The purpose of this study is to determine the pharmacokinetics of tacrolimus following oral administration of Modigraf, after the first oral dose and at steady state in pediatric participants undergoing de novo allograft liver or kidney transplantation. This study will also observe the safety and efficacy of Modigraf in de novo pediatric allograft liver and kidney transplantation recipients.
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Pharmacokinetics (PK) of tacrolimus granules in whole blood: area under the blood concentration - time curve for a dosing interval (AUCtau) on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in whole blood: AUCtau on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in whole blood: maximum concentration (Cmax) on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in whole blood: Cmax on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in Whole Blood: Time of Maximum Concentration (Tmax) on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in Whole Blood: Tmax on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in whole blood: Trough blood concentration (Ctrough) on Day 1
Timeframe: Pre-dose on day 1
PK of granules tacrolimus in whole blood: Ctrough on Day 7
Timeframe: Pre-dose on day 7
Correlation between Ctrough and AUCtau of tacrolimus granules PK parameters in whole blood on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
Percentage of Participants With Acute Rejection (AR)
Timeframe: From first dose to month 12
Number of Participants who Died
Timeframe: From first dose to month 12
Number of Participants with Graft Failure
Timeframe: From first dose to month 12
Number of Dose Adjustments Throughout the Study Period
Timeframe: From first dose to month 12
Number of Participants with Treatment Emergent Adverse Events (AEs)
Timeframe: From first dose to month 12
Whole Blood Trough Levels of Tacrolimus
Timeframe: From day 1 through month 12 (predose)
Correlation between Ctrough and AUCtau of tacrolimus granules in whole blood on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in Whole Blood: Dose-normalized AUCtau on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in Whole Blood: Dose-normalized AUCtau on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in Whole Blood: Dose-normalized Cmax on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in Whole Blood: Dose-normalized Cmax on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
PK of tacrolimus granules in Whole Blood: Dose-normalized Ctrough on Day 1
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1
PK of tacrolimus granules in Whole Blood: Dose-normalized Ctrough on Day 7
Timeframe: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7
Percentage of Participants With Biopsy-Proven Acute Rejections (BPAR)
Timeframe: From first dose to month 12
Percentage of Participants With Clinically Suspected Rejection
Timeframe: From first dose to month 12