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Articles tagged "Pharmacokinetics"

  • 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…
  • 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…
  • 2018 American Transplant Congress

    Pharmacokinetics of Mycophenolic Acid 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: Mycophenolic acid (MPA), active component of mycophenolate mofetil (MMF) or enteric-coated mycophenolate sodium (EC-MPS), is the most commonly used immunosuppressant in renal transplant recipients…
  • 2018 American Transplant Congress

    A Six-Month, Prospective, Single-Center, Pilot Study to Determine the Pharmacokinetics and Effectiveness of Immunosuppressant Regimens in Liver Transplantation Patients Receiving Twice-Daily Tacrolimus and Everolimus (TAC + EVR BID) Regimen Converted to Once-Daily Tacrolimus and Everolimus (TAC + EVR QD) Regimen – A Priliminary Report

    T-.H. Wu, C-.H. Cheng, Y-.C. Wang, C-.F. Lee, T-.J. Wu, H. Chou, K-.M. Chan, W-.C. Lee.

    Division of Liver and Transplantation Surgery, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan.

    Adherence to immunosuppressant regimen is crucial for graft survival and usually inversely related to the dose frequency. Similar efficacy and safety profile has been approved…
  • 2017 American Transplant Congress

    Early Exposure of Everolimus with and without Calcineurin Inhibitors.

    C. Felipe, A. Ferreira, T. Abait, A. Bessa, P. Ruppel, L. Hiramoto, M. Ivani, H. Tedesco, J. Medina- Pestana.

    Nephrology Division, Hospital do Rim, UNIFESP, São Paulo, SP, Brazil

    This study aimed to evaluate the effect of cyclosporine (CSA) or tacrolimus (TAC) on early exposure of everolimus (EVR).A cohort of 306 kidney transplant recipients…
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