Guiding the starting dose of the once-daily formulation of tacrolimus in “de novo” adult renal transplant patients: a population approach

The 36% between-patient variability in CL/F was explained by CYP3A5 genotype, age, and hematocrit. Hematocrit standardization to 45% explained the variability of tacrolimus whole-blood concentrations, and this was of utmost importance in order to better interpret whole-blood tacrolimus concentrations during therapeutic drug monitoring. The dose requirements of CYP3A5<i>*/1</i> carriers in patients aged 60 years or younger would be highest, while CYP3A5<i>*/1</i> non-carriers older than 60 years would require the lowest doses.

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Publication Details

Journal
Frontiers in Pharmacology
Published
2024-09-19
DOI
https://doi.org/10.3389/fphar.2024.1456565
Citations
2
Primary Topic
Renal Transplantation Outcomes and Treatments
Type
article
Field-Weighted Citation Impact
1.02

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article

Guiding the starting dose of the once-daily formulation of tacrolimus in “de novo” adult renal transplant patients: a population approach

Anna Vidal‐Alabró, Helena Colom, Núria Montero, Edoardo Melilli et al.
2 citations
Frontiers in Pharmacology
Renal Transplantation Outcomes and Treatments
1.02
article

Guiding the starting dose of the once-daily formulation of tacrolimus in “de novo” adult renal transplant patients: a population approach

Anna Vidal‐Alabró, Helena Colom, Núria Montero, Edoardo Melilli, Anna Manonelles, Beatriz Fernández-Alarcón, Raül Rigo‐Bonnin, Josep M. Grinyó, Ana Coloma, Núria Lloberas, Sergi Codina, Oscar Nolberger, Àlex Favà, Josep María Cruzado
article en
2 citations

Abstract

The 36% between-patient variability in CL/F was explained by CYP3A5 genotype, age, and hematocrit. Hematocrit standardization to 45% explained the variability of tacrolimus whole-blood concentrations, and this was of utmost importance in order to better interpret whole-blood tacrolimus concentrations during therapeutic drug monitoring. The dose requirements of CYP3A5<i>*/1</i> carriers in patients aged 60 years or younger would be highest, while CYP3A5<i>*/1</i> non-carriers older than 60 years would require the lowest doses.

Frontiers in PharmacologyVol. 15
Bellvitge University Hospital (ES), Institut d'Investigació Biomédica de Bellvitge (ES), Universitat de Barcelona (ES)
Centres de Recerca de Catalunya, Generalitat de Catalunya, Instituto de Salud Carlos III, European Regional Development Fund
Good health and well-being
Openalex Percentile: Top 24%
Renal Transplantation Outcomes and Treatments
1.02
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Guiding the starting dose of the once-daily formulation of tacrolimus in “de novo” adult renal transplant patients: a population approach — Anna Vidal‐Alabró, Helena Colom, et al. · Frontiers in Pharmacology (2024) | TGRS Research Map | TGRS