Intra-patient variability in tacrolimus exposure: causes, consequences for clinical management

N Shuker, T van Gelder, DA Hesselink - Transplantation reviews, 2015 - Elsevier
Tacrolimus (Tac) is widely used for the prevention of rejection after solid organ
transplantation. Finding the optimal balance between effective Tac concentrations and …

Pharmacokinetic considerations related to therapeutic drug monitoring of tacrolimus in kidney transplant patients

LM Andrews, YI Li, BCM De Winter, YY Shi… - Expert opinion on …, 2017 - Taylor & Francis
ABSTRACT Introduction: Tacrolimus (Tac) is the cornerstone of immunosuppressive therapy
after solid organ transplantation and will probably remain so. Excluding belatacept, no new …

Practical recommendations for long-term management of modifiable risks in kidney and liver transplant recipients: a guidance report and clinical checklist by the …

JM Neuberger, WO Bechstein, DRJ Kuypers… - …, 2017 - journals.lww.com
Short-term patient and graft outcomes continue to improve after kidney and liver
transplantation, with 1-year survival rates over 80%; however, improving longer-term …

Within-patient variability in tacrolimus blood levels predicts kidney graft loss and donor-specific antibody development

E Rodrigo, D San Segundo… - …, 2016 - journals.lww.com
Background Lack of adherence to immunosuppressive drugs is a risk factor for development
of de novo donor-specific antibodies (dnDSA) and can contribute to antibody-mediated …

[HTML][HTML] Time-dependent variability in tacrolimus trough blood levels is a risk factor for late kidney transplant failure

R Sapir-Pichhadze, Y Wang, O Famure, Y Li, SJ Kim - Kidney international, 2014 - Elsevier
Wide variations in tacrolimus levels have been identified as a risk factor for inferior kidney
allograft survival but past studies have not properly accounted for the dynamic nature of drug …

A high intrapatient variability in tacrolimus exposure is associated with poor long‐term outcome of kidney transplantation

N Shuker, L Shuker, J van Rosmalen… - Transplant …, 2016 - Wiley Online Library
Tacrolimus is a critical dose drug with a considerable intrapatient variability (IPV) in its
pharmacokinetics. We investigated whether a high IPV in tacrolimus exposure is associated …

[HTML][HTML] Current state of pediatric cardiac transplantation

AI Dipchand - Annals of cardiothoracic surgery, 2018 - ncbi.nlm.nih.gov
Pediatric heart transplantation is standard of care for children with end-stage heart failure.
The diverse age range, diagnoses, and practice variations continue to challenge the …

[HTML][HTML] Assessment of tacrolimus intrapatient variability in stable adherent transplant recipients: establishing baseline values

AD Leino, EC King, W Jiang, AA Vinks… - American Journal of …, 2019 - Elsevier
The purpose of this study was to determine the intrapatient (within the same patient)
variability of tacrolimus in adherent patients. Daily tacrolimus trough levels were obtained at …

[HTML][HTML] The medication level variability index (MLVI) predicts poor liver transplant outcomes: a prospective multi-site study

E Shemesh, JC Bucuvalas, R Anand… - American Journal of …, 2017 - Elsevier
Nonadherence to immunosuppressant medications is a leading cause of poor long-term
outcomes in transplant recipients. The Medication Level Variability Index (MLVI) provides a …

[HTML][HTML] High intrapatient variability of tacrolimus concentrations predicts accelerated progression of chronic histologic lesions in renal recipients

T Vanhove, T Vermeulen, P Annaert, E Lerut… - American Journal of …, 2016 - Elsevier
High intrapatient variability (IPV) of tacrolimus concentrations is increasingly recognized as
a predictor of poor outcome in solid organ recipients. How it relates to evolution of histology …