A study in which two groups of patients will be analysed; patients converted from Prograf to Advagraf within the first 3 months after transplantation and patients converted from Prograf to Advagraf between 3 months and 1 year after transplantation.
Study Type
OBSERVATIONAL
Enrollment
398
oral
Site
Besançon, France
Site
Bordeaux, France
Site
Caen, France
Conversion ratio of the daily dose of tacrolimus (mg Prograf® / mg Advagraf®)
Percentage of patients with a conversion ratio of tacrolimus dose of 1mg/1mg and percentage of patients with a ratio differing from 1mg/1mg
Time frame: At baseline
Time of the first tacrolimus trough level (C0) after conversion
Number of days between the conversion date and the date of the first determination of C0 after conversion
Time frame: From baseline to first determination of C0 (up to 6 months)
Number of additional visits considered by the physicians to be due to the conversion (if required)
Percentage of patients with additional visit(s) and percentage of patients without an additional visit
Time frame: At 6 months and at 1 year follow-up visit
Reasons for conversion
Number of pills, number of treatment intake, treatment compliance, physician request, patient request, safety of treatment, center practice
Time frame: At baseline
Patient profile
Sociodemographic data, history of transplantation, comorbidities, complications after transplantation, risk factors, concomitant treatments (other than immunosuppressive protocols) and modification, if required, at 6 months and 1 year after conversion
Time frame: At baseline
Collection of immunosuppressive protocol details
* Date of initiation of treatment with Advagraf® * Target tacrolimus C0 (with Prograf® and with Advagraf® and recommendations for administration) * Daily dose of Advagraf® * Adjustments to Advagraf® dose since the previous visit: date, doses and reason for adjustment * Type and dose of immunosuppressive drugs combined with Advagraf® * Modification of the immunosuppressive regimen at 6 months and 1 year after conversion (if applicable) since the previous visit: date, modified treatment, type of modification, reason for modification * Immunosuppressive regimen at the end of the visit at 6 months and 1 year after conversion, modified treatment, type of modification, reason for modification
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Site
Chambray-lès-Tours, France
Site
Clichy, France
Site
Créteil, France
Site
Grenoble, France
Site
Lille, France
Site
Limoges, France
Site
Lyon 03, France
...and 8 more locations
Time frame: At baseline, 6 months and 1 year follow-up visit
Time to reach steady state
Time frame: From baseline to first determination of C0 (up to 6 months)
Dose ratio at steady state
Ratio of daily dose of tacrolimus during achievement of steady state: mg Prograf® at conversion/mg Advagraf® during achievement of steady state. Percentage of patients with a ratio of 1mg/1mg and percentage of patients with a ratio differing from 1mg/1mg
Time frame: From baseline and up to 6 months post-conversion
The Intra -Patient Variability (IPV) of tacrolimus in patients on Prograf® and Advagraf ®
Time frame: At baseline (Prograf) and during the 45 days after conversion (Advagraf)
Latest available laboratory data with Prograf® before conversion and with Advagraf®
Values and dates for renal parameters, liver parameters, blood glucose and Hepatitis C viral load
Time frame: At baseline, 6 months and 1 year follow-up visit
Compliance with treatment at conversion
Compliance with treatment at conversion (with Prograf® and only in group 2) and at 1 year after conversion (with Advagraf® for both groups) will be assessed using the Morisky questionnaire and a score will be calculated
Time frame: At baseline and at 1 year after conversion
Patients' quality of life at conversion
Patients' quality of life at conversion (with Prograf® only in group 2) and at 1 year after conversion (with Advagraf® for both groups) will be assessed using the European Quality of Life-5 Dimensions 5 level (EQ5D-5L) questionnaire
Time frame: At baseline and at 1 year after conversion
Rate of acute rejection proven by biopsy (BPAR), graft survival rate and patient survival rate
Will be assessed on the basis of the number of acute rejections confirmed by biopsy and recorded adverse events and adverse reactions
Time frame: 6 months and 1 year
Occurrence of adverse events and/or effects
Time frame: From baseline until 1 year follow-up visit