Status:

RECRUITING

Utilising Genotype Informed Bayesian Dosing of Tacrolimus in Children Post Solid Organ Transplantation.

Lead Sponsor:

Murdoch Childrens Research Institute

Conditions:

Solid Organ Transplant

Eligibility:

All Genders

1-18 years

Phase:

PHASE2

Brief Summary

This study aims to evaluate the efficacy of genotype-informed Bayesian dosing of tacrolimus in optimising drug exposure among paediatric solid organ transplant recipients. By tailoring tacrolimus dosa...

Detailed Description

Tacrolimus, a calcineurin inhibitor is an effective immunosuppressant for solid organ transplants (SOT). Due to its narrow therapeutic index and individual variability in its pharmacokinetics (PK), th...

Eligibility Criteria

Inclusion

  • Participants will be assigned to the prospective arm if treated at Royal Children's Hospital who are receiving a solid organ transplant (SOT) (excluding repeat graft in liver transplant recipients) and who will be on tacrolimus as one of the main immunosuppressants post-transplant.
  • 1 to 18years old
  • SOT transplant (planned or on waiting list).
  • Heart OR Liver OR Renal transplant recipients
  • Amenable to venepuncture and blood draw
  • Patient and/or parent consented to the study.

Exclusion

  • older than 18 year old
  • younger than 1 year old
  • Previous liver transplant.
  • Lung OR Intestinal transplant.
  • Insufficient time before transplant for pharmacogenomic analysis (prospective arm only)
  • Patient has a known hypersensitivity to tacrolimus and/or its formulation.
  • On a slow release preparation of Tacrolimus (e.g Advagraf extended release Brand)
  • Immunosuppressant regimen not containing tacrolimus immediate release product
  • Patient and/or parent is unable to consent to the study.
  • Patient and/or parent is unwilling to take part in the study.

Key Trial Info

Start Date :

August 5 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 2 2027

Estimated Enrollment :

45 Patients enrolled

Trial Details

Trial ID

NCT06529536

Start Date

August 5 2024

End Date

August 2 2027

Last Update

September 17 2025

Active Locations (1)

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1

Royal Children's Hospital

Melbourne, Victoria, Australia, 3052