An open multicenter trial of conversion from sandimmun to neoral in stable kidney-transplant patients

Results obtained in organ transplantation have considerably improved with the introduction of Cyclosporine (CsA). However, the management of the drug in the sandimmun formulation is hampered by its low, highly variable bioavailability as well as the inter- and intrasubject variability of its pharmac...

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Veröffentlicht in:Transplantation proceedings 1997-08, Vol.29 (5), p.2313-2314
Hauptverfasser: Hourmant, M., Antoine, C., Bayle, F., Bedrossian, J., Berthoux, F., Cassuto, E., Chalopin, J.M., Charpentier, B., Deteix, P., Durand, D., Hurault de Ligny, B., Kessler, M., Kreis, H., Lang, P., Lebranchu, Y., Leroux-Robert, C., Moulin, B., Mourad, G., Noël, C., Olmer, M., Potaux, L., Pouteil-Noble, C., Pruna, A., Sraër, J.D., Touchard, G., Toupance, O., Touraine, J.L., Wolf, P., Puget, S., Soulillou, J.P.
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container_end_page 2314
container_issue 5
container_start_page 2313
container_title Transplantation proceedings
container_volume 29
creator Hourmant, M.
Antoine, C.
Bayle, F.
Bedrossian, J.
Berthoux, F.
Cassuto, E.
Chalopin, J.M.
Charpentier, B.
Deteix, P.
Durand, D.
Hurault de Ligny, B.
Kessler, M.
Kreis, H.
Lang, P.
Lebranchu, Y.
Leroux-Robert, C.
Moulin, B.
Mourad, G.
Noël, C.
Olmer, M.
Potaux, L.
Pouteil-Noble, C.
Pruna, A.
Sraër, J.D.
Touchard, G.
Toupance, O.
Touraine, J.L.
Wolf, P.
Puget, S.
Soulillou, J.P.
description Results obtained in organ transplantation have considerably improved with the introduction of Cyclosporine (CsA). However, the management of the drug in the sandimmun formulation is hampered by its low, highly variable bioavailability as well as the inter- and intrasubject variability of its pharmacokinetic parameters. The new galenic formulation of CsA, Neoral, based on the microemulsion principle, makes CsA absorption less dependent on gastric repletion, the presence of biliary salts and pancreatic enzymes, and concomitant administration of food. Digestive absorption and, subsequently, drug bioavailability are improved. Pharmacological studies in healthy volunteers and transplanted patients 1,2 have shown that pharmacokinetic profile of CsA becomes more reproducible from patient to patient as well as in the same patient over time. The aim of our study was to analyze the clinical outcome and the variations in the parameters of CsA monitoring after conversion from CsA-Sandimmun (SIM) to CsA-Neoral (NEO) in stable kidney recipients transplanted for more than 6 months.
doi_str_mv 10.1016/S0041-1345(97)00381-3
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The aim of our study was to analyze the clinical outcome and the variations in the parameters of CsA monitoring after conversion from CsA-Sandimmun (SIM) to CsA-Neoral (NEO) in stable kidney recipients transplanted for more than 6 months.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9270741</pmid><doi>10.1016/S0041-1345(97)00381-3</doi><tpages>2</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Cyclosporine - administration & dosage
Female
Graft Rejection - prevention & control
Humans
Immunomodulators
Immunosuppressive Agents - administration & dosage
Kidney Transplantation
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Transplantation, Homologous
Treatment Outcome
title An open multicenter trial of conversion from sandimmun to neoral in stable kidney-transplant patients
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