Trial Outcomes & Findings for Optimizing Immunosuppression Drug Dosing Via Phenotypic Precision Medicine (NCT NCT03527238)

NCT ID: NCT03527238

Last Updated: 2021-12-10

Results Overview

Percentage of Days Far (\> 2 ng/mL) Out of Range of Tacrolimus Target Trough Level

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

62 participants

Primary outcome timeframe

2 weeks

Results posted on

2021-12-10

Participant Flow

Participant milestones

Participant milestones
Measure
Standard of Care
Standard of Care Tacrolimus Drug Dosing Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Phenotypic Precision Medicine (PPM)
PPM-based Computation Assisted Drug Dosing PPM-based Computation Assisted Drug Dosing: Tacrolimus dosing based on application of PPM. Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Overall Study
STARTED
31
31
Overall Study
COMPLETED
29
27
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Optimizing Immunosuppression Drug Dosing Via Phenotypic Precision Medicine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care
n=31 Participants
Standard of Care Tacrolimus Drug Dosing Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Phenotypic Precision Medicine (PPM)
n=31 Participants
PPM-based Computation Assisted Drug Dosing PPM-based Computation Assisted Drug Dosing: Tacrolimus dosing based on application of PPM. Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Total
n=62 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=93 Participants
25 Participants
n=4 Participants
51 Participants
n=27 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
6 Participants
n=4 Participants
11 Participants
n=27 Participants
Age, Continuous
57 years
n=93 Participants
58 years
n=4 Participants
57.5 years
n=27 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
13 Participants
n=4 Participants
27 Participants
n=27 Participants
Sex: Female, Male
Male
17 Participants
n=93 Participants
18 Participants
n=4 Participants
35 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
4 Participants
n=4 Participants
6 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=93 Participants
27 Participants
n=4 Participants
56 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
White
29 Participants
n=93 Participants
30 Participants
n=4 Participants
59 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
31 participants
n=93 Participants
31 participants
n=4 Participants
62 participants
n=27 Participants

PRIMARY outcome

Timeframe: 2 weeks

Percentage of Days Far (\> 2 ng/mL) Out of Range of Tacrolimus Target Trough Level

Outcome measures

Outcome measures
Measure
Standard of Care
n=29 Participants
Standard of Care Tacrolimus Drug Dosing Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Phenotypic Precision Medicine (PPM)
n=27 Participants
PPM-based Computation Assisted Drug Dosing PPM-based Computation Assisted Drug Dosing: Tacrolimus dosing based on application of PPM. Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Tacrolimus Target Trough Level Maintenance
38.4 percentage of days
Standard Deviation 27.4
24.2 percentage of days
Standard Deviation 19.1

Adverse Events

Standard of Care

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Phenotypic Precision Medicine (PPM)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard of Care
n=31 participants at risk
Standard of Care Tacrolimus Drug Dosing Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Phenotypic Precision Medicine (PPM)
n=31 participants at risk
PPM-based Computation Assisted Drug Dosing PPM-based Computation Assisted Drug Dosing: Tacrolimus dosing based on application of PPM. Tacrolimus: Dosing of calcineurin inhibitor, tacrolimus
Immune system disorders
Rejection
19.4%
6/31 • Number of events 6 • 30 days after discharge
19.4%
6/31 • Number of events 6 • 30 days after discharge

Additional Information

Ali Zarrinpar

University of Florida

Phone: 352-265-0606

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place