Tacrolimus

Drug

Drug Profile

Tacrolimus is marketed as PROGRAF and is a calcineurin-inhibitor immunosuppressant used in combination regimens to prevent allogeneic organ transplant rejection in liver, kidney, heart, and lung recipients. It remains a core transplant immunosuppressive therapy. U.S. initial approval was in 1994.

Drug Class
Calcineurin-inhibitor immunosuppressant
Approval Status
FDA approved (Initial U.S. Approval: 1994)
Mechanism of Action
Binds FKBP to inhibit calcineurin phosphatase activity, reducing NFAT activation and T-cell activation/proliferation.
Brand Names
  • PROGRAF
Indications
  • \Prophylaxis of organ rejection in adult and pediatric allogeneic liver transplant recipients (with other immunosuppressants)\
  • \Prophylaxis of organ rejection in kidney transplant recipients\
  • \Prophylaxis of organ rejection in heart transplant recipients\
  • \Prophylaxis of organ rejection in lung transplant recipients\

Related News

Novel GVHD Prevention Regimen Shows Strong Results Without Standard Immunosuppressants

Interim results from the ABC phase 1/2b trial show a calcineurin inhibitor-free GVHD prevention regimen combining posttransplant cyclophosphamide, bortezomib, and abatacept achieved low GVHD rates and favorable survival outcomes. The approach enables earlier introduction of posttransplant maintenance therapies while reducing toxicity associated with conventional immunosuppressants.

Roche's Gazyva Meets Primary Endpoint in Phase III Kidney Disease Trial

Roche announced that Gazyva/Gazyvaro met its primary endpoint in the Phase III MAJESTY study for primary membranous nephropathy, showing statistically significant complete remission rates versus tacrolimus. The drug could become the first approved therapy for this rare autoimmune kidney disease.

Related Clinical Trials

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Stem Cell Transplantation for Participants With Germline RUNX1 Associated Blood Cancers

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NCT07519174

A Randomized Controlled Trial Comparing the Effectiveness and Safety of Topical Tacrolimus 0.03% Versus Crisaborole 2% in Patients With Mild to Moderate Atopic Dermatitis Over 8 Weeks

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NCT07493538

MT2025-35 Allogeneic Hematopoietic Stem Cell Transplantation Using Reduced Intensity Conditioning Treosulfan and Fludarabine, With Post-Transplant Cytoxan (PTCy) for the Treatment of Hematological Diseases

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NCT07412470

A Study to Investigate the Efficacy and Safety of Frexalimab Versus Tacrolimus in Adults Undergoing Kidney Transplantation

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NCT07352566

Utilization of a Microdevice for Psoriasis and Atopic Dermatitis

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Axatilimab Plus Standard of Care Therapy for the Prevention of Graft Versus Host Disease Following Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Hematologic Cancer, ABRAXAS Trial

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