Pharmacokinetics of Immunosuppressive Drugs in Heart Transplant Patients
- Conditions
- Heart Transplant
- Registration Number
- NCT00812786
- Lead Sponsor
- University Hospital, Limoges
- Brief Summary
The main objective is to develop pharmacokinetic methods for individual dose adjustment of the global immunosuppressive treatment (cyclosporine, tacrolimus, mycophenolate mofetil and everolimus, taking into account the pharmacokinetic interactions), in order to optimise the efficiency and reduce the potentially severe sides effects of these drugs.
Forty five heart-transplant patients are to be included in this phase IV study to obtain a minimum of 10 patients treated with tacrolimus-mycophenolate, 10 with cyclosporine-mycophenolate and 20 with everolimus-cyclosporine.
Ten to 11 blood samples will be collected within the 8 to 12 hours post-dose in each patient and the immunosuppressive drug concentrations will be measured by LC-MS/MS.
The pharmacokinetic models and Bayesian estimators thus developed will provide tools for individual dose adjustment of immunosuppressive drugs simultaneously, at different post-transplant periods, using the area under the concentration-time curve (AUC) estimated using a limited number of time-points (2 or 3).
- Detailed Description
For each heart transplant patient, 10 to 11 blood samples (5 mL each) will be collected following dosing of he immunosuppressive drugs (at T0, T20', T40', T60', T90', T2h, T3h, T4h, T6h, T8h and T10h + T12h for inpatients), at several post-transplant periods (7 to 15 days, 1 month, 3 month and 1 year after transplantation). One more blood sample will be taken at D7-14 for pharmacogenetic analyses.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 42
- Patient having received of a heart transplant (exclusively) less than 2 weeks before the inclusion date or planned to receive it within days following inclusion.
- Patient at least 18 years old, male or female.
- Patient treated with one of the following combination : cyclosporine-mycophenolate, tacrolimus-mycophenolate or everolimus- "low-dose" cyclosporine for at least 3 days, and at least 24 hours by the oral route at the time of the first sampling day (between 7 and 15 days post-transplant).
- Patient included or not in another study, in particular in a therapeutic trial (e.g. comparison between drug combinations).
- Patient having given written informed consent for his/her participation to the trial.
- Patients in disagreement with the present trial.
- Patients suffering from neuro-psychic problems, making them unable to well-understand the protocol or to give a reliable consent.
- Patients with previous heart or any other solid organ transplantation.
- Patients with double transplantation (heart-lung, heart-kidney or heart-liver)
- Patients still intubated and ventilated 15 days post-transplant.
- Patients with anaemia between Day 7 and 15, as characterized by hematocrit < 30% or haemoglobin < 9 g/dl.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Estimation of the pharmacokinetic properties and parameters of the immunosuppressive drugs.
- Secondary Outcome Measures
Name Time Method Investigation of relationships between physiological and pathological characteristics and individual pharmacokinetic parameters. Characterisation of the exposure-clinical effects relationships for the difference immunosuppressive drugs.
Trial Locations
- Locations (12)
CHU de Clermont-Ferrand
🇫🇷Clermont-ferrand, France
CHU de Bordeaux
🇫🇷Bordeaux, France
CHU de Lille
🇫🇷Lille, France
CHU de Limoges
🇫🇷Limoges, France
Hôpital Louis Pradel - CHU de Lyon
🇫🇷Lyon, France
CHU de Nantes
🇫🇷Nantes, France
Hôpital Européen Georges Pompidou
🇫🇷Paris, France
Hôpital Pitié-Salpêtrière
🇫🇷Paris, France
CHU de Rennes
🇫🇷Rennes, France
CHU de Strasbourg
🇫🇷Strasbourg, France
CHU de Rouen
🇫🇷Rouen, France
CHU de NANCY
🇫🇷Vandoeuvre Les Nancy, France