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.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 162 (estimated) |
| Sponsor | University Hospital, Limoges Academic / other |
| Locations | 18 sites (Besançon and 17 other locations) |
| Status | Recruiting |
| Started | April 15, 2025 |
| Main results expected | April 15, 2028 |
| Study ends | April 15, 2028 |
| Registry record updated | March 19, 2026 |
| Trial ID | NCT06354179 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
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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
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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
- Study coordinator: Caroline MONCHAUD, Pharm D
- Email: caroline.monchaud@inserm.fr
- Phone: 555056140
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Comparing two formulations of tacrolimus for liver transplant patients
This study is testing whether a new extended-release version of tacrolimus causes fewer and less severe tremors in liver transplant patients compared to the standard immediate-release version.
-
Thymalfasin added to standard care for adults with sepsis and immune dysfunction
This study tests whether thymosin alpha-1 helps restore immune function in adults with sepsis who have weakened immunity.
-
Everolimus-based calcineurin-free immunosuppression one year after liver transplant
This trial tests whether switching to or using everolimus with reduced calcineurin inhibitors after year one post-liver transplant can protect kidney function while maintaining graft health in adults at low rejection risk.
-
Metabolic and Functional Study of γδ T Cells in Critically Ill Patients
Researchers will look at how γδ T cells behave in severely ill patients, including those with sepsis, to see how their metabolism and function change.
-
Sleep quality and its determinants during the liver transplant pathway
This study tests how sleep quality changes from before liver transplantation to six months after, in adults on the transplant waitlist at a single hospital.
-
Preoperative CIMT and Intraoperative Hemodynamics in Liver Transplant
This study looks at whether a higher carotid IMT measured before surgery is linked to more unstable blood pressure during liver transplant.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.