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Immunosuppressant

Tacrolimus Formulations for Tremors in Liver Transplant Patients (LCP-TAC Trial)

Phase 4
Recruiting
Led By Trana Hussaini, Pharm D
Research Sponsored by University of British Columbia
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
All patients who are eligible to initiate Tacrolimus within 7 days post-liver transplant
Recipients of a first-time liver transplant
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3, 6 and 12 months post transplantation
Awards & highlights
All Individual Drugs Already Approved
Pivotal Trial
Approved for 5 Other Conditions
Drug Has Already Been Approved
No Placebo-Only Group

Summary

This trial is studying the risk of tremors in liver transplant patients who take two different forms of a medication called tacrolimus. One form is taken once a day and the other is taken twice a

Who is the study for?
This trial is for adults over 18 who've just had their first liver transplant and have a kidney function (eGFR) above 30 ml/min. They should be starting on Tacrolimus within 7 days after the transplant and must give informed consent to participate.
What is being tested?
The study compares two forms of Tacrolimus in new liver transplant recipients: Envarsus, an extended-release tablet taken once daily, versus a twice-daily immediate-release version. The goal is to see which causes fewer tremors.
What are the potential side effects?
Tacrolimus may cause side effects like shaking hands (tremors), headaches, diarrhea, high blood pressure, changes in kidney function, and increased risk of infections.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I can start Tacrolimus within a week after my liver transplant.
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I have received a liver transplant for the first time.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3, 6 and 12 months post transplantation
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3, 6 and 12 months post transplantation for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Proportion of patients with tacrolimus induced tremors or worsening tremors or tacrolimus discontinuation due to neurotoxicity at 8 weeks post transplantation
Secondary study objectives
Immunosuppression medication adherence as assessed by the Simplified Medication Adherence Questionnaire (SMAQ) at 12 months after transplant
Immunosuppression medication adherence as assessed by the Simplified Medication Adherence Questionnaire (SMAQ) at 8 weeks after transplant
Proportion of patients reaching the composite end point of death, graft loss or biopsy proven acute cellular rejection (BPAR) at 12 months post transplantation
+1 more
Other study objectives
Change in GFR
Incidence and severity of AKI
Incidence of biopsy proven acute cellular rejection (BPAR)
+3 more

Side effects data

From 2021 Phase 4 trial • 50 Patients • NCT03511560
25%
BK Viremia
4%
Cytomegalovirus
4%
COVID-19 infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Tacrolimus, Immediate Release
Envarsus XR

Awards & Highlights

All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Approved for 5 Other Conditions
This treatment demonstrated efficacy for 5 other conditions.
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: LCPTExperimental Treatment1 Intervention
Group II: IR-TACActive Control1 Intervention
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tacrolimus
FDA approved

Find a Location

Who is running the clinical trial?

Paladin Labs Inc.OTHER
3 Previous Clinical Trials
231 Total Patients Enrolled
University of British ColumbiaLead Sponsor
1,466 Previous Clinical Trials
2,485,337 Total Patients Enrolled
3 Trials studying Tremor
32 Patients Enrolled for Tremor
Jo-Ann Ford, RNStudy ChairUniversity of British Columbia
1 Previous Clinical Trials
24 Total Patients Enrolled
~46 spots leftby Jan 2026