Maguire M, Franz T, Hains DS A clinically significant interaction between tacrolimus and multiple proton pump inhibitors in a kidney transplant recipient. Pediatr Transplant. 2012 Sep;16(6):E217-20. doi: 10.1111/j.1399-3046.2011.01559.x. Epub 2011 Aug 23.
Mei S, Wang J, Chen D, Zhu L, Zhao M, Tian X, Hu X, Zhao Z Simultaneous determination of cyclosporine and tacrolimus in human whole blood by ultra-high performance liquid chromatography tandem mass spectrometry and comparison with a chemiluminescence microparticle immunoassay. J Chromatogr B Analyt Technol Biomed Life Sci. 2018 Jun 15;1087-1088:36-42. doi: 10.1016/j.jchromb.2018.04.028. Epub 2018 Apr 13.
Moreau C, Debray D, Loriot MA, Taburet AM, Furlan V Interaction between tacrolimus and omeprazole in a pediatric liver transplant recipient. Transplantation. 2006 Feb 15;81(3):487-8. doi: 10.1097/01.tp.0000194861.59543.b9. No abstract available. Erratum In: Transplantation. 2006 Nov 27;82(10):1382.
Interventional studies are often prospective and are specifically tailored to evaluate direct impacts of treatment or preventive measures on disease.
Observational studies are often retrospective and are used to assess potential causation in exposure-outcome relationships and therefore influence preventive methods.
Expanded access is a means by which manufacturers make investigational new drugs available, under certain circumstances, to treat a patient(s) with a serious disease or condition who cannot participate in a controlled clinical trial.
Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.
Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.
