Renal transplantation.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Female or male, aged between 18 and 70 years. • Recipient of a kidney graft from a deceased donor or living (non-HLA identical) donor. • The patient understands the purpose and risks of the study and has given written informed consent to participate in the study. • Acceptable renal function, eGFR > 40 ml/min, Proteinuria = 1, 0 g/24hr. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Patients with multi-organ transplants. • Patients who have been receiving a second or subsequent transplant. • Patients with very low function at 1 year post-transplant, GFR 1, 0 g/24 hr. • Patients with a screening/baseline total white blood cell count 4.5 mmol/l or fasting total cholesterol > 7.8 mmol/l despite optimal lipid-lowering therapy. • Presence of sub clinical rejection (Borderline or Banff score >1a) in biopsy taken at approximately month 12 • Vascular or Acute rejection (Banff score = 2a) six months preceding randomization. • Female patients who are pregnant or unwilling to use adequate contraception during the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: ;Primary end point(s): • Renal function • The percentage of patients that need reconversion to their original therapy (tolerability). ;Main Objective: To investigate the safety and efficacy of a therapy consisting Everolimus and corticosteroids maintenance immunosuppressive regime twelve months after renal transplantation in recipients of donor kidney graft on graft function and acute rejection rates. The other group will receive a low-dose regimen consisting a low-dose calcineurin inhibitor, low dose MMF and corticosteroids. | — |
Countries
Netherlands