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Trial · NCT03020589

Study of Pharmacogenomic-Guided Tacrolimus Dosing and Monitoring in Kidney Transplant Recipients

NCT03020589, Phase 4, Completed, University of North Carolina, Chapel Hill; results first posted 2022-07-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Pharmacogenomic-Guided Tacrolimus Dosing and Monitoring in Kidney Transplant Recipients. Trials, record NCT03020589. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03020589

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Pharmacogenomic-Guided Tacrolimus Dosing and Monitoring in Kidney Transplant Recipients
NCT number
NCT03020589
Status
Completed
Phases
Phase 4
Enrollment
97 participants, actual
Lead sponsor
University of North Carolina, Chapel Hill
Conditions
Renal Transplant
Interventions
Tacrolimus
First posted
2017-01-13
Last updated
2023-06-26
Results first posted
2022-07-21

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 3 After Kidney TransplantationDay 3 after transplantation
PrimaryProportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 7 After Kidney TransplantationDay 7 after transplantation
SecondaryNumber of Events of Biopsy Proven Acute Rejection (BPAR)first 3 months (Days 0 through 90), 91-180, and 181-365 days after transplantationThe number of events of BPAR within the first 3 months (Days 0 through 90), 91-180, and 181-365 days after transplantation
SecondaryTacrolimus Level4 monthsTime to achieve tacrolimus therapeutic range at 0 to 4 months (8-10 ng/mL)
SecondaryMean Number of Dose Adjustments and/or Drug Alterations12 monthsMean number of dose adjustments and/or drug alteration or addition due to insufficient immunosuppression.
SecondaryPercent of Participants With Chronic Renal Impairment by eGFR Category12 months
Renal function will be assessed using estimated Glomerular Filtration Rate (eGFR). Creatinine clearance (CrCl) may also be calculated as a reference. Patients will be categorized as having either mild (eGFR of 60 mL/min/1.73m\^2 to 89 mL/min/1.73m\^2), moderate (eGFR of 30 mL/min/1.73m\^2 to 59 mL/min/1.73m\^2), or severe renal impairment (eGFR \<30 mL/min/1.73m\^2).
SecondaryNumber of Adverse Outcomes12 monthsNumber of adverse outcomes (i.e., graft loss, infection, and death)
OtherDirect and Indirect Costs12 monthsDirect and indirect cost related to treatment and management kidney transplant recipients

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 3 After Kidney TransplantationDay 3 after transplantationproportion of participantsNUMBER
PRIMARYProportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 7 After Kidney TransplantationDay 7 after transplantationProportion of participantsNUMBER
SECONDARYNumber of Events of Biopsy Proven Acute Rejection (BPAR)first 3 months (Days 0 through 90), 91-180, and 181-365 days after transplantationBPAR eventsNUMBER
SECONDARYTacrolimus Level4 monthsDaysMEAN
SECONDARYMean Number of Dose Adjustments and/or Drug Alterations12 monthsAdjustmentsMEAN
SECONDARYPercent of Participants With Chronic Renal Impairment by eGFR Category12 monthspercentage of participantsNUMBER
SECONDARYNumber of Adverse Outcomes12 monthsadverse outcomesNUMBER
OTHER_PRE_SPECIFIEDDirect and Indirect Costs12 months

Results by group32

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Proportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 3 After Kidney TransplantationCYP3A5 Based Tacrolimus Dosing0.2proportion of participants
Proportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 3 After Kidney TransplantationControl0.14proportion of participants
Proportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 7 After Kidney TransplantationCYP3A5 Based Tacrolimus Dosing0.29Proportion of participants
Proportion of Patients Reaching Target Tacrolimus Levels (8-10 ng/mL) on Day 7 After Kidney TransplantationControl0.21Proportion of participants
Number of Events of Biopsy Proven Acute Rejection (BPAR)CYP3A5 Based Tacrolimus DosingDays 0 through 903BPAR events
Number of Events of Biopsy Proven Acute Rejection (BPAR)ControlDays 0 through 902BPAR events
Number of Events of Biopsy Proven Acute Rejection (BPAR)CYP3A5 Based Tacrolimus DosingDays 91-1803BPAR events
Number of Events of Biopsy Proven Acute Rejection (BPAR)ControlDays 91-1800BPAR events
Number of Events of Biopsy Proven Acute Rejection (BPAR)CYP3A5 Based Tacrolimus DosingDays 181-3650BPAR events
Number of Events of Biopsy Proven Acute Rejection (BPAR)ControlDays 181-3650BPAR events

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCYP3A5 Based Tacrolimus Dosing40
Overall StudySTARTEDControl57
Overall StudyCOMPLETEDCYP3A5 Based Tacrolimus Dosing40
Overall StudyCOMPLETEDControl57
Overall StudyNOT COMPLETEDCYP3A5 Based Tacrolimus Dosing0
Overall StudyNOT COMPLETEDControl0

Adverse events46

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeurotoxicityNervous system disordersCYP3A5 Based Tacrolimus Dosing3405
otherNeurotoxicityNervous system disordersControl5575
otherTremorNervous system disordersCYP3A5 Based Tacrolimus Dosing104012
otherTremorNervous system disordersControl225725
otherHeadacheNervous system disordersCYP3A5 Based Tacrolimus Dosing114016
otherHeadacheNervous system disordersControl215726
otherDiarrheaGastrointestinal disordersCYP3A5 Based Tacrolimus Dosing124016
otherDiarrheaGastrointestinal disordersControl225737
otherNauseaGastrointestinal disordersCYP3A5 Based Tacrolimus Dosing124026
otherNauseaGastrointestinal disordersControl215728

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCYP3A5 Based Tacrolimus Dosing140
Total, all-cause mortalityControl057
Total, other adverse eventsCYP3A5 Based Tacrolimus Dosing4040
Total, other adverse eventsControl5757
Total, serious adverse eventsCYP3A5 Based Tacrolimus Dosing440
Total, serious adverse eventsControl257

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
CYP3A5 Based Tacrolimus Dosing vs Control: deaths from any causeTrial comparisons
CYP3A5 Based Tacrolimus Dosing vs Control: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03020589

GET https://conductscience.org/api/trials/v1/NCT03020589/results?page=2