Weber, Lutz T. (2015). Therapeutic drug monitoring in pediatric renal transplantation. Pediatr. Nephrol., 30 (2). S. 253 - 266. NEW YORK: SPRINGER. ISSN 1432-198X

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Abstract

Finding the balance between clinical efficacy and toxicity of immunosuppressive drugs is a challenge in renal transplantation (RTx), but especially in pediatric RTx patients. Due to the expected longer life-span of pediatric transplant patients and the long-term consequences of drug-induced infectious, malignant and cardiovascular adverse effects, protocols which minimize immunosuppressive therapy make conceptual sense. In this context, therapeutic drug monitoring is a tool which provides support for the individualization of therapy. It has, however, limitations, and specific data in the pediatric cohort are comparatively sparse. There is large heterogeneity among the studies conducted to date in terms of methods, follow-up, endpoints, immunosuppressive regimens and patients. In addition, data from adult studies are not readily transferrable to the pediatric situation. This educational review gives a concise overview on aspects of therapeutic drug monitoring in pediatric RTx.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Weber, Lutz T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-413740
DOI: 10.1007/s00467-014-2813-8
Journal or Publication Title: Pediatr. Nephrol.
Volume: 30
Number: 2
Page Range: S. 253 - 266
Date: 2015
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1432-198X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MONOPHOSPHATE DEHYDROGENASE-ACTIVITY; PERFORMANCE LIQUID-CHROMATOGRAPHY; COATED MYCOPHENOLATE SODIUM; LIMITED SAMPLING STRATEGY; CONCENTRATION-TIME CURVE; CYCLOSPORINE-A; CALCINEURIN INHIBITORS; WHOLE-BLOOD; CLINICAL PHARMACOKINETICS; MICROEMULSION FORMULATIONMultiple languages
Pediatrics; Urology & NephrologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/41374

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