Liver Transplantation
Conditions
Keywords
adherence, conversion, advagraf, prograf
Brief summary
A study of patient adherence and convenience to immunosuppressive agents in newly liver transplant recipients - a prospective, multi-center, open-labeled, randomized clinical trial for comparison between once-daily early conversion and twice-daily tacrolimus formulation.
Detailed description
This is prospective, multi-center, open-labeled, randomized study to investigate adherence of administration of once-daily tacrolimus formulation (Advagraf®) in newly Taiwanese (Chinese) liver transplant patients. The procedure of liver transplantation will follow the site-specific procedure. Each subject will be randomized on postoperative day 15 (POD15; defined Day 14 +/- 1)
Interventions
Tacrolimus prolonged-release hard capsules (QD)
Tacolimus capsules (q12h)
Sponsors
Study design
Masking description
open labeled
Eligibility
Inclusion criteria
* Patient has been fully informed and has signed an IRB approved informed consent form within 7 days (Day 7-13) prior to POD 15 and is willing and able to follow study procedure * Patient is a primary liver transplant recipient * Patient is 20 to 70 years of age * Patient should be clearly conscious, fully understand and able to answer questionnaire
Exclusion criteria
* Patient has previously received or is receiving an organ transplant other than a liver. * Patient currently requires dialysis * Recipient or donor is known to be seropositive for human immunodeficiency virus (HIV) * Patient has received a liver transplant from a non-heart beating donor * Patient who is HCV negative has received an HCV positive (HCV RNA by PCR or HCV antibody) donor liver * Patient who is HbsAg negative has received an HbsAg positive (HBV DNA by PCR or HBV antibody) donor liver * Patient has received a liver transplant from a decrease donor \> 70 years of age * Patient has a current malignancy or a history of malignancy (within the past 5 years), except hepatocellular carcinoma within UCSF Criteria and basal or non-metastatic squamous cell carcinoma of skin that has been treated successfully. * Patient is hemodynamically unstable on POD 15
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence of administration of Advagraf in newly Taiwanese (Chinese) liver transplant patients. | Visit 1 (Day 14) to Visit 6 (Day 364) - 50 weeks observation | • The adherence of enrolled 150 subjects will be assessed by the Basel assessment of adherence to immunosuppressive medications scale (BAASIS) |
Countries
Taiwan