Fungal infections
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >18 years - Lung, kidney, pancreas or heart transplant recipient - Stable use of oral tacrolimus formulations Prograft/generic tacrolimus/Envarsus - eGFR >20 ml/min - Indication for antifungal therapy with oral voriconazole or fluconazole - Written informed consent
Exclusion criteria
Exclusion criteria: - Administration of mTOR inhibitors, cyclosporine or quadruple immunosuppression - Pregnancy - Concomitant use of drugs that have a pharmacokinetic interaction with tacrolimus - Acute liver- or intestinal function impairment (liver function over 3 times the reference values; function impairment started in week before 1st study visit and/or expected to be instable for the next weeks)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose-adjusted increase in AUC of IR-Tac and ER-Tac | — |
Secondary
| Measure | Time frame |
|---|---|
| PK parameters, correlation of PK parameters with pharmacogenetic genotype inflammatory markers, Cmin/dose ratio during and after azole treatment, number of dose adjustments and total dose adjustment needed | — |
Contacts
Universitair Medisch Centrum Groningen