Influence of bile on cyclosporin absorption from microemulsion formulation in primary liver transplant recipients

Transpl Int. 1995;8(4):324-6. doi: 10.1007/BF00346888.

Abstract

We analysed the absorption, after oral application, of a new galenic form of cyclosporin A (CyA-NOF) in liver-grafted patients (n = 12) during the 1st week (days 2-4) after transplantation. Pharmacokinetic profiling was performed with an open or clamped T tube in situ or with the T tube absent. The pharmacokinetic parameters of CyA-NOF were influenced by T tube clamping and bile diversion. The highest AUC, Cmax and earliest Tmax values were found in patients without a T tube in situ, indicating that absorption of CyA-NOF in patients during the early course after liver transplantation is not bile-independent. CyA-NOF, at a dose of 7.5 mg/kg, was enterally absorbed with appropriate AUC and Cmax levels. Patients receiving a starting dose of 7.5 mg/kg were successfully maintained on CyA-NOF during the subsequent clinical course.

Publication types

  • Clinical Trial
  • Clinical Trial, Phase II
  • Randomized Controlled Trial

MeSH terms

  • Absorption
  • Administration, Oral
  • Adult
  • Bile / physiology*
  • Cyclosporine / administration & dosage
  • Cyclosporine / pharmacokinetics*
  • Emulsions
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / pharmacokinetics*
  • Liver Diseases / metabolism
  • Liver Diseases / surgery
  • Liver Transplantation*
  • Male
  • Middle Aged

Substances

  • Emulsions
  • Immunosuppressive Agents
  • Cyclosporine