Ciclosporin inhibits P-glycoprotein should increase colchicine bioavailability whereas tacrolimus should not influence colchicine disposition. This is a prospective, controlled, open labeled study performed in renal graft recipients comparing colchicine single dose (1mg) pharmacokinetics in 14 patients treated with tacrolimus and 14 patients treated with cyclosporin.
* Renal transplantation \>= one year * eGFR (MDRD) \> 30ml/min * hemoglobin \>= 11g/dl * treatment with tacrolimus or cyclosporine * no previous muscular disease * no drugs interfering with P-glycoprotein or CYP3A activity or expression outcomes * colchicine AUC, Cmax, T1/2 * ABCB1C3435T, CYP3A5 and SLCO1B1 genotypes
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
17
the 14 patients of the 1st group are under cyclosporine and One pill of colchimax 1mg will be taken by all the patients at Day 3.
the 14 patients of the second group are under tacrolimus and One pill of colchimax 1mg will be taken by all the patients at Day 3.
Assistance publique - Hôpitaux de Paris : Bicêtre Hospital
Le Kremlin-Bicêtre, France
Area under the curve of plasma concentration of colchicine over time 0-∞
Time frame: 4 weeks
Half-life of colchicine (T1/2).
Time frame: 4 weeks
AUC0-3h colchicine to focus the analysis on the absorption phase (argument in favor of an interaction-dependent P-gp)
Time frame: 4 weeks
Cmax observed colchicine.
Time frame: 4 weeks
Residual tacrolimus or cyclosporine concentrations
Time frame: 4 weeks
ABCB1 genotype at position 3435 (rs 1045642) or 3435 cc, 3435TT, heterozygotes could not be included in the tacrolimus group.
Time frame: 4 weeks
ABCB1 Haplotypes composed of 3 SNPs: C3435T, G2677T / A and C1236T.
Time frame: 4 weeks
CYP3A5 Genotype: search for the allele * 1 (rs 776746): 3 possible genotypes CYP3A5 * 3 / * 3 - CYP3A5 * 3 / * 1 - CYP3A5 * 1 / * 1.
Time frame: 4 weeks
GFR calculated by MDRD formula.
Time frame: 4 weeks
BMI
Time frame: 4 weeks
Drug related (azathioprine, mycophenolic acid, diuretics, ACE inhibitors, ARAII)
Time frame: 4 weeks
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