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NCT04917718

Renal Tubular Injury and Transplant Outcomes in Cardiac Recipients Converting From IR Tacrolimus to XR Tacrolimus

Status unknown Phase 4 Last updated 13 April 2022
What this trial tests

Phase 4 trial testing Conversion from IR Tacrolimus to XR Tacrolimus in Chronic Kidney Diseases in 42 participants. Status unknown.

Timeline
16 August 2021
Primary endpoint
31 December 2024
31 December 2024

Quick facts

Lead sponsorLoyola University
PhasePhase 4
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment42
Start date16 August 2021
Primary completion31 December 2024
Estimated completion31 December 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Loyola University

Who can join

Adults 18 to 80, any sex, with Chronic Kidney Diseases or Heart Transplant. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Immediate release (IR) tacrolimus peaks in the first two hours after administration. These peak levels are influenced by CYP3A5 expression with expressors requiring higher total daily doses with higher peak levels compared to non-expressors. Tacrolimus XR (Envarsus) is a once daily formulation with delayed absorption and lower peak levels while maintaining similar trough levels as seen with IR tacrolimus. A randomized trial of conversion from IR tacrolimus to tacrolimus XR in kidney transplant recipients have shown similar efficacy and adverse events between the two groups but no improvement in estimated GFR. However, urinary biomarkers of acute kidney injury associated with changes in tacrolimus dosing may be more sensitive then serum creatinine. The objective of this study is to assess renal tubular injury in heart transplant recipients who are converted from immediate release to tacrolimus XR. The hypothesis is that the delayed absorption and lower peak levels of tacrolimus XR will lead to less tubular injury and improved renal function without increased risk to the heart allograft.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Lipocalin 2-not only a biomarker: a study of current literature and systematic findings of ongoing clinical trials.
    Asaf S, Maqsood F, Jalil J, Sarfraz Z, et al · · 2023 · cited 38× · PMID 36529828 · DOI 10.1007/s12026-022-09352-2

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Other recruiting trials for Chronic Kidney Diseases

Currently open trials in the same condition.

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