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Tacrolimus dose highly varies among Asian kidney transplant recipients. This can be explained by variety of CYP3A5 expression. CYP3A5 genotyping is highly recommended for patients receiving tacrolimus. Here, we assessed the tacrolimus dose prediction by comparing CYP3A5 expression and tacrolimus dosage using tacrolimus concentration after single dose administration prior to kidney transplantation.
Plasma tacrolimus trough level was measured at 12 hours after first dose of 0.1 mg/kg of tacrolimus (TacC12), orally administered in 51 new kidney transplant recipients. Patients with CYP3A5 inhibitor/inducer co-medications were excluded. Genotyping for CYP3A5 expression were carried out by RT-PCR. The dosages of tacrolimus at post-operative day 7 and dosage which provided stable therapeutic levels in post-operative month 1 to 3 (C0 5-8 ng/mL) were recorded.
The genotyping, TacC12, and target tacrolimus dosage have good correlations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All KT recipient |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tacrolimus C12 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| target tacrolimus dose at 3 months | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| rate of rejection | 3-12 months | |
| rate of CNI toxicity | 2-12 months |
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Inclusion Criteria:
Exclusion Criteria:
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All KT recipient who transplanted and will be transplanted in King Chulalongkorn Memorial Hospital from 2012-2015
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Natavudh Townamchai, MD | Contact | +66894904222 | ntownamchai@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Natavudh Townamchai, MD | Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chulalongkorn University and King Chulalongkorn Memorial Hospital | Recruiting | Bangkok | 10330 | Thailand |
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Blood level for tacrolimus was took 12 hours after first dose.