Envarsus Versus Advagraf in De Novo Kidney Transplant Recipients: A Comparative Pharmacokinetic Study

In de novo kidney transplant recipients, Envarsus provides higher early tacrolimus exposure and consistently higher dose-normalized trough exposure than Advagraf, enabling lower maintenance doses while maintaining similar short-term effectiveness and safety. However, early overexposure was more frequent with Envarsus at 0.15 mg/kg/day, supporting careful early monitoring and consideration of lower starting doses.

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Publication Details

Journal
Life
Published
2026-02-02
DOI
https://doi.org/10.3390/life16020256
Primary Topic
Renal Transplantation Outcomes and Treatments
Type
article
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article

Envarsus Versus Advagraf in De Novo Kidney Transplant Recipients: A Comparative Pharmacokinetic Study

P Mas-Serrano, Noelia Balibrea, R Nalda-Molina, A Ramon-Lopez et al.
Life
Renal Transplantation Outcomes and Treatments
article

Envarsus Versus Advagraf in De Novo Kidney Transplant Recipients: A Comparative Pharmacokinetic Study

P Mas-Serrano, Noelia Balibrea, R Nalda-Molina, A Ramon-Lopez, Antonio Franco, Isabel Gascón-Ros, Moreno Díaz, Elena De la Cruz, Javier Perez-Contreras
article en

Abstract

In de novo kidney transplant recipients, Envarsus provides higher early tacrolimus exposure and consistently higher dose-normalized trough exposure than Advagraf, enabling lower maintenance doses while maintaining similar short-term effectiveness and safety. However, early overexposure was more frequent with Envarsus at 0.15 mg/kg/day, supporting careful early monitoring and consideration of lower starting doses.

LifeVol. 16(2)
Universitat de Miguel Hernández d'Elx (ES), Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (ES), Hospital General Universitario de Alicante Doctor Balmis (ES), Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL) (ES)
Good health and well-being
Openalex Percentile: Top 70%
Renal Transplantation Outcomes and Treatments
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