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Whole-Blood Tacrolimus Trough Concentration in Renal Transplant Recipients at a Tertiary Care Center in Central Nepal: A Cross-sectional Study

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creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorSharma, Vijay
dc.contributor.authorNiraula, Apeksha
dc.contributor.authorTuladhar, Eans Tara
dc.contributor.authorDubey, Raju Kumar
dc.contributor.authorBhattarai, Aseem
dc.contributor.authorRaut, Mithileshwer
dc.contributor.authorKadel, Anuradha
dc.contributor.authorKharal, Nikita
dc.contributor.authorSapkota, Srijana
dc.contributor.authorPokhrel, Prakash
dc.date.accessioned2025-11-06T04:20:54Z
dc.date.available2025-11-06T04:20:54Z
dc.date.issued2024
dc.descriptionVijay Sharma Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Apeksha Niraula Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author https://orcid.org/0000-0003-2866-7969 Eans Tara Tuladhar Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Raju Kumar Dubey Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Aseem Bhattarai Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Mithileshwer Raut Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Anuradha Kadel Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author https://orcid.org/0000-0001-8122-6068 Nikita Kharal Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Srijana Sapkota Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Prakash Pokhrel Department of Biochemistry, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
dc.description.abstractAbstract: Introduction Tacrolimus, a widely used immunosuppressant for renal transplantation, requires careful monitoring due to its narrow therapeutic index and high pharmacokinetic variability. Hence, this study aimed to evaluate the whole blood tacrolimus trough levels in post-renal transplant patients at TUTH. Methods A total of 257 patients who had undergone kidney transplantation were included in this descriptive cross-sectional study Whole-blood tacrolimus concentration was measured using the ARCHITECT i1000SR analyzer (Abbott Diagnostics, North Chicago, USA) by CMIA. Ethical approval was taken from the Institutional Review Committee of TUTH [Ref. No.: 448(6-11) E2081/082]. Results Among the 257 renal transplant recipients, 197(76.65%) were male and 60(23.35%) were female, with a mean age of 38.06±10.74 years. The mean tacrolimus trough level was 7.58±3.92 ng/mL, with a median of 6.8(IQR: 5.4- 9.1) ng/ml. Females had a slightly higher median tacrolimus concentration [7.2(IQR: 5.7- 9.1)] compared to males [6.8(IQR: 5.7- 9.1)]. Of the determinations, 175(68.09%) were within the therapeutic range (5-15 ng/mL), 68(26.46%) were below it, and 14(5.45%) had elevated tacrolimus levels. Conclusions The median tacrolimus trough level in this study was 6.8 ng/mL (IQR: 5.4–9.1), slightly higher but within the therapeutic range compared to similar studies done in similar settings. Monitoring of tacrolimus trough concentrations is of utmost importance in the management of kidney transplant recipients.
dc.identifierhttps://doi.org/10.59779/jiomnepal.1366
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3055
dc.language.isoen_US
dc.publisherInstitute of Medicine, Tribhuvan University
dc.subjectChemiluminescent microparticle immunoassay
dc.subjectKidney transplantation
dc.subjectTacrolimus
dc.subjectTherapeutic drug monitoring
dc.titleWhole-Blood Tacrolimus Trough Concentration in Renal Transplant Recipients at a Tertiary Care Center in Central Nepal: A Cross-sectional Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage59
oaire.citation.startPage55
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relation.isJournalIssueOfPublication.latestForDiscoveryab087093-3e41-4412-9087-639d9774bfa1
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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