Related Experiment Video
Updated: Sep 30, 2026

Quantification of the Immunosuppressant Tacrolimus on Dried Blood Spots Using LC-MS/MS
Published on: November 8, 2015
Lipid-lowering effects of fluvastatin in renal transplant patients. A clinical observation
1Department of Internal Medicine, University of Missouri-Columbia Health Sciences Center, USA.
Insights
Fluvastatin therapy in renal transplant patients did not significantly lower cholesterol or triglycerides. However, it did significantly increase high-density lipoprotein cholesterol (HDL-C) without adverse effects.
Area of Science:
- Nephrology
- Cardiology
- Pharmacology
Background:
- Atherosclerosis-related cardiovascular disease is a major cause of death in renal transplant recipients.
- Hypercholesterolemia is common in these patients, even with dietary interventions.
Purpose of the Study:
- To assess the efficacy and safety of fluvastatin in hypercholesterolemic renal transplant patients.
- To evaluate fluvastatin's impact on lipid profiles in this specific patient population.
Main Methods:
- A study involving 12 renal transplant patients with persistent hypercholesterolemia.
- Patients received fluvastatin (20 mg/day) for 8 weeks after a 6-week diet phase.
- Lipid profiles (TC, LDL-C, TG, HDL-C) were compared to a control phase.
Main Results:
- Fluvastatin therapy did not significantly reduce total cholesterol, LDL-C, or triglycerides.
- A statistically significant increase in HDL-C was observed (p = 0.006).
- No adverse biochemical effects were noted during the short-term treatment.
Conclusions:
- Fluvastatin may improve HDL-C levels in renal transplant patients.
- Further research is needed to confirm long-term efficacy and safety for cardiovascular risk reduction.
Abstract:
A Atherosclerosis-related cardiovascular disease remains an important cause of morbidity and mortality in renal transplant patients. We assessed the efficacy and safety of the newer synthetic HMG-CoA reductase inhibitor, fluvastatin, in 12 renal transplant patients who remained hypercholesterolemic, despite having been on the American Heart Association (AHA) Step I diet for 6 weeks. At 8 weeks, compared to the control phase, fluvastatin therapy, 20 mg/day, reduced the total cholesterol (TC) from 321 +/- 57 [+/-SD] to 301 +/- 123 mg/dl (p = 0.3); low-density lipoprotein cholesterol (LDL-C), from 209 +/- 56 to 176 +/- 81 mg/dl (p = 0.2); and the triglyceride (TG) levels from 343 +/- 119 to 277 +/- 117 mg/dl (p = 0.06); all these changes were statistically insignificant. However, the therapy significantly increased the high-density lipoprotein cholesterol (HDL-C) from 37 +/- 11 to 46 +/- 13 mg/dl (p = 0.006). During this short-term treatment period no adverse biochemical effects were noted with the therapy.
Related Concept Videos
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Drug Dosing in Renal Diseases: Dose Adjustments Based on Drug Clearance and Elimination Rate Constant
Kidney Transplant I: Introduction
Kidney Transplant III: Nursing Management

