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Immunosuppressive Therapy Optimization: Development of a Population Pharmacokinetic-pharmacodynamic (PK-PD) Model in Liver Transplantation

Immunosuppressive Therapy Optimization: Development of a Population Pharmacokinetic-pharmacodynamic (PK-PD) Model in Liver Transplantation

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02877628
Acronym
OPTILTH
Enrollment
110
Registered
2016-08-24
Start date
2015-10-31
Completion date
2018-12-31
Last updated
2019-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Liver Transplantation

Keywords

pharmacokinetic, pharmacodynamic, tacrolimus, CYP3A5, liver transplantation

Brief summary

Prospective, non-randomized, open Pharmacokinetic-Pharmacogenetic-Pharmacodynamic monocentric study. Donor and recipient CYP3A5 genotype and recipient ABCB1 will not be communicate to clinicians or patients during the study.

Interventions

OTHERPharmacokinetic-pharmacodynamic model in liver transplantation

Biological: tacrolimus and calcineurin dosage, donor and recipient CYP3A5 and ABCB1 genotypes determination

Sponsors

Rennes University Hospital
Lead SponsorOTHER

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adults over 18 * Liver transplant recipients * Treated with an immunosuppressive protocol with tacrolimus * Informed on the study and who did not refuse to participate

Exclusion criteria

* Patients who participate in a study with procedures incompatible with the present study. * Patients with legal protection/deprived of liberty.

Design outcomes

Primary

MeasureTime frameDescription
Prediction of calcineurin inhibition, responsible for the immunosuppressive effectWeek 24Assessement of the relationships between tacrolimus dosage, whole-blood and intracellular concentrations

Secondary

MeasureTime frame
Study of impact of pharmacogenetic and demographic data on tacrolimus intracellular concentrationWeek 24
Evaluation of the role of the measurement of intracellular concentration as a longitudinal biomarker in preventing acute cellular graft (ACR)Week 24
Study of variability of tacrolimus intracellular concentration according to its pharmaceutic form (immediate or sustained release)Week 24

Countries

France

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026