PMID- 32653093 OWN - NLM STAT- MEDLINE DCOM- 20210917 LR - 20210917 IS - 1958-5578 (Electronic) IS - 0040-5957 (Linking) VI - 75 IP - 6 DP - 2020 Nov-Dec TI - [Summary of the recommendations of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology (IATDMCT) on the therapeutic drug monitoring of tacrolimus]. PG - 681-685 LID - S0040-5957(20)30108-6 [pii] LID - 10.1016/j.therap.2020.06.004 [doi] AB - Recently, the International Association of Therapeutic Drug Monitoring (IATDMCT), that is the learning society for biological pharmacology and toxicology, issued recommendations on the therapeutic drug monitoring (TDM) of tacrolimus. This is the second consensus after the one issued in 2009. In this document, the role of tacrolimus TDM for the four principal transplanted organs is discussed. The analytical aspects, pharmacogenetics, TDM alternative approaches and the positioning of biomarkers are also presented. Stronger recommendations are about trough concentration targets in kidney and liver transplantation and for other indication of tacrolimus use. For the first time, an area under the curve of tacrolimus concentrations target is recommended for recipients management. Eventually, another set of recommendations are proposed for pharmacodynamic biomarkers used in patients' follow-up. CI - Copyright (c) 2020 Societe francaise de pharmacologie et de therapeutique. Published by Elsevier Masson SAS. All rights reserved. FAU - Lemaitre, Florian AU - Lemaitre F AD - Inserm, EHESP, institut de recherche en sante, environnement et travail (Irset) - UMRS 1085, universite Rennes, CHU Rennes, 35000 Rennes, France; Inserm, centre d'investigation clinique 1414, 35000 Rennes, France. Electronic address: florian.lemaitre@chu-rennes.fr. FAU - Monchaud, Caroline AU - Monchaud C AD - Service de pharmacologie, toxicologie et pharmacovigilance, CHU Limoges, 87000 Limoges, France; Inserm, UMR-1248, 87000 Limoges, France. FAU - Woillard, Jean-Baptiste AU - Woillard JB AD - Service de pharmacologie, toxicologie et pharmacovigilance, CHU Limoges, 87000 Limoges, France; Inserm, UMR-1248, 87000 Limoges, France; Faculte de medicine, univeriste Limoges, 87000 Limoges, France. FAU - Picard, Nicolas AU - Picard N AD - Service de pharmacologie, toxicologie et pharmacovigilance, CHU Limoges, 87000 Limoges, France; Inserm, UMR-1248, 87000 Limoges, France; Faculte de medicine, univeriste Limoges, 87000 Limoges, France. FAU - Marquet, Pierre AU - Marquet P AD - Service de pharmacologie, toxicologie et pharmacovigilance, CHU Limoges, 87000 Limoges, France; Inserm, UMR-1248, 87000 Limoges, France; Faculte de medicine, univeriste Limoges, 87000 Limoges, France. LA - fre PT - Journal Article TT - Synthese des recommandations de l'International Association of Therapeutic Drug Monitoring and Clinical Toxicology (IATDMCT) sur le suivi therapeutique pharmacologique du tacrolimus. DEP - 20200620 PL - France TA - Therapie JT - Therapie JID - 0420544 RN - 0 (Immunosuppressive Agents) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - *Drug Monitoring MH - Graft Rejection/prevention & control MH - Humans MH - Immunosuppressive Agents/adverse effects MH - Pharmacogenetics MH - *Tacrolimus/adverse effects OTO - NOTNLM OT - Adverse events OT - Calcineurin inhibitors OT - Effets indesirables OT - Inhibiteur de calcineurine OT - Pharmacocinetique OT - Pharmacokinetics OT - Rejection OT - Rejet OT - Transplantation EDAT- 2020/07/13 06:00 MHDA- 2021/09/18 06:00 CRDT- 2020/07/13 06:00 PHST- 2020/02/11 00:00 [received] PHST- 2020/04/20 00:00 [revised] PHST- 2020/06/15 00:00 [accepted] PHST- 2020/07/13 06:00 [pubmed] PHST- 2021/09/18 06:00 [medline] PHST- 2020/07/13 06:00 [entrez] AID - S0040-5957(20)30108-6 [pii] AID - 10.1016/j.therap.2020.06.004 [doi] PST - ppublish SO - Therapie. 2020 Nov-Dec;75(6):681-685. doi: 10.1016/j.therap.2020.06.004. Epub 2020 Jun 20.