Tacrolimus

Vitiligo, Pyoderma Gangrenosum, Kidney Transplantation + 12 more

Treatment

5 FDA approvals

20 Active Studies for Tacrolimus

What is Tacrolimus

Tacrolimus

The Generic name of this drug

Treatment Summary

Tacrolimus (also known as FK-506 or Fujimycin) is a drug used to weaken a patient’s immune system after organ transplant. It can also be used as a topical treatment for severe atopic dermatitis, severe uveitis after bone marrow transplants, and vitiligo. Tacrolimus was discovered in 1984 from the bacteria Streptomyces tsukubaensis found in a Japanese soil sample. It works by binding to a protein called immunophilin FKBP-12, which then inhibits certain processes within the immune system.

Prograf

is the brand name

image of different drug pills on a surface

Tacrolimus Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Prograf

Tacrolimus

1994

138

Approved as Treatment by the FDA

Tacrolimus, also called Prograf, is approved by the FDA for 5 uses such as Kidney Transplantation and Kidney Transplant Rejection .

Kidney Transplantation

Kidney Transplant Rejection

Liver Transplant Rejection

Immunosuppressive Treatment

Kidney

Effectiveness

How Tacrolimus Affects Patients

Tacrolimus works by blocking a protein (FKBP-12) that helps send signals to T-lymphocytes, which are involved in the body's immune response. It is similar to cyclosporine, but has been shown to be more effective in reducing rejection rates. Tacrolimus is also used to treat eczema, and while it can reduce inflammation like steroids, it is not as strong. It is a great option for treating eczema on the face, as other topical steroids can thin the skin there. For other parts of the body, topical steroids are usually a better option.

How Tacrolimus works in the body

The exact way tacrolimus works on atopic dermatitis is uncertain. It is believed to affect lymphocyte activation by forming a complex of tacrolimus, FKBP-12, calcium, calmodulin, and calcineurin. This prevents the movement and activity of a nuclear factor thought to initiate gene expression for lymphokine production. Tacrolimus also stops the gene transcription for various interleukins and other molecules involved in early T-cell activation, as well as blocks the release of pre-formed mediators from mast cells and basophils. Finally, it decreases the presence of a receptor

When to interrupt dosage

The suggested dosage of Tacrolimus is reliant upon the identified condition, such as Vitiligo, Rejection; Transplant, Kidney and Pyoderma Gangrenosum. The magnitude of dosage is contingent upon the delivery approach (e.g. Capsule, gelatin coated - Oral or Topical) specified in the table below.

Condition

Dosage

Administration

Liver

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Pyoderma Gangrenosum

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Dermatitis, Atopic

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Dermatitis, Atopic

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Rheumatoid Arthritis

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Lichen Planus, Oral

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Chronic Graft Versus Host Disease

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Lung

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Psoriasis

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Immunocompromised

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Vitiligo

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Kidney Transplantation

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Prophylaxis against heart transplant rejection

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Kidney

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Immunosuppressive Treatment

0.5 mg, , 1.0 mg, 5.0 mg, 0.001 mg/mg, 0.0003 mg/mg, 4.0 mg, 0.75 mg, 3.0 mg, 0.2 mg, 0.03 %, 0.1 %, 5.0 mg/mL, 5.0 mg/mg, 0.00003 mg/mg, 0.003 mg/mg

Oral, Capsule, , Capsule - Oral, Capsule, coated, extended release, Capsule, coated, extended release - Oral, Topical, Ointment, Ointment - Topical, Capsule, gelatin coated, Capsule, gelatin coated - Oral, Tablet, extended release, Tablet, extended release - Oral, Solution, Intravenous, Solution - Intravenous, Capsule, extended release - Oral, Capsule, extended release, Granule, Cutaneous, Injection, solution - Intravenous, Injection, solution, Granule - Oral, Granule, for suspension, Granule, for suspension - Oral, Kit, Cream - Topical, Solution - Topical, Cream, Ointment - Cutaneous

Warnings

Tacrolimus Contraindications

Condition

Risk Level

Notes

Severe Hypersensitivity Reactions

Do Not Combine

Tacrolimus may interact with Pulse Frequency

There are 20 known major drug interactions with Tacrolimus.

Common Tacrolimus Drug Interactions

Drug Name

Risk Level

Description

Abemaciclib

Major

The serum concentration of Abemaciclib can be increased when it is combined with Tacrolimus.

Alectinib

Major

The metabolism of Alectinib can be decreased when combined with Tacrolimus.

Aminophylline

Major

The metabolism of Aminophylline can be decreased when combined with Tacrolimus.

Axitinib

Major

The serum concentration of Axitinib can be increased when it is combined with Tacrolimus.

Bacillus calmette-guerin substrain russian BCG-I live antigen

Major

The therapeutic efficacy of Bacillus calmette-guerin substrain russian BCG-I live antigen can be decreased when used in combination with Tacrolimus.

Tacrolimus Toxicity & Overdose Risk

The side effects of overdose on this medication can be serious, such as blurred vision, kidney and liver damage, seizures, uncontrollable shaking, high blood pressure, low levels of magnesium, diabetes, high levels of potassium, itching, trouble sleeping, and confusion. The lowest toxic dose in rats is between 134-194 mg/kg.

image of a doctor in a lab doing drug, clinical research

Tacrolimus Novel Uses: Which Conditions Have a Clinical Trial Featuring Tacrolimus?

147 active clinical trials are analyzing the potential of Tacrolimus to ameliorate Oral Lichen Planus, Pyoderma Gangrenosum and refractory Rheumatoid Arthritis.

Condition

Clinical Trials

Trial Phases

Pyoderma Gangrenosum

2 Actively Recruiting

Phase 2, Phase 3

Rheumatoid Arthritis

58 Actively Recruiting

Not Applicable, Phase 3, Phase 2, Phase 1, Phase 4

Immunocompromised

2 Actively Recruiting

Phase 1, Not Applicable

Lichen Planus, Oral

0 Actively Recruiting

Vitiligo

7 Actively Recruiting

Phase 2, Phase 3, Phase 1

Kidney Transplantation

0 Actively Recruiting

Kidney

0 Actively Recruiting

Liver

0 Actively Recruiting

Immunosuppressive Treatment

0 Actively Recruiting

Lung

0 Actively Recruiting

Dermatitis, Atopic

0 Actively Recruiting

Prophylaxis against heart transplant rejection

0 Actively Recruiting

Psoriasis

0 Actively Recruiting

Chronic Graft Versus Host Disease

24 Actively Recruiting

Phase 4, Phase 1, Phase 2, Not Applicable, Phase 3

Dermatitis, Atopic

0 Actively Recruiting

Tacrolimus Reviews: What are patients saying about Tacrolimus?

5

Patient Review

1/2/2012

Tacrolimus for Body's Rejection of a Transplanted Organ

I've had zero issues.

5

Patient Review

10/13/2007

Tacrolimus for Prevention of Cardiac Transplant Rejection

5

Patient Review

12/17/2008

Tacrolimus for Prevent Kidney Transplant Rejection

I had never experienced tremor before, but after starting this medication I quickly felt much better.

5

Patient Review

1/2/2011

Tacrolimus for Prevention of Liver Transplant Rejection

This drug has been a life-saver for me. I have nephrotic syndrome, and before taking this pill, I was carrying around a lot of extra fluid in my stomach and other parts of my body. After taking this pill for a few months, I went from 160 pounds back down to my normal weight of 115 pounds. I didn't experience any side effects like I did when my doctor tried Cyclosporine. This drug turned my labs back to normal and made my weekly kidney appointments go from 4-5 times per month down to just once every few months. It's an amazing drug!

5

Patient Review

7/31/2017

Tacrolimus for Prevention of Liver Transplant Rejection

I'm five months out from my transplant and I feel great! Thank you so much to my donor.

5

Patient Review

4/29/2021

Tacrolimus for Prevention of Liver Transplant Rejection

I've been on this medication for 12 years. I had one liver rejection issue in the beginning, but it was quickly resolved by adjusting my dosage. I'm currently taking 1 mg in the morning and 2 mg at night.

4.7

Patient Review

8/16/2008

Tacrolimus for Prevent Kidney Transplant Rejection

After my transplant, I've only experienced one or two rejections. This is due in large part to the Prograf medication I began taking shortly after the surgery.

4.3

Patient Review

10/5/2019

Tacrolimus for Prevent of Transplant Rejection

I've had my liver transplants for 25 years and have been on cyclosporine, then tacrolimus. Recently, it's stopped an episode of acute rejection but I've experienced several side effects, including low platelets, headaches, ringing in the ears, difficulty swallowing, heart palpitations and tiredness. Has anyone else been having muscle weakness?

4

Patient Review

10/25/2007

Tacrolimus for Prevention of Lung Transplant Rejection

4

Patient Review

11/8/2010

Tacrolimus for Prevent of Transplant Rejection

I was originally on a lower dosage of this medication, but it actually ended up raising my IGG levels.

4

Patient Review

3/23/2010

Tacrolimus for Prevent Kidney Transplant Rejection

Tacrolimus has been incredibly effective for me since my kidney/pancreas transplant. I've never had any rejection and it's honestly the best drug I'm on right now.

4

Patient Review

10/3/2011

Tacrolimus for Prevention of Liver Transplant Rejection

I haven't had any major issues while using tacrolimus. My only complaint is that it caused a slight elevation in creatin levels in my kidneys.

3.7

Patient Review

11/14/2013

Tacrolimus for Prevent of Transplant Rejection

One of the more distressing side effects is hair loss. Please be upfront about this potentiality when taking this medication, as it was not initially made clear to me.

3.7

Patient Review

11/4/2019

Tacrolimus for Prevent Kidney Transplant Rejection

While this treatment has saved my kidney, the number of awful side effects have really impacted my quality of life.

3

Patient Review

3/15/2010

Tacrolimus for Osteoporosis

After 13 hours of not taking prograf, my FK level is 14.6. Is this normal?

2.3

Patient Review

1/24/2008

Tacrolimus for Prevent Kidney Transplant Rejection

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about tacrolimus

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is tacrolimus is a steroid?

"Tacrolimus is a prescription non-steroidal medication that is applied to the skin short-term to treat eczema, also known as atopic dermatitis."

Answered by AI

What drug class is tacrolimus?

"Tacrolimus is an immunosuppressant, a class of medication that works by decreasing the activity of the immune system to prevent it from attacking the transplanted organ."

Answered by AI

What does tacrolimus do to skin?

"This drug reduces eczema by weakening the skin's immune system, which decreases the allergic reaction. Tacrolimus is a type of drug called a topical calcineurin inhibitor (TCI)."

Answered by AI

What is tacrolimus is used for?

"Tacrolimus topical is used on the skin to treat moderate to severe atopic dermatitis. Atopic dermatitis is a skin condition where there is itching, redness, and inflammation, much like an allergic reaction."

Answered by AI

Clinical Trials for Tacrolimus

Image of Ohio State University Comprehensive Cancer Center in Columbus, United States.

Ruxolitinib for T-Cell Lymphoma

18+
All Sexes
Columbus, OH

This phase II trial tests how well ruxolitinib as a maintenance medication works to prevent relapse and graft-versus-host disease (GVHD) for patients who have undergone stem cell transplantation for T-cell lymphoma. GVHD is a common problem that may occur after a blood stem cell transplant. The "graft" is the donor blood cells that patients get during the transplant. The "host" is the person receiving the cells. GVHD is when the donor graft attacks and damages some of the transplant recipient's tissues. Ruxolitinib is a type of drug called a Janus kinase (JAK) inhibitor which works by decreasing the immune response of cells in the body. It is also a cancer growth blocker that blocks the growth factors that trigger the cancer cells to divide and grow. Ruxolitinib works by blocking a gene, called JAK2, that is important in the production of cancer cells.

Phase 2
Recruiting

Ohio State University Comprehensive Cancer Center

Jonathan Brammer, MD

Incyte Corporation

Have you considered Tacrolimus clinical trials?

We made a collection of clinical trials featuring Tacrolimus, we think they might fit your search criteria.
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Image of Sunnybrook Health Sciences Centre in Toronto, Canada.

Steroids for Rheumatoid Arthritis

18+
All Sexes
Toronto, Canada

People living with rheumatoid arthritis (RA) often experience flares-periods where their symptoms suddenly get worse. These flares can cause significant pain, make it harder to move and do daily activities, and lower overall quality of life. Doctors often treat flares with medications called glucocorticoids (GCs), which reduce inflammation. These medications can be taken by mouth (oral/PO) or given as a single injection into the muscle (intramuscular/IM). However, it's not clear which option works better from the patient's point of view-especially when it comes to relief of symptoms, improvements in function, and satisfaction with treatment. Most research so far has focused on how well the drugs control the disease, rather than how they impact the patient's overall experience. Research Questions: 1. Does a single GC injection work just as well as taking pills over a few weeks in improving symptoms reported by patients? 2. How do the two treatments compare in terms of symptom relief, ability to function, and patient satisfaction? 3. What do patients think and feel about using GCs to treat RA flares? What the Investigators Think: The investigators believe that a one-time GC injection is just as good as taking pills for a few weeks when it comes to managing RA flares. In fact, the injection might even be safer and preferred by patients. What the Investigators are Doing: The investigators will study 220 adults with RA who are currently having a flare (with at least 3 swollen and tender joints). These patients will be recruited from rheumatology clinics at the University of Toronto and must not have used GCs in the past month. They will be randomly assigned to receive either: A single injection (Methylprednisolone 120 mg), or Oral pills (Prednisone starting at 15 mg daily and tapering down over 3 weeks). The main thing the investigators will look at is how much better patients feel after 6 weeks, based on a questionnaire designed to measure RA flares. The investigators will also look at how well they function, how satisfied they are with the treatment, and whether they had any side effects. In addition, 20 patients (10 from each group) will be interviewed to understand their experiences and opinions about flare treatment in more detail. Why This Is Possible: The investigators have already surveyed University of Toronto rheumatologists who support the idea and provided input on study design. The investigators have also partnered with experts in research methods, national arthritis organizations, and patient groups to make sure the study is relevant and meaningful. Ethics approval has been obtained. Why It Matters: RA flares can have a major impact on people's lives. While current treatments help control inflammation, the investigators need to better understand how these treatments affect people from their own perspective. This study will shift the focus to what matters most to patients, helping doctors and patients choose the best treatment based not only on medical results but also on the patient's experience. This could lead to more effective and personalized care for people living with RA.

Phase 4
Waitlist Available

Sunnybrook Health Sciences Centre (+4 Sites)

Image of Weill Cornell Medical College in New York, United States.

Health Coaching for Rheumatoid Arthritis

18+
All Sexes
New York, NY

The goal of this clinical trial is to learn if peer coaching works to reduce levels of anxiety and/or depression in adults diagnosed with Rheumatoid Arthritis (RA). The main questions it aims to answer are: Do people with RA who complete the intervention with a peer coach have lower levels of anxiety and/or depression at 6 months from baseline? Do people with RA who complete the intervention with a peer coach have lower levels of anxiety and/or depression at 6 months compared to those in the control arm? Researchers will compare the peer coaching intervention to an active-control arm (where people without RA coach participants on general health and nutrition topics) to see if peer coaching works to reduce anxiety and/or depression. Participants will meet with a coach every week for 9 weeks and complete several surveys before, during and after the intervention

Recruiting
Has No Placebo

Weill Cornell Medical College

Iris Y Navarro-Millán, MD

Bristol-Myers Squibb

Image of Humana Healthcare Research, Inc. in Louisville, United States.

Academic Detailing for Rheumatoid Arthritis

Any Age
All Sexes
Louisville, KY

The goal of this trial is to learn if an interactive evidence-based educational outreach visits to clinicians who prescribe biologics change prescribing of biosimilar medications. The main questions it aims to answer are: 1. Do educational outreach visits lead to a higher number of prescriptions for biosimilar versions of adalimumab? 2. Do in-person or virtual visits work better? Researchers will compare clinicians offered the educational outreach visit to those who are not offered the visit to see if there is a difference in prescribing of biosimilar versions of adalimumab instead of the original brand-name version. Participants will be offered the chance to meet with a trained clinician who will provide educational information tailored to their knowledge and attitudes on the topic. They will also be provided an educational brochure and patient educational materials.

Waitlist Available
Has No Placebo

Humana Healthcare Research, Inc. (+1 Sites)

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We made a collection of clinical trials featuring Tacrolimus, we think they might fit your search criteria.
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Image of University of Minnesota Medical School, Division of Rheumatic and Autoimmune Diseases in Minneapolis, United States.

Ultrasound Therapy for Rheumatoid Arthritis

18+
All Sexes
Minneapolis, MN

The At-Home ULTRA Study will evaluate performance of the MINI system as indicated for the treatment of adults with active, moderate to severe rheumatoid arthritis who are inadequate responders or are intolerant to conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs), biologic DMARDs (bDMARDs), or targeted synthetic DMARDs (tsDMARDs). The non-invasive study device delivers ultrasound stimulation to the spleen to reduce inflammation. The study will enroll at least 60 participants at up to 8 sites. There will be three arms consisting of two active stimulation groups (treatment) and one non-active stimulation group (sham-control). After completing the double-blinded primary endpoint assessment period at Week 12, there will be a one-way crossover of control participants to active stimulation and an additional 12 week follow-up with all participants to evaluate long-term outcomes.

Recruiting
Drug

University of Minnesota Medical School, Division of Rheumatic and Autoimmune Diseases (+4 Sites)

Daniel Zachs

SecondWave Systems Inc.

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