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Comparison of adverse drug reaction profiles of two tacrolimus formulations in rats.

Abstract
Tacrobell(®) (TB) is a generic tacrolimus which showed the comparable efficacy to original product, Prograf(®) (PG) in renal transplantation, but toxicity between two drugs is unclear. The aim of this study was to compare the toxicity between these two formulations. TB and PG (0.5, 1 and 2 mg/kg/day) was administered to rats for 4 weeks. The rat survival rate, kidney, liver and pancreas injury was investigated. The survival rate was similar between TB- and PG-treated rats. TB and PG induced renal dysfunction in a dose-dependent manner. Compared to PG treatment in equal dose, TB treatment reduced urinary creatinine clearance in a less degree and renal interstitial fibrosis was comparable between two regimens. The r-glutamyl transpeptidase was aggravated by tacrolimus treatment, and this was not different between TB and PG treatment. In the intraperitoneal glucose tolerance test, a significant diabetogenic effect was observed in all tacrolimus treated-rats. The glucose tolerance of TB-treated rats was similar to those of PG-treated rats in each dose. The decrement in pancreatic β-cell mass by tacrolimus showed the dose-dependent response and it was comparable between TB and PG treatment. In conclusion, TB is similar to PG in terms of nephrotoxicity, hepatoxicity and diabetogenic effect.
AuthorsHyeonSeok Hwang, Jung Yeon Ghee, Ji Hyun Song, ShangGuo Piao, Chul Woo Yang
JournalImmunopharmacology and immunotoxicology (Immunopharmacol Immunotoxicol) Vol. 34 Issue 3 Pg. 434-42 (Jun 2012) ISSN: 1532-2513 [Electronic] England
PMID21970589 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Drugs, Generic
  • Tacrolimus
Topics
  • Animals
  • Chemical and Drug Induced Liver Injury (metabolism, pathology)
  • Diabetes Mellitus (metabolism, pathology)
  • Drugs, Generic (adverse effects, pharmacology)
  • Fibrosis
  • Insulin-Secreting Cells (metabolism, pathology)
  • Kidney Diseases (chemically induced, metabolism, pathology)
  • Male
  • Pancreatic Diseases (chemically induced, metabolism, pathology)
  • Rats
  • Rats, Sprague-Dawley
  • Tacrolimus (adverse effects, pharmacology)

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