Study of the Pharmacokinetics of Mycophenolate Mofetil in Patients Who Have Undergone Orthotopic Liver Transplantation
Study Details
Study Description
Brief Summary
OBJECTIVES: I. Determine the effects of bile externalization and antibiotic gut sterilization on the pharmacokinetics of mycophenolate mofetil in patients who have undergone orthotopic liver transplantation.
- Correlate serum concentrations of mycophenolic acid with inosine monophosphate dehydrogenase activity in these patients.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Detailed Description
PROTOCOL OUTLINE:
Patients begin a mycophenolate mofetil (MMF)-containing regimen within the first 5 days after transplantation. Patients have blood drawn on postoperative days 7, 21, 42, 70, 98, 126, and 154. Urine is collected on postoperative days 7, 21, and 42. Patients with T-tube bile externalization also have bile collected on postoperative day 7.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Orthotopic liver or kidney transplant recipients who started on a mycophenolate mofetil-containing immunosuppressive regimen within 5 days after transplant
Kidney transplant recipients will serve as study controls
--Prior/Concurrent Therapy--
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No concurrent bile acid sequestrants
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No mycophenolate mofetil as part of rescue therapy regimen
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No concurrent albumin replacement therapy
--Patient Characteristics--
Renal: Urine output at least 500 mL/day OR Creatinine less than 2.5 mg/dL
Other:
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Not pregnant
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No mental incompetency
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No prisoners or parolees HIV negative
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No active infection defined as: Temperature above 101 F with WBC greater than 12,000/mm3 and left shift OR Two or more positive cultures of a single isolated organism from blood, urine, or sputum
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of North Carolina School of Medicine | Chapel Hill | North Carolina | United States | 27599-7070 |
Sponsors and Collaborators
- National Center for Research Resources (NCRR)
- University of North Carolina
Investigators
- Study Chair: Robert E. Dupuis, University of North Carolina
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCRR-M01RR00046-1404
- UNCCH-GCRC-1404
- ROCHE-CEL028