First Tacrolimus Dose Trough Level is Better Than CYP3A5 Genotyping in Tacrolimus Dose Prediction
1 other identifier
observational
60
1 country
1
Brief Summary
Tacrolimus dose highly varies among Asian kidney transplant recipients. This can be explained by variety of CYP3A5 expression. CYP3A5 genotyping is highly recommended for patients receiving tacrolimus. Here, we assessed the tacrolimus dose prediction by comparing CYP3A5 expression and tacrolimus dosage using tacrolimus concentration after single dose administration prior to kidney transplantation. Plasma tacrolimus trough level was measured at 12 hours after first dose of 0.1 mg/kg of tacrolimus (TacC12), orally administered in 51 new kidney transplant recipients. Patients with CYP3A5 inhibitor/inducer co-medications were excluded. Genotyping for CYP3A5 expression were carried out by RT-PCR. The dosages of tacrolimus at post-operative day 7 and dosage which provided stable therapeutic levels in post-operative month 1 to 3 (C0 5-8 ng/mL) were recorded. The genotyping, TacC12, and target tacrolimus dosage have good correlations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2012
Typical duration for all trials
1 active site
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
Study Start
First participant enrolled
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 1, 2015
CompletedFirst Posted
Study publicly available on registry
February 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedFebruary 5, 2015
February 1, 2015
3.2 years
February 1, 2015
February 1, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
target tacrolimus dose at 3 months
3 months
Secondary Outcomes (2)
rate of rejection
3-12 months
rate of CNI toxicity
2-12 months
Study Arms (1)
All KT recipient
Interventions
Eligibility Criteria
All KT recipient who transplanted and will be transplanted in King Chulalongkorn Memorial Hospital from 2012-2015
You may qualify if:
- All KT recipients
You may not qualify if:
- Recipient who not receiving tacrolimus
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Chulalongkorn University and King Chulalongkorn Memorial Hospital
Bangkok, 10330, Thailand
Biospecimen
Blood level for tacrolimus was took 12 hours after first dose.
Study Officials
- PRINCIPAL INVESTIGATOR
Natavudh Townamchai, MD
Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
February 1, 2015
First Posted
February 5, 2015
Study Start
January 1, 2012
Primary Completion
April 1, 2015
Study Completion
June 1, 2015
Last Updated
February 5, 2015
Record last verified: 2015-02