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Advagraf®, a once‐daily prolonged release tacrolimus formulation,in kidney transplantation: literature review and guidelines from a panel of experts
Authors:Sophie Caillard  Bruno Moulin  Fanny Buron  Christophe Mariat  Vincent Audard  Philippe Grimbert  Pierre Marquet
Affiliation:1. Nephrology and Transplant Department, Strasbourg University Hospital, Strasbourg, France;2. Transplant, Nephrology and Immunology Department, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France;3. Nephrology, Dialysis and Renal Transplants Department, North Hospital, Saint Etienne University Hospital, Saint Priest en Jarez, France;4. Nephrology and Transplant Department, Institut Francilien de Recherche en Néphrologie et Transplantation (IFRNT), Assistance Publique H?pitaux de Paris, Henri‐Mondor Hospital, Créteil, France;5. CHU Limoges, UMR 850 INSERM, University of Limoges, Limoges, France
Abstract:The efficacy and safety of tacrolimus twice‐a‐day (BID) and once‐a‐day (QD) formulations are similar. However, the available information regarding the initiation and management of tacrolimus QD is sparse and practical information is lacking. A panel of French experts extensively reviewed the available literature on tacrolimus pharmacokinetics, clinical efficacy, and safety in kidney transplantation and, based on their own day‐to‐day experience, provided the practitioners with practical guidelines for the daily use and management of tacrolimus QD in de novo initiation or early conversion.
Keywords:clinical practice  extended release tacrolimus  immunosuppression  kidney transplant  therapeutic drug monitoring
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