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Inhibitor, Calcineurin

Inhibotors of the calcineurin enzyme, a key regulator of T-cell activation and immune response.
Calcineurin inhibitors play a critical role in transplant medicine, autoimmune disorders, and neurological conditions.
This page provides a comprehensive overview of the most effective inhibitor protocols identified through AI-powered literature analysis, helping researchers optimize their studies for enhanced reproducibility and accuracy.
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Most cited protocols related to «Inhibitor, Calcineurin»

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Publication 2014
Adrenal Cortex Hormones Anti-Bacterial Agents Anti-Infective Agents, Local Antibiotics beta-thujaplicin cDNA Library Chlorhexidine Dermatitis, Atopic Dermatitis, Atopic, 2 Diagnosis Eczema Emollients Hydrocortisone Inhibitor, Calcineurin Microbicides Mupirocin Patients Phosphodiesterase Inhibitors Physicians, Family physiology pimecrolimus Potassium Permanganate Prognosis retapamulin Tacrolimus Tar, coal triclocarban Triclosan
Patients applied moisturizers twice daily for 7 or more days before randomization and throughout the study. A 35-day screening period preceded initiation of the study drug. Systemic nonsteroidal immunosuppressants, systemic or topical corticosteroids, topical calcineurin inhibitors, and topical crisaborole could be used only as rescue treatment by patients with intolerable AD symptoms at the discretion of the investigator (additional details in eMethods in Supplement 2). Patients who completed the 16-week treatment period were eligible to participate in an open-label extension study (R668-AD-1434, LIBERTY AD PED-OLE, NCT02612454); patients not enrolling in the open-label extension study were followed up for 12 additional weeks.
Publication 2019
Adrenal Cortex Hormones crisaborole Dietary Supplements Immunosuppressive Agents Inhibitor, Calcineurin Patients
This phase 2b, multicenter, randomized, double-blinded, placebo-controlled, parallel-group study was conducted between April 15, 2016, and April 4, 2017, at 58 centers in Australia, Canada, Germany, Hungary, and the United States (NCT02780167) (trial protocol in Supplement 2). A 35-day screening period was followed by a 12-week double-blinded, placebo-controlled treatment period and a 4-week follow-up (eFigure 2 in Supplement 1). The study was conducted in compliance with the Declaration of Helsinki15 (link) and all International Council for Harmonization Good Clinical Practice Guidelines. All local regulatory requirements were followed. This research was approved by institutional review boards or ethics committees at each study site (eTable 1 in Supplement 1). All patients provided written informed consent.
Eligible patients were men or women aged 18 to 75 years with a clinical diagnosis of moderate to severe AD (percentage of affected body surface area [%BSA] ≥10; Investigator’s Global Assessment [IGA] score ≥3; and Eczema Area and Severity Index [EASI] score ≥12) for 1 year or more before day 1 of the study and inadequate response to topical medications (topical corticosteroids or topical calcineurin inhibitors) for 4 weeks or more (based on investigator’s judgment) or inability to receive topical treatment within 12 months before the first dose of study drug because it was medically inadvisable (eg, application to a large %BSA, which is associated with increased risk for systemic absorption and suppression of the hypothalamic-pituitary-adrenal axis, and cutaneous adverse effects such as burning or stinging sensations with topical calcineurin inhibitors or skin atrophy, purpura, telangiectasia, and striae with chronic use of topical corticosteroids). Patients who had used topical corticosteroids or topical calcineurin inhibitors within 1 week of the first dose of study drug were excluded (see eAppendix in Supplement 1 for detailed eligibility criteria). Patients were permitted to use oral antihistamines and nonmedicated emollient (CeraVe lotion [CeraVe]; or Aquaphor [Beiersdorf Inc]) and sunscreen (both provided by the sponsor) during the study. Patients who received prohibited systemic or topical medication for AD before week 12 were discontinued from treatment.
Publication 2019
Administration, Topical Adrenal Cortex Hormones Atrophy Body Surface Area Diagnosis Dietary Supplements Eczema Eligibility Determination Emollients Ethics Committees Ethics Committees, Research Histamine Antagonists Hypothalamus Inhibitor, Calcineurin Patients Pharmaceutical Preparations Pituitary-Adrenal System Placebos Purpura Skin Striae Distensae Systemic Absorption Woman
MKCs were prepared from newborn mice and were cultured following standard protocols, as previously described [37 (link), 38 (link)]. In order to obtain CnB1 KO MKCs, MKCs from CnB1flox/flox transgenic mice (see below) were infected with an adenovirus expressing Cre (Ad-Cre) or GFP (Ad-GFP, as a control). Primary HKCs were isolated from foreskin tissues and were cultured in serum-free keratinocyte medium (SFM, Invitrogen) as previously described [39 (link)–41 (link)]. All SCC lines (SCC12, 13, 15, 25 were derived from the skin, and SCCO11, O12, O22, O23, O28 were derived from the oral epithelium) were cultured in SFM. Human foreskin tissues were obtained from discarded hospital specimens following an institutional protocol (NO.2015120401, Date: 12-05-2015). Clinical SCC samples were obtained from the Department of Dermatology, Zurich University Hospital, Zurich, Switzerland. Participants were provided verbal and written informed consent; the protocol was approved by the Swiss Ethics Committee as described previously [26 (link), 42 (link)].
Methods for infecting adenoviruses, lentivirus or retroviruses followed described protocols [26 (link), 43 (link)]. For transient transfection of siRNA, Lipofectamine 2000 (Invitrogen) was employed and the final concentration of siRNA in the transfection medium was 200 nM. All siRNA oligo sequences are listed in S2 Table.
CsA (30024, Sigma-Aldrich) was dissolved in DMSO and stored as a stock solution (20 mM); TPA (P8139, Sigma-Aldrich) was dissolved in acetone and stored as a stock solution (10 mM). Both CsA and TPA were kept at -80°C. The Vivit peptide, an inhibitor of calcineurin mediated NFAT activation [44 (link)], and its negative control, the Veet peptide, were chemically synthesized by the Peptide Core facility of the University of Lausanne and were then dissolved in H2O and stored as stock solutions (20 mM) at -80°C. The final concentration of CsA and Vivit used to treat in vitro keratinocyte cultures was 5 μm.
For UVB treatment In vitro: After removal of culture medium and two washes with PBS, confluent keratinocytes were covered with PBS and exposed to 35 mJ/cm2 UVB. The UVB dose was measured each time using an IL 1400A photometer (International Light Inc., Newburyport, MA) equipped with a SEL240 probe. After UVB exposure, PBS was removed from the cells and replaced with culture medium. Cells were harvested at different times (as indicated in each experiment) after UVB treatment for RNA isolation and total protein extract preparation.
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Publication 2018
Acetone Adenoviruses Adenovirus Vaccine Cells Culture Media Epithelium Ethics Committees Foreskin Homo sapiens Infant, Newborn Inhibitor, Calcineurin isolation Keratinocyte Lentivirus Light lipofectamine 2000 Mice, Transgenic Mus Oligonucleotides Peptides Proteins Retroviridae RNA, Small Interfering Serum Skin Sulfoxide, Dimethyl Tissues Transfection Transients VIVIT peptide
LIBERTY AD OLE is an ongoing, multicenter, open-label trial in adults with moderate-to-severe AD (NCT01949311). The protocol is provided in electronic supplementary material 1. The detailed study design and data (cut-off date April 2016) have been previously reported [13 (link)]. We report results with a cut-off date of 1 December 2018 (database lock 13 February 2019), at which time approximately 550 sites in 28 countries in North America, Europe, and Asia–Pacific had participated.
Patients were included if they participated in previous phase I–III dupilumab studies (including patients in the placebo groups) [10 (link)–12 (link), 14 (link)–21 (link)] and adequately completed the required parent study assessments or were screened for phase III studies (NCT02277743/NCT02277769) [12 (link)], but not randomized due to randomization closure. Patients were ineligible if they had an adverse event (AE) deemed related to dupilumab that led to treatment discontinuation or had a serious AE deemed related to dupilumab in the parent study.
Patients enrolled from October 2013 received subcutaneous dupilumab 200 mg weekly (400 mg loading dose). Following protocol amendment on 12 December 2013, patients received 300 mg weekly based on the dose regimens selected for phase III studies.
Rescue medications included systemic corticosteroids (SCSs) and nonsteroidal systemic immunosuppressive medications (including phototherapy). Patients who received rescue medication discontinued study treatment for the duration of the rescue treatment plus five half-lives, after which they could resume dupilumab treatment. Protocol Amendment 7 allowed patients who used SCSs as rescue medication to continue treatment with study drug. Other concomitant treatments for AD, including TCSs and topical calcineurin inhibitors (TCIs), were permitted.
The original planned study duration per patient was up to 3 years of treatment or until regulatory approval/commercial availability of dupilumab in the patient’s geographic region, whichever came first. Country-specific protocol Amendment 7 for France, Germany, Poland, and Japan permitted those patients who had already completed 3 years of treatment to continue or restart and continue treatment through 31 December 2017. Region-specific Amendment 8 extended the treatment period to 5 years in Poland and Finland, and to September 2018 in France.
Publication 2020
Adrenal Cortex Hormones Adult dupilumab Immunosuppressive Agents Inhibitor, Calcineurin Mandibulofacial Dysostosis Parent Patients Pharmaceutical Preparations Phototherapy Placebos Treatment Protocols

Most recents protocols related to «Inhibitor, Calcineurin»

Panellist characteristics and patient caseloads are detailed in Table 1 (market-specific details are in Table S4). Panellists had approximately 380 patients with plaque psoriasis in 3 markets, although in Spain panellists reported a caseload of approximately 600. Approximately 40% of panellists’ patients with plaque psoriasis had moderate psoriasis, while 30% each had mild and severe, across all markets. Panellists’ prescribing patterns by psoriasis disease severity are detailed in Table 2 (market-specific details are in Table S5). For mild psoriasis, topical therapies were usually prescribed, while for moderate psoriasis, several classes were prescribed. Panellists prescribing topical steroid monotherapy suggested approximately half their patients were receiving Cal/BD foam. Panellists reported similar proportions of patients receiving Cal/BD foam as RM and PAM treatment. This confirmed that panellists had suitable experience to discuss real-world use and prescribing habits of RM versus PAM regimens.

Panellist characteristics and patient caseloads across all markets

Panellist demographicOutcome
Treatment setting (%)
 Hospital (public)64
 Hospital (private)6
 Office/consulting room (public)14
 Office/consulting room (private)16
 Other1
Proportion of time spent in academic/teaching duties (%)
 Mean12
Total patient caseload (n)
 Mean2261
Plaque psoriasis patient caseload (n)
 Mean382
Disease severity of plaque psoriasis patient caseload (%)
 Mild33
 Moderate39
 Severe28

n number

Prescribing patterns by plaque psoriasis disease severity across all markets

TherapyPercentage of panellists prescribing therapy for any disease severitya (%)Percentage of panellists prescribing therapy according to disease severitya (%)
MildModerateSevere
Topical non-steroids94948156
Topical steroids1009410069
Phototherapy94388156
Conventional systemics100010094
Targeted systemics8767563
Biologics100094100
Biosimilars9408894
Otherb3119136

aPercentages rounded to the nearest whole number

bOther therapies specified by panellists included: tacrolimus, topical calcineurin inhibitors, calcipotriol salicylic acid, dimethyl fumarate

Publication 2023
calcipotriene Dimethyl Fumarate Inhibitor, Calcineurin Patients Psoriasis Salicylic Acid Senile Plaques Steroids Tacrolimus Treatment Protocols
Collected data included: patient demographics; concomitant treatment and dosage; physician- and patient-reported outcome (PROs); measures of disease severity and disease burden; and safety.
Routine clinical documentation records included medical charts, physician assessments (Eczema Area and Severity Index [EASI; 0–72] [14 (link)], SCORing Atopic Dermatitis [SCORAD; 0–103] and Investigator’s Global Assessment [IGA; 0–4]) [15 (link)], patient-completed questionnaires (Patient Oriented Eczema Measure [POEM; 0–28] [16 (link)], Dermatology Life Quality Index [DLQI; 0–30]) [17 (link)], five-level EuroQol five-dimensional questionnaire [EQ-5D-5L; 0–1] [18 (link)], Peak Pruritus Numeric Rating Scale [NRS; 0–10] [19 (link)], Medical Outcomes Study [MOS] Sleep Scale [0–100] [20 (link)], and specific questions relating to past physician visits and financial burden), hospital discharge files, prescription drug files, and doctors’ letters.
Last prior AD treatment before baseline was defined as the last prior AD treatment ending within 1 year of baseline data collection; if ≥ 2 prior AD treatments were given in parallel, each was regarded as the last prior AD treatment. If patients received more than one class of drug/TCS, the drug with the highest strength/TCS class was recorded and used in statistical analyses. The strength of topical calcineurin inhibitors (TCI) was considered to be between TCS class 2 and 3, as described by Cury Martins et al. [21 (link)].
Clinically meaningful response was assessed, as previously defined, as patients achieving EASI-50, ≥ 3 point improvement in peak pruritus NRS from baseline, or ≥ 4 point improvement in DLQI at Month 3 [22 (link)]. Disease severity was stratified according to EASI score: moderate AD was defined as a baseline EASI score between 7.1 and 21.0 and severe AD as a baseline EASI score > 21.0 and/or systemic AD therapy at last prior visit before baseline [23 (link)].
Publication 2023
Eczema Financial Stress Inhibitor, Calcineurin Patient Discharge Patients Pharmaceutical Preparations Physicians Prescription Drugs Pruritus Safety Sleep Therapeutics
The enrolled patients received calcineurin inhibitors including cyclosporine and tacrolimus, with or without corticosteroids. The regimen choice was decided by renal physicians, considering the patient’s preferences and potential drug side effects.
The therapeutic responses were in compliance with the KDIGO (Kidney Disease: Improving Global Outcomes) guideline for glomerulonephritis [27 (link)]. Clinical outcome was evaluated based on proteinuria levels at diagnosis compared with assessment after 3, 6, and 12 months of follow-up. CR was defined as urinary protein excretion < 0.3 g/day with a stable GFR. Partial remission (PR) was defined as urinary protein excretion < 3.5 g/day and a reduction of at least 50% from baseline values with a stable GFR. Relapse was defined as urinary protein excretion > 3.5 g/day after reaching CR or PR. Treatment failure was defined as the absence of CR or PR during the follow-up period. ESKD was defined as the initiation of maintenance dialysis or kidney transplantation. The endpoints were defined as CR and a composite of PR and CR. Outcomes of patients who did not reach the endpoints were recorded using the information from their last follow-up visit. Survival time was calculated from the enrollment to the occurrence of the end-point events or the last follow-up. The duration of PMN was calculated from the occurrence of nephropathy-related symptoms to treatment initiation.
Publication 2023
Adrenal Cortex Hormones Cyclosporine Diagnosis Dialysis Drug Reaction, Adverse Glomerulonephritis Inhibitor, Calcineurin Kidney Kidney Diseases Kidney Transplantation Patients Physicians Proteins Relapse Tacrolimus Treatment Protocols Urine
Before performing a kidney transplant, we first explain to the KTRs and their families that taking immunosuppressive medications in the correct doses every day at the same time is critical to improve graft and patient survival. In the immediate posttransplant period during hospitalization, the nurses bring immunosuppressive medications to the KTRs and count the number of empty pill wrappings after taking immunosuppressants. The stability of the patient’s adherence as well as the patient’s condition are monitored, and the management of medication is eventually left up to the patient. At the first discharge after surgery, the pharmacists explain the importance and side effects of the immunosuppressants to the KTRs.
When the KTRs are readmitted, we confirm whether they are adhering to their regimens. If adherence is determined to be poor, the nurse intervenes in the management of medication, by bringing immunosuppressive medications or counting the number of empty pill wrappings. However, the assessment of their adherence in ambulatory practice is only by measuring the blood concentrations of calcineurin inhibitors.
Publication 2023
BLOOD Contraceptives, Oral Grafts Hospitalization Immunosuppressive Agents Inhibitor, Calcineurin Kidney Transplantation Nurses Operative Surgical Procedures Patient Discharge Patients Pharmaceutical Preparations Treatment Protocols
The initial aim of the Vitados cohort (NCT01832623) was to assess native vitamin D [25-(OH)-D] status in a general French population of healthy Caucasian teenagers in association with their bone and cardiovascular status; it allowed to describe normal values for the main phosphate/calcium and bone biomarkers in the total cohort of 100 included healthy teenagers depending on sex and puberty (30 (link)). Exclusion criteria were the following: walking disability, past or ongoing treatment by growth hormone (rhGH) therapy, past intake of oral corticosteroids (for more than 3 months), ongoing treatment with corticosteroids or calcineurin inhibitors, chronic disease with a likely effect on growth (and notably chronic parenteral nutrition, chronic inflammatory disease, systemic disease, chronic renal insufficiency, diabetes mellitus), acute ongoing severe disease (and notably infection or cancer), pregnancy, and an intake of acetylsalicylic acid or anti-inflammatory drugs within the last 3 weeks. Here, we were able to work on the remaining sera of 38 subjects from this cohort.
Demographic, physical, and biochemical data were recorded. Height and weight were presented as the standard deviation score (SDS) for age and sex, and BMI was presented as the percentile for age and sex. The Tanner stage was assessed by an experienced physician. Systolic and diastolic blood pressure (SBP and DBP) were expressed in terms of percentile according to age, sex, and height (34 ).
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Publication 2023
Acute Disease Adolescent Adrenal Cortex Hormones Anti-Inflammatory Agents Aspirin Biological Markers Bones calcium phosphate Cardiovascular System Caucasoid Races Chronic Kidney Insufficiency Diabetes Mellitus Diastole Disabled Persons Disease, Chronic Growth Hormone Infection Inflammation Inhibitor, Calcineurin Malignant Neoplasms Parenteral Nutrition Physical Examination Physicians Pregnancy Pressure, Diastolic Puberty r-hGH-M Serum Systole Systolic Pressure Vitamin D

Top products related to «Inhibitor, Calcineurin»

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Thymoglobulin is a polyclonal antithymocyte globulin (ATG) product developed by Sanofi. It is a sterile, purified, and concentrated immunoglobulin preparation derived from the plasma of horses immunized with human thymocytes. Thymoglobulin is used as an immunosuppressant to prevent and treat acute rejection in organ transplantation.
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Prograf is a laboratory equipment product manufactured by Astellas Pharma. It is used to measure and monitor the levels of the immunosuppressant drug tacrolimus in biological samples.
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Myfortic is a mycophenolic acid-based immunosuppressant medication. It is used to prevent organ rejection in adult patients receiving kidney or heart transplants.
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Simulect is a laboratory equipment product manufactured by Novartis. It is designed for use in scientific research and clinical applications.
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FK506 is a laboratory product used in research applications. It functions as an immunosuppressant agent.
Sourced in Switzerland
Basiliximab is a lab equipment product produced by Novartis. It is a monoclonal antibody that binds to the alpha subunit of the interleukin-2 receptor (CD25) on activated T cells.
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Cyclosporin A is a cyclic peptide produced by the fungus Tolypocladium inflatum. It is a widely used immunosuppressant drug that functions by inhibiting the activation and proliferation of T-cells.
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Sandimmun optoral is a liquid formulation of the immunosuppressant drug cyclosporine. It is designed for oral administration.
Sourced in France, United States
Thymoglobuline is a polyclonal anti-thymocyte globulin (ATG) product derived from the serum of rabbits immunized with human thymocytes. It is used in the treatment of various medical conditions where immunosuppression is required, such as organ transplantation and some autoimmune disorders.
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FK506 is an immunosuppressant drug that functions as a calcineurin inhibitor. It acts by binding to the immunophilin FKBP12, forming a complex that inhibits the phosphatase activity of calcineurin, a key regulator of T-cell activation.

More about "Inhibitor, Calcineurin"

Calcineurin inhibitors, also known as immunosuppressants, are a class of drugs that play a crucial role in transplant medicine, autoimmune disorders, and neurological conditions.
These inhibitors work by blocking the activity of the calcineurin enzyme, a key regulator of T-cell activation and immune response.
The most well-known calcineurin inhibitors include Thymoglobulin, Prograf (tacrolimus), Myfortic (mycophenolic acid), Simulect (basiliximab), FK506 (tacrolimus), Cyclosporin A, and Sandimmun optoral (cyclosporine).
Thymoglobulin is an anti-thymocyte globulin that is used to prevent and treat acute rejection in organ transplant recipients.
Prograf (tacrolimus) and Cyclosporin A are two of the most commonly prescribed calcineurin inhibitors, often used in combination with other immunosuppressants like Myfortic or Simulect.
These drugs help prevent the body from rejecting transplanted organs by suppressing the immune system.
In addition to their use in transplant medicine, calcineurin inhibitors are also employed in the treatment of autoimmune disorders, such as rheumatoid arthritis, lupus, and multiple sclerosis.
Furthermore, emerging research suggests that these inhibitors may have potential applications in neurological conditions, such as Alzheimer's disease and Parkinson's disease, due to their ability to modulate the immune response and neuroinflammation.
The comprehensive overview provided by PubCompare.ai's AI-powered platform helps researchers optimize their studies for enhanced reproducibility and accuracy, ensuring that they have access to the latest advancements in calcineurin inhibitor research.
By incorporating synonyms, related terms, abbreviations, and key subtopics, this content provides a thorough and informative resource for those interested in the field of calcineurin inhibition.