Kidney Transplantation
Conditions
Keywords
kidney transplantation, Glomerular filtration rate, inulin clearance, MDRD equation, cystatin C, cimetidine
Brief summary
Among the different creatinine-based GFR predicting equations, the MDRD equation gives the best prediction in renal transplantation but does not provide the level of accuracy usually seen in renal patients with native kidneys. Blocking the tubular secretion of creatinine with an oral administration of cimetidine is likely to make creatinine a more accurate marker of GFR. We will test the hypothesis that the accuracy of the MDRD equation will be improved in renal transplant patients by incorporating into the equation a cimetidine-corrected serum creatinine value.
Interventions
patients who received cimétidine
Sponsors
Study design
Eligibility
Inclusion criteria
* Kidney transplantation \> 1 year * Patient with immunosuppressant treatment of TACROLIMUS (PROGRAF) * Creatinine clearance \> 30 ml/min/1,73m2 within 3 months before inclusion * Written informed consent * Patient affiliated to social insurance
Exclusion criteria
* Unstable renal function defined by serum creatinine (J0) \> 25% serum creatinine realised in 3 months * Treatment: Bactrim, Fansidar, Cimetidine arrow within the week before inclusion * Contraindication listed in the labeling of Cimetidine arrow * Last residual rate of Tacrolimus \> 12 ng/ml. * Treatment : carvedilol, phenytoïn (interaction with cimetidine) * Serious hepatic insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| performance of inulin clearance and MDRD with or no block of secretion renal tubule with cimetidine | two days |
Secondary
| Measure | Time frame |
|---|---|
| Performance of different prediction equations for estimating renal function with or no block of secretion renal tubule with cimetidine : - Walser equation - Nankivell equation - Cockcroft and Gault equation | two days |
| comparison between inulin clearance and cystatin C | two days |
Countries
France