Validation of Pharmacogenetics Plus Drug Combination Guided Initial Tacrolimus Dosage in Renal Transplant Recipients
1 other identifier
interventional
60
1 country
2
Brief Summary
The purpose of this study is to compare pharmacogenetics plus drug combination (Schisandra sphenanthera extract,SchE)guided and standard initial tacrolimus dosage.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 11, 2010
CompletedFirst Posted
Study publicly available on registry
February 12, 2010
CompletedStudy Start
First participant enrolled
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedJuly 28, 2010
January 1, 2010
2.8 years
February 11, 2010
July 26, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
C0 of tacrolimus after the initial dose, the percentage of out-of-range C0 after initial dose, the number of dose adjustments made to achieve therapeutic range (5-10 ng/ml) and the dose requirement to reach therapeutic range
not less than three days after initial dose and not more than one month
Secondary Outcomes (2)
acute rejection rate within two weeks after transplantation
within two weeks after transplantation
serum creatinine at fourteen days after transplantation
fourteen days after transplantation
Study Arms (2)
pharmacogenetics plus SchE guided dosing
EXPERIMENTALstandard dosing
ACTIVE COMPARATORInterventions
Patients were genotyped for the polymorphisms that can influence tacrolimus pharmacokinetics before transplantation. After transplantation, initial tacrolimus dosage was based on an algorism guided by pharmacogenetics and SchE.
After transplantation, patients received standard initial dose of tacrolimus (0.050-0.075 mg/kg).
Eligibility Criteria
You may qualify if:
- Adult (both males and females, 18-65 years) recipients underwent single primary renal transplantation in the First Affiliated Hospital of Sun Yat-sen University
- Wish to participate in the study
- Informed consent for the trial
You may not qualify if:
- Patients with abnormal hepatic function, serious infection, malignant tumour, and diabetes mellitus
- Patients with ABO-incompatible renal transplantation
- Panel reactive antibody (PRA) levels greater than 30% before transplantation
- Underwent combined organ transplantations
- Except for SchE, other medication known to affect tacrolimus blood levels, such as diltiazem, verapamil, ketoconazole, itraconazole, erythromycin or clarithromycin was used
- Allergic history to study medicines
- During pregnancy or plan to get pregnant during the study period
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-sen University
Guangzhou, Guangdong, 510080, China
Kidney Transplant Department, Transplant Center, the First Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510080, China
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Min Huang, PhD
Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-sen University
- STUDY DIRECTOR
Chang-Xi Wang, MD
Kidney Transplant Department, Transplant Center, the First Affiliated Hospital of Sun Yat-sen University
- PRINCIPAL INVESTIGATOR
Jia-Li Li, PhD
Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-sen University
- PRINCIPAL INVESTIGATOR
Xue-Ding Wang, MD
Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-sen University
- PRINCIPAL INVESTIGATOR
Si-Yang Chen, MM
Anesthesia Department, the First Affiliated Hospital of Sun Yat-sen University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 11, 2010
First Posted
February 12, 2010
Study Start
March 1, 2010
Primary Completion
December 1, 2012
Last Updated
July 28, 2010
Record last verified: 2010-01