Table 2.
Summary of Tacrolimus PK Parameters—Modified Intent‐to‐Treat Analysis Set
Day 1a | Day 7 | Day 14 | |||||||
---|---|---|---|---|---|---|---|---|---|
Geometric Mean (%CV) Arithmetic Mean ± SD | Geometric Mean (%CV) Arithmetic Mean ± SD | Geometric Mean (%CV) Arithmetic Mean ± SD | |||||||
PK Parameter | LCPT (n = 29) | IR‐Tac (n = 28) | P‐Valueb | LCPT (n = 23) | IR‐Tac (n = 26) | P‐Valueb | LCPT (n = 21) | IR‐Tac (n = 23) | P‐Valueb |
Total daily dose (mg) | 6.48 ± 1.27 | 8.29 ± 2.55 | 9.78 ± 4.17 | 9.33 ± 3.77 | 9.43 ± 4.17 | 9.65 ± 4.14 | |||
(mg/kg) | 0.076 ± 0.014 | 0.096 ± 0.017 | 0.122 ± 0.059 | 0.118 ± 0.054 | 0.121 ± 0.064 | 0.129 ± 0.070 | |||
AUC0–24h (ng · h/mL) |
|
116.17 (54.51) 135.62 ± 73.92 |
<.0001 |
|
|
.85 |
|
229.55 (33.12) 241.22 ± 79.90 |
.38 |
Cmax (ng/mL) |
|
|
<.0001 |
|
|
.10 |
|
|
.83 |
Cmin (ng/mL) |
|
|
.057 |
|
|
.85 |
|
|
.55 |
Cavg (ng/mL) | 2.84 ± 1.55 | 5.65 ± 3.08 | <.0001 | 10.45 ± 4.25 | 10.22 ± 4.24 | .86 | 11.66 ± 5.82 | 10.06 ± 3.33 | .37 |
Fluctuation (%) | 95.25 ± 80.45 | 159.89 ± 86.33 | .005 | 92.70 ± 48.81 | 134.22 ± 51.77 | .007 | 121.82 ± 62.34 | 140.49 ± 81.52 | .40 |
Swing (%) | 137.92 ± 164.76 | 248.59 ± 183.80 | .02 | 147.75 ± 96.90 | 201.52 ± 105.38 | .08 | 204.95 ± 127.82 | 196.42 ± 131.51 | .83 |
Tmax (hr) Median (min‐max) | 12.00 (1.48–24.20) | 2.67 (1.00–20.00) | .009 | 4.00 (0.00–12.00) | 1.51 (0.67–16.50) | .03 | 4.00 (1.00–16.00) | 2.00 (1.00–14.00) | .02 |
AUC0–24, area under the concentration‐time curve, 0 to 24 hours; Cavg, average concentration; Cmax, maximum concentration; Cmin, minimum concentration; CV, coefficient of variation; IR‐Tac, twice‐daily immediate‐release tacrolimus capsules; LCPT, once‐daily extended‐release tablet formulation of tacrolimus; PK, pharmacokinetics; SD, standard deviation; tmax, maximum time.
Day 1 refers to level drawn 24 hours after drug initiation.
P‐value determined by analysis of variance.