Clinical trial Recruiting at 17 sites Phase 4 Interventional Ages 18 and up

Once-daily tacrolimus regimens during the first year after liver transplant

Official title: Evaluation of the Benefits of Administering Immunosuppressive Drugs as Single Daily Doses Over the First Year After Liver Transplantation

Run by University Hospital, Limoges · NCT06354179 · Data updated 2026-11-12

This will try once-daily tacrolimus with mycophenolate to see if simpler dosing helps people take their medicines and protects the transplanted liver during the first year after a liver transplant.

More Immunosuppression trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment162 (estimated)
SponsorUniversity Hospital, Limoges
Academic / other
Locations18 sites (Besançon and 17 other locations)
StatusRecruiting
StartedApril 15, 2025
Main results expectedApril 15, 2028
Study endsApril 15, 2028
Registry record updatedMarch 19, 2026
Trial IDNCT06354179 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults who received their first liver transplant from a deceased donor within the past four weeks, can give informed consent, and have no contraindications to tacrolimus or mycophenolate.

Probably not a fit

Patients with split-liver or additional organ transplants, contraindications to tacrolimus or MMF, pregnant or breastfeeding women, or those on interacting HIV/HCV protease inhibitors are unlikely to be eligible or to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults who recently received a first liver transplant are assigned to different immunosuppressive schedules using once-daily formulations of tacrolimus (extended-release or LCP) combined with once- or twice-daily mycophenolate. The trial compares several combinations and planned transitions of dosing over the first post-transplant year. Investigators will track medication adherence, graft function, rejection events, and safety outcomes. The aim is to determine whether simplifying dosing improves adherence without increasing rejection or adverse events.

Why it matters

Potential benefit: If successful, simpler once-daily regimens could improve medication adherence and reduce late rejection and graft loss after liver transplantation.

How similar studies have gone: Other trials of once-daily tacrolimus formulations have generally shown comparable graft outcomes to twice-daily dosing and some improvements in adherence, so this approach builds on existing evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Recipients of a first liver allograft from a deceased donor
* Transplanted for less than four weeks at enrolment.
* Without inter-current progressive life-threatening or graft-threatening disease.
* Having signed a written informed consent for their participation in the study.
* Affiliated to, or beneficiary of, a social security regimen

Exclusion Criteria:

* Recipients of a split-liver transplantation.
* Recipients of any transplanted organ other than the liver
* Patient who has undergone colon resection
* Patients under legal protection (guardianship, curatorship).
* Patient presenting any contra-indication to tacrolimus or to MMF according to the summary of product characteristics (SmPC) of ENVARSUS®, ADVAGRAF® and CELLCEPT®.
* Patients in whom everolimus-based calcineurin inhibitors (CNI) minimization is anticipated
* Patients treated with HIV or HCV protease inhibitors.
* Pregnant or lactating women.
* Women of childbearing potential without any effective contraceptive method (according to the guidelines of CTFG, Clinical Trial Facilitation Group, related to contraception and pregnancy test in clinical trials) or not practicing sexual abstinence.
* Sexually active men having a female partner, without any effective contraception.
* Patients incapable of understanding the purposes and risks of the study, who cannot give written informed consent, or who are unwilling to comply with the study protocol.
* Patients enrolled in another clinical study evaluating drugs or therapeutic strategies potentially interfering with the objectives of the EASY study.

Where it's running

  • CHU de Besançon - Hôpital Jean Minjoz
    Besançon, France
    Recruiting
  • Beaujon hospital - APHP
    Clichy, France
    Recruiting
  • CHU de Dijon Bourgogne
    Dijon, France
    Recruiting
  • Lille university hospital
    Lille, France
    Recruiting
  • Limoges university hospital
    Limoges, France
    Recruiting
  • Lyon university hospital
    Lyon, France
    Recruiting
Show 12 more locations
  • Aphp
    Marseille, France
    Recruiting
  • Montpellier university hospital
    Montpellier, France
    Recruiting
  • Nice university hospital
    Nice, France
    Recruiting
  • Pitie Salpetriere hospital - APHP
    Paris, France
    Recruiting
  • Bordeaux university hospital
    Pessac, France
    Recruiting
  • Poitiers university hospital
    Poitiers, France
    Recruiting
  • Rennes university hospital
    Rennes, France
    Recruiting
  • Strasbourg university hospital
    Strasbourg, France
    Recruiting
  • Toulouse university hospital
    Toulouse, France
    Recruiting
  • Tours university Hospital
    Tours, France
    Recruiting
  • Paul Brousse Hospital - APHP
    Villejuif, France
    Recruiting
  • CHu de Grenoble
    Grenoble, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.