Research Article

Switching Stable Kidney Transplant Recipients to a Generic Tacrolimus Is Feasible and Safe, but It Must Be Monitored

Table 1

Creatinine, tacrolimus blood levels, and tacrolimus doses before and after the conversion in all patients and selected subgroups (those who maintained stable or deteriorated allograft function and those who suffered infections or underwent biopsies).

BaselinePostconversionBetween periods values
Creatinine mg/dLTacrolimusCreatinine mg/dLTacrolimusCreatinineTacrolimus
Blood level ng/mLDose mgBlood level ng/mLDose mgBlood levelsDose

All patients ()1,62 0,908.0 2,23,9 2.01,75 0,927,4 1,64,1 2,1<0,0010,3540,308

Stable creatinine ()1,75 0,388,2 2,53,9 1,71,6 0,47,2 1,64,7 2,10,0030,4520,116
Increased creatinine ()1,53 0,748,2 2,04,3 2,21,9 1,07,6 2,54,4 2,1<0,0010,2650,268

Between groups ()0,2650,940,5570,3740,5370,617

Biopsied patients ()1,78 0,348,5 1,35,5 3,42.0 0,47,1 1,85,4 2,40,1200,3400,721
Infected patients ()1,38 0,529,0 1,83,8 1,21,62 0,588,6 3,64,2 1,70,1940,7750,404

Biopsied versus not biopsied0,6360,6170,2450,680,8580,361
Infected versus not infected0,3140,1680,7060,5950,0850,727