Pharmacokinetics of Sublingual Versus Oral Tacrolimus in Patients Awaiting Kidney Transplantation
Completed · Phase 4
Conditions studied: Kidney Failure, Chronic
In brief
Tacrolimus (Prograf) belongs to a class of medications known as the calcineurin inhibitors. It is a maintenance drug that is used to prevent rejection in kidney, liver, and heart transplant recipients. Calcineurin inhibitors display high pharmacokinetic (the body's effects on a drug) variability and necessitate use of blood tests to ensure that adequate drug levels are present to maintain effectiveness and safety. Early after transplant or at times when tacrolimus cannot be taken by mouth, alternative routes of administration are sought. Although an intravenous (through the vein) product is available, it can be toxic to the kidneys and has been associated with allergic reactions. Drug delivery via the oral mucosa is an alternative method of systemic drug administration which offers an alternative when oral administration is impractical (gastrointestinal dysmotility, reduced drug absorption, intestinal failure, difficulty in swallowing, or in those with nausea or vomiting). Administration of tacrolimus by the sublingual route may allow for direct entry into the systemic circulation and bypasses problems associated with drug absorption and breakdown that take place in the small intestine.
Key facts
- Study ID
- NCT00629122
- Run by
- Weill Medical College of Cornell University
- People needed
- 5
- Starts
- 2008-02-01
- Expected to finish
- 2009-12-01
- Last updated by the study team
- 2019-06-12
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adult patients awaiting kidney transplantation aged ≥ 18 years
You may not qualify if…
- Patients concurrently treated with medications that interact with tacrolimus (other than clotrimazole)
Where it is running
- NewYork-Presbyterian Hospital — New York, New York, United States
Full record on ClinicalTrials.gov
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