Immunosuppression, Kidney Transplantation, Transplantation
Conditions
Keywords
Sirolimus, Tacrolimus, Cyclosporine, Pharmacokinetics, Immunosuppressive Agents, Immunosuppression, Kidney Transplantation, Transplantation
Brief summary
The purpose of this study is to understand the pharmacokinetic of sirolimus in different regimens, as well as the dose-level relationship of cyclosporine and tacrolimus, and design the most appropriate cyclosporine/sirolimus/steroid or tacrolimus/sirolimus/steroid dose regimen for Taiwanese.
Detailed description
The dose and pharmacokinetic of an immunosuppressant may differ in different ethnics, and different combinations. The purpose of this study is to determine the dose-level relationship of sirolimus through pharmacokinetic study. The dose-level relationship of cyclosporine and tacrolimus was also assessed. From clinical outcome and blood level of sirolimus and cyclosporine or tacrolimus, we can design the most appropriate cyclosporine/sirolimus/steroid or tacrolimus/sirolimus/steroid dose regimen for Taiwanese.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* De novo kidney transplantation patients, aged 13-65 years,have aminotransferase concentrations within 2 times the upper limit of normal.
Exclusion criteria
* pregnancy, tuberculosis, hepatitis B or C carrier status, human immunodeficiency virus-positive status, retransplantation or multiorgan transplantation, or history of rheumatoid arthritis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pharmacokinetics of sirolimus in different regimens | — |
| Dose-concentration relationship of sirolimus | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy of rejection prevention | — |
| Dosage regimen of sirolimus + cyclosporine or tacrolimus | — |
| Dose-concentration relationship of cyclosporine/tacrolimus | — |
Countries
Taiwan