Increased renal function decline in fast metabolizers using extended-release tacrolimus after kidney transplantation

Fast metabolism of immediate-release tacrolimus (IR-Tac) is associated with decreased kidney function after renal transplantation (RTx) compared to slow metabolizers. We hypothesized, by analogy, that fast metabolism of extended-release tacrolimus (ER-Tac) is associated with worse renal function. We...

Verfasser: Thölking, Gerold Bernhard
Filensky, Brigitte
Jehn, Ulrich
Schütte-Nütgen, Katharina
Koch, Raphael
Kurschat, Christine Elisabeth
Pavenstädt, Hermann-Joseph
Suwelack, Barbara
Reuter, Stefan Johannes
Kuypers, Dirk
FB/Einrichtung:FB 05: Medizinische Fakultät
Dokumenttypen:Artikel
Medientypen:Text
Erscheinungsdatum:2021
Publikation in MIAMI:21.03.2023
Datum der letzten Änderung:21.03.2023
Angaben zur Ausgabe:[Electronic ed.]
Quelle:Scientific Reports 11 (2021), 15606, 1-13
Schlagwörter:Medical research; Nephrology
Fachgebiet (DDC):610: Medizin und Gesundheit
Lizenz:CC BY 4.0
Sprache:English
Förderung:Finanziert über die DEAL-Vereinbarung mit Wiley 2019-2022.
Format:PDF-Dokument
URN:urn:nbn:de:hbz:6-00099446183
Weitere Identifikatoren:DOI: 10.17879/60099444821
Permalink:https://nbn-resolving.de/urn:nbn:de:hbz:6-00099446183
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Onlinezugriff:10.1038_s41598-021-95201-5.pdf

Fast metabolism of immediate-release tacrolimus (IR-Tac) is associated with decreased kidney function after renal transplantation (RTx) compared to slow metabolizers. We hypothesized, by analogy, that fast metabolism of extended-release tacrolimus (ER-Tac) is associated with worse renal function. We analyzed data from patients who underwent RTx at three different transplant centers between 2007 and 2016 and received an initial immunosuppressive regimen with ER-Tac, mycophenolate, and a corticosteroid. Three months after RTx, a Tac concentration to dose ratio (C/D ratio)