Evidence map›Paper›PMID 30552587›Full record

Trial reportAdvances in therapy2019

Pharmacokinetics of Prolonged-Release Once-Daily Formulations of Tacrolimus in De Novo Kidney Transplant Recipients: A Randomized, Parallel-Group, Open-Label, Multicenter Study.

Nassim Kamar, Elisabeth Cassuto, Giovanni Piotti, Mirco Govoni, Giorgia Ciurlia, Silvia Geraci, Gianluigi Poli, Gabriele Nicolini, Christophe Mariat, Marie Essig and 5 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02500212 (OPEN-LABEL, MULTICENTRE, RANDOMIZED CLINICAL TRIAL TO COMPARE THE PHARMACOKINETICS OF ENVARSUS® TABLETS AND ADVAGRAF® CAPSULES ADMINISTERED ONCE DAILY IN ADULT DE-NOVO KIDNEY TRANSPLANT PATIENTS), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02500212 phase4completednot on this map

Open-label, multicentre, randomized clinical trial to compare the pharmacokinetics of envarsus® tablets and advagraf® capsules administered once daily in adult de-novo kidney transplant patients

TypeinterventionalSponsorChiesi Farmaceutici S.p.A.Ran2015 to 2016Enrolled75ConditionsOrgan or Tissue Transplant, ComplicationsArmsENVARSUS®, ADVAGRAF®
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Prolonged-Release Once-Daily Formulation of Tacrolimus Versus Standard-of-Care Tacrolimus inTransplant international : official journal of the European Society for Organ Transplantation · 2022
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  4. Trial
  5. Trial
  6. Trial
  7. Observational
  8. Article
  9. Impact of tacrolimus peak concentration on kidney graft outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Review
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Nassim KamarDepartments of Nephrology and Organ Transplantation, CHU Rangueil, INSERM U1043, IFR-BMT, Université Paul Sabatier, Toulouse, France.
Elisabeth CassutoUnité de Transplantation Rénale, Hôpital Pasteur 2, CHU Nice, Nice, France.
Giovanni PiottiKidney and Pancreas Transplantation Unit, University Hospital of Parma, 43121, Parma, Italy.
Mirco GovoniGlobal Clinical Development, Department of Clinical Pharmacology, Chiesi Farmaceutici, Parma, Italy. M.Govoni@chiesi.com.
Giorgia CiurliaGlobal Clinical Development, Department of Clinical Pharmacology, Chiesi Farmaceutici, Parma, Italy.
Silvia GeraciGlobal Clinical Development, Department of Clinical Pharmacology, Chiesi Farmaceutici, Parma, Italy.
Gianluigi PoliGlobal Clinical Development, Department of Clinical Pharmacology, Chiesi Farmaceutici, Parma, Italy.
Gabriele NicoliniGlobal Clinical Development, Department of Clinical Pharmacology, Chiesi Farmaceutici, Parma, Italy.
Christophe MariatCHU Saint-Etienne, Hôpital Nord Avenue Albert Raimond, Saint Priest en Jarez, France.
Marie EssigNephrology Unit, CHU Limoges, 2 Avenue Martin Luther King, Limoges, France.
Paolo MalvezziService de Néphrologie, Dialyse, Aphérèses et Transplantation, CHU Grenoble Alpes, Grenoble, France.
Yannick Le MeurService de Nephrologie-Transplantation Rénale et Hémodialyse, CHRU Brest, Hôpital de la Cavale Blanche, Brest, France.
Valerie GarrigueService de Néphrologie-Transplantation-Dialyse péritonéale CHU Lapeyronie, Montpellier, France.
Arnaud Del BelloDepartments of Nephrology and Organ Transplantation, CHU Rangueil, INSERM U1043, IFR-BMT, Université Paul Sabatier, Toulouse, France.
Lionel RostaingService de Néphrologie, Dialyse, Aphérèses et Transplantation, CHU Grenoble Alpes, Grenoble, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDifferent prolonged-release formulations of tacrolimus are available. To date, the pharmacokinetic (PK) profile of LCP-tacrolimus (LCPT; Envarsus

methodsThis randomized, parallel-group, open-label, multicenter PK study randomized 75 de novo, adult, white kidney transplant recipients to LCPT 0.17 mg/kg/day (n = 37) or PR-Tac 0.20 mg/kg/day (n = 38) for 4 weeks. Dose adjustments were permitted to target a pre-defined therapeutic range based on measured trough blood concentrations.

resultsPK analysis (days 1, 3, 7 and 14) included 68 patients (LCPT, n = 33; PR-Tac, n = 35). Similar proportions of patients were within the pre-defined therapeutic tacrolimus trough blood concentration range, with < 12% in each group having below-target trough levels over the study period. LCPT demonstrated ~ 30% greater relative bioavailability [LCPT/PR-Tac adjusted geometric mean ratio: day 3, 1.32 (p = 0.007); day 7, 1.25 (p = 0.051); day 14, 1.43 (p = 0.002)] and ~ 30% lower peak-to-trough percentage fluctuation of blood concentration [LCPT/PR-Tac adjusted geometric mean ratio: day 3, 0.70 (p < 0.001); day 7, 0.68 (p < 0.001); day 14, 0.73 (p = 0.004)] in addition to longer time to maximum blood concentration (t

conclusionIn de novo kidney transplant recipients, prolonged-release formulations of tacrolimus can reach therapeutic concentrations in the immediate post-transplant period. LCPT has greater relative bioavailability and lower peak-to-trough fluctuation compared with PR-Tac.

trial registrationRegistered at ClinicalTrials.gov; study number NCT02500212.

fundingChiesi Farmaceutici S.p.A.

Indexed as

Kidney TransplantationAdultBiological AvailabilityDrug Administration ScheduleFemaleHumansImmunosuppressive AgentsMaleMiddle AgedMolecular Targeted TherapyProspective StudiesResearch DesignTacrolimusTreatment OutcomeImmunosuppressive AgentsTacrolimusAdvagrafDe novo kidney transplantationEnvarsusLCPTPharmacokineticsPR TacTacrolimus

Identifiers

PMID30552587
PMCPMC6824349

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.