Immediate-Release versus Extended-Release Tacrolimus: Comparing Blood Pressure Control in Kidney Transplant Recipients - A Retrospective Cohort Study Article

Full Text via DOI: 10.1159/000541334 Web of Science: 001340771500001

Cited authors

  • Yang CW, Velez JCQ, Cohen DL

Abstract

  • Background: Hypertension (HTN) is a common side effect of tacrolimus (Tac), the first-line antirejection medication for kidney transplant recipients. The impact of immediate- release tacrolimus (Tac IR) dosed twice daily versus extended-release tacrolimus (Tac ER) dosed once daily on long-term blood pressure control in kidney transplant recipients remains understudied. This study aims to compare the use of Tac IR versus Tac ER in kidney transplant recipients and evaluate the effects of the different formulations on systolic blood pressure (SBP), diastolic blood pressure (DBP), and HTN crisis. Methods: This retrospective cohort study at a single institution collected baseline characteristics, time- varying exposure to Tac IR versus Tac ER, SBP, DBP, HTN crisis, and confounders at each posttransplant visit. A marginal structural linear mixed-effects model was employed to analyze the longitudinal blood pressure control in kidney transplant recipients receiving Tac IR and Tac ER. Results: The final analysis included 654 patients, with mean ages of 52.0 years for Tac IR and 50.3 years for Tac ER. Males constituted 56.7% in Tac IR and 55.0% in Tac ER. Notably, the black population had 2.44 times higher odds of receiving Tac ER after adjusting for the rest of the baseline characteristics. No difference was found between longitudinal SBP (p = 0.386, 95% CI: - 1.00, 2.57) or DBP (p = 0.797, 95% CI: - 1.38, 1.06). Conclusion: Our study indicates that post- transplant patients taking Tac ER exhibit no difference in chronic SBP and DBP controls compared to Tac IR. (c) 2024 S. Karger AG, Basel

Authors

Publication date

  • 2024

Published in

International Standard Serial Number (ISSN)

  • 1660-8151

Number of pages

  • 9

Start page

  • 57

End page

  • 65

Volume

  • 149

Issue

  • 2