Renal Transplant Recipients

    S. Solomon, M. Del Rio, A. Colovai, N. Hayde.

    Montefiore Medical Center, Bronx, NY.

    Background: Subtherapeutic tacrolimus trough concentrations are associated with donor specific antibody (DSA), acute rejection and shortened graft survival. The role of intrapatient variability in tacrolimus…
  • 2018 American Transplant Congress

    The Effect of Tacrolimus Trough Level and Intrapatient Variability on the Transplant Outcomes in Kidney Transplantation

    J. Lee,1 J. Lee,1 Y. Jung,1 D. Kim,1 S. Song,2 J. Lee,3 J. Lee,1 M. Kim,1 S. Kim,1 Y. Kim,1 B. Kim,4 K. Huh.1

    1Surgery, Yonsei University College of Medicine, Seoul, Korea; 2Surgery, Ewha Womans University, School of Medicine, Seoul, Korea; 3Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea; 4Internal Medicine (Nephrology), Yonsei University College of Medicine, Seoul, Korea.

    Background: Tacrolimus (TAC) is the mainstay of immunosuppression for kidney transplantation (KT). Although TAC has a narrow therapeutic index, appropriate trough concentrations of TAC have…
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