RecruitingPhase 4NCT05089604

Tacrolimus Associated Tremors in Liver Transplantation: Immediate-Release Versus Extended-Release Formulations

Tacrolimus Associated Tremors in Liver Transplant Recipients: a Randomized Open Label Trial Comparing De Novo Extended-release Once Daily (LCP-TAC) and Twice Daily Immediate-release (IR-TAC) Tacrolimus Formulations


Sponsor

University of British Columbia

Enrollment

124 participants

Start Date

Jan 9, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a randomized open label study in de novo liver transplant recipients that aims to compare the risk of tacrolimus induced tremors with once daily extended-release formulation, Envarsus, versus the twice daily immediate-release formulation. Both formulations of tacrolimus are currently approved for the prevention of rejection in liver transplant patients.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Adults aged 18 years or older
  • Recipients of a first-time liver transplant
  • eGFR more than 30 ml/min on the day of tacrolimus initiation
  • All patients who are eligible to initiate Tacrolimus within 7 days post-liver transplant
  • Informed consent

Exclusion Criteria8

  • Recipients of prior organ transplant
  • Need for hemodialysis either prior or following liver transplantation
  • Recipients of living donor liver or split deceased donor liver allografts
  • Recipients of combined liver/kidney transplants
  • Recipients receiving liver allografts from donors with HCV viremia (detected through nucleic acid testing or other means)
  • Patients with a history of tremor prior to transplantation including essential tremors, Parkinson's or Parkinsonian syndromes
  • Patients receiving concomitant medications known to induce tremors such as dopamine blocking agents
  • Baseline TSH, T3, T4 indicating hyperthyroidism

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Interventions

DRUGTacrolimus, Immediate Release, Oral

Twice Daily Tacrolimus

DRUGTacrolimus Extended Release Oral Tablet

Once Daily Tacrolimus


Locations(1)

Vancouver General Hospital

Vancouver, British Columbia, Canada

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NCT05089604


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