ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Pharmacokinetics"

  • 2019 American Transplant Congress

    Association of Tacrolimus-Level Variance with De Novo DSA within the First 2 Years after Renal Transplantation

    M. J. Everly1, I. Purnajo1, K. P. Briley2, J. L. Beaumont1, P. Bolin2, S. A. Kendrick3, H. Jones3, K. McLawhorn3, A. Q. Maldonado4, D. Leeser2, C. E. Haisch2, L. M. Rebellato2

    1Terasaki Research Institute, Los Angeles, CA, 2East Carolina University, Greenville, NC, 3Eastern Nephrology Associates, Greenville, NC, 4Vidant Medical Center, Greenville, NC

    *Purpose: Patients that receive an HLA-mismatched kidney transplant (KT) have an increased likelihood to develop de novo DSA (dnDSA). Ideally, immunosuppression is properly adjusted and…
  • 2019 American Transplant Congress

    Intravenous Immunoglobulin Significantly Reduces Bioavailability of Concomitantly Administered Anti-C5 Monoclonal Antibodies

    S. C. Jordan1, K. Kucher2, M. Bagger2, H. Hockey3, K. Wagner4, N. Ammerman1, J. Choi1, A. Vo1

    1Comprehensive Transplant Center, Cedars-Sinai Medical Ctr, Los Angeles, CA, 2Novartis Institutes for BioMedical Research, Basel, Switzerland, 3Biometrics Matters Ltd, Hamilton, New Zealand, 4Novartis Institutes for BioMedical Research, Cambridge, MA

    *Purpose: Awareness of drug-drug interactions is critical in management of organ transplant recipients. However, there is little understanding of the possibility of biologic agents interfering…
  • 2019 American Transplant Congress

    Tacrolimus Concentration/Dose Ratio is an Independent Predictor of Death-Censored Kidney Allograft Survival

    T. Jouve1, J. Noble1, X. Fonrose2, B. Janbon1, G. Fiard3, P. Malvezzi1, L. Rostaing1

    1Nephrology, Dialysis, Aphereses and Transplantation Department, Grenoble University Hospital, Grenoble, France, 2Pharmacology, Pharmacogenetics and Toxicology Laboratory, Grenoble University Hospital, Grenoble, France, 3Urology and Kidney Transplantation Department, Grenoble University Hospital, Grenoble, France

    *Purpose: Tacrolimus (Tac) remains the cornerstone of kidney transplantation immunosuppression. Its narrow therapeutic index demands therapeutic drug monitoring. The C/D ratio (Tac trough concentration /…
  • 2019 American Transplant Congress

    Comparison of Initial Sirolimus (SRL) and Everolimus (EVR) Exposure Patterns in Kidney Transplant Recipients

    C. Rosso Felipe, L. Viana, M. Pontello Cristelli, M. Nakamura, L. Ramagnoli, S. Braga, V. Lima, A. Carnevalle, D. Casarini, J. Medina Pestana, H. Tedesco Silva Junior

    Hospital do Rim, Nephrology Division, EPM - UNIFESP, São Paulo, Brazil

    *Purpose: Despite distinct pharmacokinetic properties, SRL and EVR bind to the same intracellular target protein, suggesting that equivalent blood concentrations may exert similar pharmacodynamic effect.*Methods:…
  • 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…
  • 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

    Once Daily CNI Administration Based on Pharmacodynamic Analysis for Preventing Viral Infection

    Y. Matsuoka,1 K. Iwasaki,2 Y. Miwa,2 K. Horimi,1 K. Uchida,2 T. Kobayashi.1

    1Renal Transplant Surgery, Aichi Medical University, Nagakute City, Aichi, Japan; 2Kidney Disease and Transplant Immunology, Aichi Medical University, Nagakute City, Aichi, Japan.

    BackgroundInfectious complications under immunosuppressive therapy are inevitable problems. Viral infection (include reactivation) occurs at a certain frequency even if immunosuppressive agents are totally adjusted by…
  • 2018 American Transplant Congress

    Development of Optimal Simplified Equation for Estimation of Mycophenolic Acid Exposure Following Enteric-Coated Mycophenolate Sodium Administration in Chinese Renal Transplant Recipients

    W. Peng, C. Tian, Z. Chen, W. Xue, G. Wang, Q. Ye, X. Zhang, M. Gu, M. Zhao, C. Wang, C. Huang, J. Yan, W. Zhang, C. Ding, Y. Fu, S. Ye, X. Hu, R. Tan, M. Li, R. Deng, Y. Ke, W. Wu, M. Fan, J. Chen.

    MyERA Study Group, Hangzhou, China.

    Background: Limited sampling strategies (LSS) aids in overcoming the complexity of extensive PK sampling and supporting the calculation of mycophenolic acid (MPA) exposure. This study…
  • 2018 American Transplant Congress

    Conversion from Twice Daily Immediate Release Tacrolimus to Once Daily Extended Release Tacrolimus (LCP-Tacro) in High Risk Kidney Transplant Recipients

    M. Benincasa,1 V. Colomy,1 N. Sifontis,1 S. Rao,2 K. Lau,3 S. Karhadkar,3 A. Di Carlo,3 A. Diamond.4

    1Pharmacy Practice, Temple School of Pharmacy, Philadelphia, PA; 2Medicine, Temple School of Medicine, Philadelphia, PA; 3Surgery, Temple School of Medicine, Philadelphia, PA; 4Pharmacy, Temple University Hospital, Philadelphia, PA.

    Extended release once daily tacrolimus (LCP-Tacro) has demonstrated non inferiority to immediate release twice daily tacrolimus (IR-Tac) in kidney transplantation. These data are limited by…
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