Healthy
Conditions
Keywords
tacrolimus, Advagraf®, Prograf®, Glomerular Filtration Rate, Effective Renal Plasma Flow, Pharmacokinetics, Pharmacodynamics
Brief summary
The purpose of the study is to evaluate the drug profiles (pharmacokinetics) and effects (pharmacodynamics) of Advagraf® and Prograf® on the kidneys.
Detailed description
This is a 2 Period study. In Period 1, subjects will be assigned randomly to receive Advagraf® or Prograf® administered once or twice daily, respectively, for a period of 10 days. In Period 2, subjects will be converted from Advagraf® to Prograf® or from Prograf® to Advagraf® for 10 additional days of dosing. Dose adjustments will be made based on the monitoring of drug levels in blood.
Sponsors
Study design
Eligibility
Inclusion criteria
* Caucasian * No previous/current history of infection, cerebrovascular, neurological, cardiovascular, endocrine, pulmonary, immunologic or metabolic disease or significant systemic disease, glucose intolerance, gout or hematological disorder * Normal 12-lead Electrocardiogram (ECG) * Systolic blood pressure \<140 mm Hg and diastolic blood pressure \<90 mm Hg * Non-smoker within 3 months prior to screening * Willing to abstain from alcohol during the study
Exclusion criteria
* Positive screen for illicit drug or alcohol consumption * Subject has hepatitis B, hepatitis C, human immunodeficiency virus (HIV) or history of cancer (excluding completely excised squamous or basal cell carcinoma) * Positive tuberculin skin test or known history of tuberculosis infection * Known history of serious head injuries, seizures or eating disorders * Body Mass Index \<18.0 or \>30.0 * History of renal dysfunction, clinically significant creatinine or clinically significant abnormal liver function tests, hemoglobin \<130 g/L * Plasma donation ≥ 500 mL within 7 days prior to first dose of study drug, donation or whole blood loss 50-499 mL within 30 days or ≥ 499 mL within 56 days prior to first dose of study drug. * Drug or alcohol abuse within 1 year prior to study entry * Steroid injections within 12 weeks prior to first dose of study drug * Live vaccine within 7 days prior to first dose of study drug
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effective Renal Plasma Flow (ERPF) | up to Day 20 | Estimated by aminohippurate sodium (PAH) clearance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Glomerular Filtration Rate (GFR) | Pre-dose (Day -4), Day 10, Day 20 | Estimated by sinistrin clearance |
Countries
Canada