Evaluation of the drug interaction between intravenous high-dose fluconazole and cyclosporine or tacrolimus in bone marrow transplant patients.

Abstract:

:The purpose of this open-label, prospective study was to compare steady state concentrations and clearances of intravenously administered cyclosporine or tacrolimus with and without concomitant high-dose (400 mg/day) fluconazole in allogeneic BMT patients. Twenty-one patients were evaluable. The mean steady state cyclosporine and tacrolimus concentrations without fluconazole were 320.3 and 18.2 ng/ml and increased to 389.2 and 21.2 ng/ml, respectively, after the addition of fluconazole, corresponding to a 21% (P=0.031) and 16% (P=0.125) increase. The mean steady state clearance of cyclosporine and tacrolimus without fluconazole was 6.82 and 1.28 ml/min/kg, which decreased to 5.57 and 1.10 ml/min/kg with fluconazole, corresponding to a 21% (P=0.031) and 16% (P=0.125) decrease, respectively. The 21% difference in the cyclosporine concentration and clearance was not thought to be clinically significant. These results suggest that fluconazole's interaction with cyclosporine or tacrolimus may be a result of fluconazole's inhibition of gut metabolism, resulting in a greater extent of absorption.

journal_name

Transplantation

journal_title

Transplantation

authors

Osowski CL,Dix SP,Lin LS,Mullins RE,Geller RB,Wingard JR

doi

10.1097/00007890-199604270-00026

subject

Has Abstract

pub_date

1996-04-27 00:00:00

pages

1268-72

issue

8

eissn

0041-1337

issn

1534-6080

journal_volume

61

pub_type

临床试验,杂志文章
  • Proteomic bronchiolitis obliterans syndrome risk monitoring in lung transplant recipients.

    abstract:BACKGROUND:Obliterative bronchiolitis poses a primary obstacle for long-term survival of lung transplant recipients and manifests clinically as bronchiolitis obliterans syndrome (BOS). Establishing a molecular level screening method to detect BOS-related proteome changes before its diagnosis by forced expiratory volume...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318224c109

    authors: Wolf T,Oumeraci T,Gottlieb J,Pich A,Brors B,Eils R,Haverich A,Schlegelberger B,Welte T,Zapatka M,von Neuhoff N

    更新日期:2011-08-27 00:00:00

  • Community-acquired respiratory viral infections in lung transplant recipients: a single season cohort study.

    abstract:BACKGROUND:The impact of community-acquired respiratory virus (CARV) infections on bronchiolitis obliterans syndrome (BOS) and outcome after lung transplantation (LTx) and diagnostic techniques were prospectively evaluated. METHODS:A single-center prospective cohort study was performed in LTx-outpatients between Octob...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a4857d

    authors: Gottlieb J,Schulz TF,Welte T,Fuehner T,Dierich M,Simon AR,Engelmann I

    更新日期:2009-05-27 00:00:00

  • Prevention of complement-mediated activation of xenogeneic endothelial cells in an in vitro model of xenograft hyperacute rejection by C1 inhibitor.

    abstract::The complement system plays a major role in hyperacute rejection of discordant xenografts. In an immediately vascularized xenograft of a porcine organ to a primate, natural antibodies bind to the vascular endothelium of the graft, triggering activation of complement via the classical pathway. One consequence of antibo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199311000-00024

    authors: Dalmasso AP,Platt JL

    更新日期:1993-11-01 00:00:00

  • HLA antibody screening: comparison of a solid phase enzyme-linked immunoassay with antiglobulin-augmented lymphocytotoxicity.

    abstract:BACKGROUND:IgG antibodies to HLA class I antigens can cause hyperacute rejection of renal allografts. Screening of sera from such transplant candidates is laborious, time-consuming, and expensive when performed by sensitive antihuman globulin-augmented lymphocytotoxicity (AHG-CDC). METHODS:Because 60-70% of our transp...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199712150-00023

    authors: Moore SB,Ploeger NA,DeGoey SR

    更新日期:1997-12-15 00:00:00

  • Lymphoma in cardiac allotransplant recipients. Clinical and histological features and immunological phenotype.

    abstract::To characterize further lymphomas which arise in chronically immunosuppressed allotransplant patients, we studied the clinical and histological features of seven cases of nonHodgkin's lymphoma and determined the immunological phenotype in four cases, which developed in a series of 182 patients who underwent cardiac tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198204000-00002

    authors: Weintraub J,Warnke RA

    更新日期:1982-04-01 00:00:00

  • Xenoantibody directed against molecular components of the HLA system. Quantitation of antibody to serologically defined HLA complexes on the cell surface.

    abstract::A quantitative absorption-blocking assay was used to measure the levels of antibody in immune rabbit sera that react with the serologically defined HLA molecular complex on the cell surface. Quantitation was determined by comparing the number of xenoantibody-treated cells with the number of untreated control cells nee...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197807010-00009

    authors: Wilson LA,Gallaspy GT

    更新日期:1978-07-01 00:00:00

  • Posttransplant deaths and factors that influence the mortality rate in North American children.

    abstract::Of 2457 patients in the North American Pediatric Renal Transplant Cooperative Study registry who were followed for 5481 patient-years after the index transplantation, we observed 136 deaths, for an average annual rate of 24.8 deaths per 1000 patient-years. Death resulted primarily from infection (n = 55, 40%), cardiov...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Tejani A,Sullivan EK,Alexander S,Fine R,Harmon W,Lilienfeld D

    更新日期:1994-02-27 00:00:00

  • Complement inhibition with an anti-C5 monoclonal antibody prevents hyperacute rejection in a xenograft heart transplantation model.

    abstract:BACKGROUND:The present study was undertaken to determine whether anti-complement 5 (C5) monoclonal antibodies (mAb) prevent hyperacute rejection (HAR) in a rat-to-presensitized mouse heart transplantation model and whether these mAb, combined with cyclosporine (CsA) and cyclophosphamide (CyP), can achieve long-term gra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912150-00007

    authors: Wang H,Rollins SA,Gao Z,Garcia B,Zhang Z,Xing J,Li L,Kellersmann R,Matis LA,Zhong R

    更新日期:1999-12-15 00:00:00

  • High Intrapatient Variability of Tacrolimus Exposure in the Early Period After Liver Transplantation Is Associated With Poorer Outcomes.

    abstract:BACKGROUND:Tacrolimus (TAC) is the cornerstone of immunosuppressive regimen in liver transplantation (LT). Its pharmacokinetics is characterized by a high interpatient and intrapatient variability (IPV) leading to an unpredictable dose-response relationship. The aim of our study was to evaluate the impact of TAC IPV (I...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002052

    authors: Rayar M,Tron C,Jézéquel C,Beaurepaire JM,Petitcollin A,Houssel-Debry P,Camus C,Verdier MC,Dehlawi A,Lakéhal M,Desfourneaux V,Meunier B,Sulpice L,Bellissant E,Boudjema K,Lemaitre F

    更新日期:2018-03-01 00:00:00

  • Comparison between duodenal button and duodenal segment in pancreas transplantation.

    abstract::Two technical modifications have been suggested for whole-pancreas transplantation with bladder drainage. The duodenal button technique (DB [Madison]) and the duodenal segment technique (DS [Iowa]) are the most commonly performed procedures (1,2). From December 1985 until May 1988 we performed 32 combined pancreas-kid...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00026

    authors: D'Alessandro AM,Sollinger HW,Stratta RJ,Kalayoglu M,Pirsch JD,Belzer FO

    更新日期:1989-01-01 00:00:00

  • Failure of reactivation of hepatitis B after liver transplantation in hepatitis B surface antigen-negative, core antibody-positive recipients.

    abstract:BACKGROUND:Hepatitis B virus (HBV) infection after liver transplantation may occur in patients previously not exposed to the virus, but who receive an organ from a surface antigen (HBsAg)-negative, core antibody (HBcAb)-positive donor. The risk of HBV reactivation after liver transplantation in recipients that are HBsA...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200202150-00027

    authors: Maguire D,Heaton ND,Smith HM

    更新日期:2002-02-15 00:00:00

  • Proton nuclear magnetic resonance analysis of hepatic bile from donors and recipients in human liver transplantation.

    abstract::The current shortage of donor organs in liver transplantation has led experienced transplant centers to use more "marginal" grafts. The development of a reliable technique of bile collection gives access to hepatic bile from donors and recipients for bile analysis to characterize the grafts. Proton nuclear magnetic re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200109150-00020

    authors: Melendez HV,Ahmadi D,Parkes HG,Rela M,Murphy G,Heaton N

    更新日期:2001-09-15 00:00:00

  • Significant reduction of acute cardiac allograft rejection by selective janus kinase-1/3 inhibition using R507 and R545.

    abstract:BACKGROUND:Selective inhibition of lymphocyte activation through abrogation of signal 3-cytokine transduction emerges as a new strategy for immunosuppression. This is the first report on the novel Janus kinase (JAK)1/3 inhibitors R507 and R545 for prevention of acute allograft rejection. METHODS:Pharmacokinetic and in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182660496

    authors: Deuse T,Hua X,Taylor V,Stubbendorff M,Baluom M,Chen Y,Park G,Velden J,Streichert T,Reichenspurner H,Robbins RC,Schrepfer S

    更新日期:2012-10-15 00:00:00

  • Identification of kidneys subjected to preretrieval warm ischemic injury by simultaneous monitoring of glomerular filtration and perfusate flow during hypothermic perfusion preservation.

    abstract:BACKGROUND:Historically, ex vivo physiological evaluation of cadaveric renal allografts has been limited to assessing perfusate flow (PF) during hypothermic perfusion preservation (HPP). Using a small animal model, we have previously described a method for continuous monitoring of glomerular filtration rate (GFR) durin...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199911270-00006

    authors: Inman SR,Osgood RW,Plott WK,Richardson BF,Lewis RM

    更新日期:1999-11-27 00:00:00

  • Community preferences for the allocation of solid organs for transplantation: a systematic review.

    abstract:BACKGROUND:Organs for transplantation are a scarce community resource but community preferences and how they are incorporated into allocation policies are unclear. This systematic review aimed to ascertain community preferences for organ allocation and the principles underpinning these preferences. METHODS:Medline, Em...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e3181cf1ee1

    authors: Tong A,Howard K,Jan S,Cass A,Rose J,Chadban S,Allen RD,Craig JC

    更新日期:2010-04-15 00:00:00

  • Gene therapy for organ grafts using rapid injection of naked DNA: application to the rat liver.

    abstract:BACKGROUND:We developed a nonviral gene transfer method using rapid injection of naked DNA targeting the liver and applied it in a rat model of liver transplantation. METHODS:Inbred Dark Agouti and Lewis rats were used. To test the efficacy and adverse effects of systemic or local (catheter-based) injection, different...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000118404.66106.e8

    authors: Inoue S,Hakamata Y,Kaneko M,Kobayashi E

    更新日期:2004-04-15 00:00:00

  • T-cell reconstitution after unmanipulated, CD8-depleted or CD34-selected nonmyeloablative peripheral blood stem-cell transplantation.

    abstract:BACKGROUND:We have previously shown that CD8 depletion or CD34 selection of peripheral blood stem cells (PBSC) reduced the incidence of acute graft-versus-host disease (GvHD) after nonmyeloablative stem-cell transplantation (NMSCT). In this study, we analyze the effect of CD8 depletion or CD34 selection of the graft on...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000093987.11389.F7

    authors: Baron F,Schaaf-Lafontaine N,Humblet-Baron S,Meuris N,Castermans E,Baudoux E,Frère P,Bours V,Fillet G,Beguin Y

    更新日期:2003-12-27 00:00:00

  • Late-onset hemorrhagic cystitis associated with urinary excretion of polyomaviruses after bone marrow transplantation.

    abstract::Hemorrhagic cystitis is a well known complication of allogeneic bone marrow transplantation (BMT) and is normally attributed to the use of high-dose cyclophosphamide in the preparative regimen. Hemorrhagic cystitis occurring late after BMT is unlikely to be due to the effects of this conditioning, and probably has an ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00024

    authors: Apperley JF,Rice SJ,Bishop JA,Chia YC,Krausz T,Gardner SD,Goldman JM

    更新日期:1987-01-01 00:00:00

  • Long-term Outcomes of Living Kidney Donation.

    abstract:BACKGROUND:In an effort to improve outcomes associated with living kidney donation, the Kidney Diseases Improving Global Outcomes (KDIGO) assembled a Work Group to develop comprehensive guidelines addressing the evaluation and care of living kidney donors. We conducted this systematic review to inform guideline develop...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001252

    authors: Slinin Y,Brasure M,Eidman K,Bydash J,Maripuri S,Carlyle M,Ishani A,Wilt TJ

    更新日期:2016-06-01 00:00:00

  • Anti-CD3 F(ab')2 fragments are immunosuppressive in vivo without evoking either the strong humoral response or morbidity associated with whole mAb.

    abstract::The use of anti-CD3 monoclonal antibodies to treat organ allograft rejection has been complicated by (1) the morbidity associated with the initial dose, (2) the humoral response of the patients against the mAbs, and (3) the generalized immunosuppression induced by the mAbs. We investigated the potential of F(ab')2 fra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199006000-00018

    authors: Hirsch R,Bluestone JA,DeNenno L,Gress RE

    更新日期:1990-06-01 00:00:00

  • Delayed hepatic artery thrombosis in adult orthotopic liver transplantation-a 12-year experience.

    abstract:BACKGROUND:Although the clinical features of early hepatic artery thrombosis (HAT) are well defined, the features of delayed (more than 4 weeks after transplantation) hepatic artery thrombosis are less clearly defined. The aim of our study was to identify risk factors, clinical presentation, and outcome of management o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00018

    authors: Bhattacharjya S,Gunson BK,Mirza DF,Mayer DA,Buckels JA,McMaster P,Neuberger JM

    更新日期:2001-06-15 00:00:00

  • Resource utilization associated with procurement of transplantable organs from donors that do not meet OPTN eligible death criteria.

    abstract:BACKGROUND:The strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO). METHODS:Donors w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000441093.32217.cb

    authors: DuBay DA,Redden DT,Bryant MK,Dorn DP,Fouad MN,Gray SH,White JA,Locke JE,Meeks CB,Taylor GC,Kilgore ML,Eckhoff DE

    更新日期:2014-05-27 00:00:00

  • CD4+CD25+ cells regulate CD8 cell anergy in neonatal tolerant mice.

    abstract:BACKGROUND:Injection of neonatal BALB/c mice with semi-allogeneic splenocytes leads to antigen-specific tolerance lasting into adulthood. Tolerant mice accept A/J skin grafts and fail to generate CD8 cytotoxic T lymphocyte (CTL) activity against A/J targets. Anergic CD8 T cells are present in tolerant mice, and CD4 reg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912270-00013

    authors: Gao Q,Rouse TM,Kazmerzak K,Field EH

    更新日期:1999-12-27 00:00:00

  • The vanishing importance of age in renal transplantation.

    abstract:BACKGROUND:The growing number of patients awaiting a kidney transplant raises questions about allocation of kidneys to the elderly and about the use of elderly donors. In all reported studies analyzing the influence of age on the outcome after renal transplantation, age is investigated as a categorical variable. METHO...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199902270-00015

    authors: Roodnat JI,Zietse R,Mulder PG,Rischen-Vos J,van Gelder T,IJzermans JN,Weimar W

    更新日期:1999-02-27 00:00:00

  • CD4 lymphocytopenia as a risk factor for skin cancers in renal transplant recipients.

    abstract:BACKGROUND:Renal transplant recipients are at increased risk of developing skin cancer. It remains difficult to establish the actual influence of overimmunosuppression in the development of skin cancers. We investigated whether lymphocyte subset count may predict the risk of developing skin cancer in long-term renal tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805150-00022

    authors: Ducloux D,Carron PL,Rebibou JM,Aubin F,Fournier V,Bresson-Vautrin C,Blanc D,Humbert P,Chalopin JM

    更新日期:1998-05-15 00:00:00

  • Urine cytologic profile in renal allograft recipients determined by monoclonal antibodies. Diagnosis of allograft rejection.

    abstract::Controversy exists as to the type of cells present in the urine during renal allograft rejection. In order to resolve this controversy as well as to evaluate the value of urine sediment examination as a means of detecting AR, we quantitated the different cells present in urine during AR using an immunoperoxidase techn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00017

    authors: Segasothy M,Birch DF,Fairley KF,Kincaid-Smith P

    更新日期:1989-03-01 00:00:00

  • Favorable nutritional outcome after isolated liver transplantation for liver failure in a child with short bowel syndrome.

    abstract::A patient with short gut syndrome presented with end-stage liver disease. She underwent an isolated liver transplantation at the age of 3.5 years. Parenteral nutrition was discontinued 1.5 years after surgery. At 7 years of age, the patient has maintained normal nutritional indices and growth while on a normal oral di...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199902270-00025

    authors: Gottrand F,Michaud L,Bonnevalle M,Dubar G,Pruvot FR,Turck D

    更新日期:1999-02-27 00:00:00

  • Ontogeny of suppressor cells. II. Suppression of graft-versus-host and mixed leukocyte culture responses by embryonic cells.

    abstract::Ontogenic development of suppressor cells was studied in mouse embryos. It was found that liver cells of embryos at various stages of gestation were capable of interfering with the mixed leukocyte culture (MLC) reaction. The MLC reaction was also inhibited by embryonic spleen and thymus cells. However, the latter were...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197812000-00016

    authors: Globerson A,Umiel T

    更新日期:1978-12-01 00:00:00

  • A partial conditioning approach to achieve mixed chimerism in the rat: depletion of host natural killer cells significantly reduces the amount of total body irradiation required for engraftment.

    abstract:BACKGROUND:Mixed allogeneic bone marrow chimerism induces tolerance to solid organ grafts. Although we previously reported that partially ablative conditioning with 700 cGy of total body irradiation (TBI) is sufficient to allow for bone marrow engraftment in mice, we determined that a minimum of 1000 cGy was required i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199908150-00008

    authors: Neipp M,Gammie JS,Exner BG,Li S,Chambers WH,Pham SM,Ildstad ST

    更新日期:1999-08-15 00:00:00

  • Incidence of tuberculosis in deceased-organ donors and transmission risk to recipients in Spain.

    abstract:BACKGROUND:Globalization and migration patterns have increased the number of donors from countries with high incidence rates of tuberculosis (TB) in low incidence countries, with the subsequent increase in risk of TB transmission to the recipients. METHODS:Retrospective cohort study, including all actual deceased dono...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182977adf

    authors: Coll E,Torre-Cisneros J,Calvo R,Garrido G,Matesanz R

    更新日期:2013-07-27 00:00:00