Liver transplant patients often require multimodal immunosuppressive therapy to minimize their risk for rejection. In our regimen, MMF (mycophenolate mofetil) is often added to lower the side effects of the calcineurin inhibitors. Unfortunately the literature reports 20% up to as many as 40% of patients have GI intolerance to MMF. At our Center, approximately 30% of patients have intolerance to MMF, thereby mitigating our ability to use this agent. The primary objective of this study is to assess the tolerability of myfortic in combination with Neoral or Tacrolimus as determined by the GSRS (Gastrointestinal Symptom Rating Scale) after conversion from MMF in maintenance liver transplant patients with GI intolerance within 3 months.
Study Type
OBSERVATIONAL
Enrollment
31
Equimolar conversion from mycophenolate mofetil to mycophenolic acid
University of North Carolina-Chapel Hill
Chapel Hill, North Carolina, United States
Evaluation of GI symptoms using GSRS, GIQLi, and SF-12 after conversion to Myfortic
Time frame: 3 months
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