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Important lack of difference in tacrolimus and mycophenolic acid pharmacokinetics between Aboriginal and Caucasian kidney transplant recipients.

Katherine A BarracloughDavid MetzChristine E StaatzGillian GorhamRobert CarrollSandawana William MajoniSajiv CherianRamyasuda SwaminathanNick H G Holford
Published in: Nephrology (Carlton, Vic.) (2022)
There were no differences in typical tacrolimus or MPA pharmacokinetics between Aboriginal and Caucasian kidney transplant recipients. This means that Bayesian dosing tools developed to optimise tacrolimus and MPA dosing in Caucasian recipients may be applied to Aboriginal recipients. In turn, this may improve drug exposure and thereby transplant outcomes in this group. Aboriginal recipients appeared to have greater between-subject variability in tacrolimus CL/F and a higher prevalence of CYP3A5 expressers, attributes that have been linked with inferior outcomes.
Keyphrases
  • african american
  • kidney transplantation
  • risk factors
  • type diabetes
  • emergency department
  • skeletal muscle
  • adipose tissue
  • insulin resistance
  • drug induced