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This study developed a population pharmacokinetic model to predict individualized tacrolimus dose requirements in kidney transplant recipients, addressing the drug's narrow therapeutic range and variability. The model aimed to guide starting and follow-up doses for both living and deceased donor kidney transplants. The goal was to improve treatment outcomes by optimizing tacrolimus dosing.

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Abstract

Tacrolimus treatment is complicated by its narrow therapeutic range and large inter- and intra-patient variability. This study aimed to develop a population pharmacokinetic model and dosing algorithm to predict an individual's dose requirement following living and deceased donor kidney transplantation.

Key findings

  • A population pharmacokinetic model was successfully developed to predict tacrolimus exposure
  • The model accounted for inter- and intra-patient variability in tacrolimus pharmacokinetics
  • A dosing algorithm was created to guide individualized tacrolimus dosing in kidney transplant recipients

Keywords

TacrolimusDosingKidney transplantPharmacokineticsPopulation pharmacokineticsRenal transplant

Identifiers

PubMed
40588615
Journal
Clinical pharmacokinetics
Year
2025