A population pharmacokinetic model to predict the individual starting dose of tacrolimus in adult renal transplant recipients

Louise M. Andrews, Dennis A. Hesselink, Ron H. N. van Schaik, Teun van Gelder, Johan W. de Fijter, Núria Lloberas, Laure Elens, Dirk Jan A. R. Moes, Brenda C. M. de Winter

British Journal of Clinical Pharmacology · 2018 · 98 citations · 50 references

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Abstract

For a good prediction of tacrolimus pharmacokinetics, age, BSA, CYP3A4 and CYP3A5 genotype are important covariates. These covariates explained 30% of the variability in CL/F. The model proved effective in calculating the optimal tacrolimus dose based on these parameters and can be used to individualize the tacrolimus dose in the early period after transplantation.

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