Prolonged-Release Once-Daily Formulation of Tacrolimus Versus Standard-of-Care Tacrolimus in de novo Kidney Transplant Patients Across Europe
| Autor: | Klemens Budde, Lionel Rostaing, Umberto Maggiore, Giovanni Piotti, Daniela Surace, Silvia Geraci, Claudio Procaccianti, Gabriele Nicolini, Oliver Witzke, Nassim Kamar, Laetitia Albano, Matthias Büchler, Julio Pascual, Alex Gutiérrez-Dalmau, Dirk Kuypers, Thomas Wekerle, Maciej Głyda, Mario Carmellini, Giuseppe Tisone, Karsten Midtvedt, Lars Wennberg, Josep M. Grinyó |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Transplantation
kidney PHARMACOKINETICS Science & Technology immunosuppression RENAL-TRANSPLANTATION TWICE-DAILY TACROLIMUS Medizin REQUIREMENT chemical and pharmacologic phenomena Kidney PHASE-III Tacrolimus LCPT DOUBLE-BLIND RECIPIENTS CONVERSION stomatognathic diseases ADHERENCE surgical procedures operative Pharmacokinetics Surgery tacrolimus Life Sciences & Biomedicine Immunosuppression |
| Popis: | Background: Tacrolimus is the calcineurin inhibitor of choice for preventing acute rejection episodes in kidney transplant patients. However, tacrolimus has a narrow therapeutic range that requires regular monitoring of blood concentrations to minimize toxicity. A new once-daily tacrolimus formulation, LCP-tacrolimus (LCPT), has been developed, which uses MeltDose™ drug-delivery technology to control drug release and enhance overall bioavailability. Our study compared dosing of LCPT with current standard-of-care tacrolimus [immediate-release tacrolimus (IR-Tac) or prolonged-release tacrolimus (PR-Tac)] during the 6 months following de novo kidney transplantation. Comparisons of graft function, clinical outcomes, safety, and tolerability for LCPT versus IR-Tac/PR-Tac were also performed.Methods: Standard immunological risk patients with end-stage renal disease who had received a de novo kidney transplant were randomized (1:1) to LCPT (N = 200) or IR-Tac/PR-Tac (N = 201).Results: Least squares (LS) mean tacrolimus total daily dose from Week 3 to Month 6 was significantly lower for LCPT than for IR-Tac/PR-Tac. Although LS mean tacrolimus trough levels were significantly higher for LCPT than IR-Tac/PR-Tac, tacrolimus trough levels remained within the standard reference range for most patients. There were no differences between the groups in treatment failure measures or safety profile.Conclusion: LCPT can achieve similar clinical outcomes to other tacrolimus formulations, with a lower daily dose.Clinical Trial Registration:https://clinicaltrials.gov/, identifier NCT02432833. |
| Databáze: | OpenAIRE |
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