Heart Transplantation, Lung Transplantation, Pancreas (Including SPK) Transplantation
Conditions
Keywords
Advagraf, Heart, Lung, Pancreas, Transplant, Immunosuppression, Pharmacokinetics
Brief summary
Comparison of tacrolimus blood levels in adults who have received a transplant and are taking either Prograf or Advagraf anti-rejection therapy immediately following surgery. This is followed by checking of safety and effectiveness for one year.
Interventions
oral
oral
Sponsors
Study design
Eligibility
Inclusion criteria
* must receive first oral dose of tacrolimus one day (lung, pancreas or Simultaneous Pancreas Kidney (SPK) recipients) or three days (heart recipients) after transplantation (skin closure) * negative pregnancy test prior to enrolment (females) * agree to practice effective birth control during the study * treated since transplantation with Antithymocyte globulin/ Mycophenolate Mofetil/steroids (ATG/MMF/steroids), gastric motility resumed and renal function adequate (\<230 µmol/l (\<2.6 ml/dl)) on Day 1
Exclusion criteria
* receiving a multi-organ transplant (with the exception of SPK) or previously received an organ transplant (including re-transplantation) * pulmonary vascular resistance ≥4 Wood units despite medication * required an emergency ventricular assist device within one week prior to transplantation * significant renal impairment * significant liver disease * malignancies or a history of malignancy within the last 5 years * significant, uncontrolled concomitant infections and/or severe diarrhoea, vomiting, active upper gastrointestinal disorder that may affect the absorption of tacrolimus, or active peptic ulcer * requires systemic immunosuppressive medication for any other indication than transplantation * diagnosis of cystic fibrosis * pregnant or breast-feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| determine steady state systemic exposure (AUC 0-24h) | Day 1, Day 3, Day 7 and Day 42 |
Secondary
| Measure | Time frame |
|---|---|
| determine tmax (time to attain Cmax) | Day 1, Day 3, Day 7 and Day 42 |
| determine C24 (concentration prior to next morning dose) | Day 1, Day 3, Day 7 and Day 42 |
| determine Cmax (maximum concentration) | Day 1, Day 3, Day 7 and Day 42 |
| describe subject survival | up to 58 weeks |
| describe graft survival | up to 58 weeks |
| describe rejection episodes | up to 58 weeks |
Countries
Austria, Belgium, France, Italy, Taiwan, United Kingdom