Investigation of the pharmacokinetics of cyclosporine in patients following long-term administration after a kidney transplant: comparison of Neoral and Sandimmune

Transplant Proc. 2004 Mar;36(2 Suppl):456S-460S. doi: 10.1016/j.transproceed.2004.01.065.

Abstract

A crossover administration of Neoral and Sandimmune was performed in 43 renal allograft recipients who had been on cyclosporine maintenance therapy for 2 to 19 years posttransplant to investigate the pharmacokinetics of cyclosporine. Although there was no difference in C0 values (trough values) when Neoral and Sandimmune were administered at the same doses, AUC(0-4) and AUC(0-12) values of Neoral were 1.57- and 1.36-fold greater than those of Sandimmune, respectively. For both Neoral and Sandimmune, there was a high correlation between the C2 value and AUC(0-4). The Pearson's product-moment coefficient for the correlation between the C2 value and AUC(0-4) was R=0.91642. On the other hand, the correlation with the C0 value (trough value) was low (R=0.53181). During the period of the study, there was no acute rejection episode, onset of adverse drug reaction symptoms, or marked change in laboratory test values.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Area Under Curve
  • Chemistry, Pharmaceutical
  • Cyclosporine / blood
  • Cyclosporine / pharmacokinetics*
  • Cyclosporine / therapeutic use
  • Drug Administration Schedule
  • Female
  • Humans
  • Kidney Transplantation / immunology
  • Kidney Transplantation / physiology
  • Male
  • Middle Aged

Substances

  • Cyclosporine