Abstract

THERAPEUTIC drug monitoring (TDM) of cyclosporine (CsA) is an established part of the management of transplant recipients. Although predose blood sampling (trough level) is the most commonly used TDM tool, there is evidence that total drug exposure (measured as AUC) is a more sensitive predictor of selected clinical outcomes in transplantation. As full AUC monitoring is impractical, sparse sampling algorithms for AUC estimation have been suggested as more practical but sensitive TDM tools in transplantation. The goal of this study was to estimate AUCs using the sparse-sample method and determine the degree of correlation between the AUC and the trough level in pediatric liver transplant patients receiving Neoral.

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