Observational studyClinical pharmacokinetics2026
Differential Oral Absorption Pharmacokinetics of Tacrolimus in Simultaneous Kidney-Pancreas Transplant Compared to Kidney Transplant Recipients.
Observational study in Clinical pharmacokinetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
BACKGROUND AND
objectivesSimultaneous pancreas kidney transplantation (SPK) is a preferred option for type 1 diabetes (T1DM) patients with end-stage renal disease (ESRD). Most transplant centers use kidney transplant (KT) protocols target trough concentrations (C
methodsA retrospective observational study was performed to describe and compare tacrolimus population PK in SPK and KT recipients. Relevant demographic and PK data were extracted from our local transplantation database for patients transplanted between 2005 and 2020 at our hospital. Pharmacokinetic data were analyzed using nonlinear mixed effect modeling in NONMEM. Furthermore, simulations were performed to assess potential differences in AUC
resultsTacrolimus population PK in SPK and KT recipients were best described by two-compartmental models. The combined SPK and KT model showed a significantly reduced oral absorption rate for SPK recipients, compared to KT recipients (0.231 h
conclusionsWe successfully developed two separate population PK models for tacrolimus in SPK and KT recipients together with a combined SPK and KT model, showing a significantly reduced tacrolimus oral absorption rate in SPK recipients. In addition, our data suggested that SPK recipients might need higher C
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