Article
Optimization of initial tacrolimus dose using pharmacogenetic testing.
Clinical pharmacology and therapeutics - 1 Jun 2010
Thervet E, Loriot M A, Barbier S, Buchler M, Ficheux M, Choukroun G, Toupance O, Touchard G, Alberti C, Le Pogamp P, Moulin B, Le Meur Y, Heng A E, Subra J F, Beaune P, Legendre C
Abstract excerpt
Retrospective studies have demonstrated that patients who are expressors of cytochrome P4503A5 (CYP3A5) require a higher tacrolimus dose to achieve a therapeutic trough concentration (C(0)). The aim of this study was to evaluate this effect prospectively by pretransplantation adaptation. We randomly assigned 280 renal transplant recipients to receive tacrolimus either according to CYP3A5 genotype or according to...
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