Chronic Kidney Disease, Liver Transplantation
Conditions
Keywords
liver transplantation, children, immunosuppression, mycophenolatmofetil, calcineurin inhibitor, kidney disease
Brief summary
The use of CNIs (CSA or FK) as primary immunosuppressive drugs after pediatric liver transplantation is one of the main causes of chronic kidney disease in these patients in the long term. The study objective is the evaluation of safety of a modification in immunosuppression from a dual-immunosuppression (CSA or FK plus steroids) to a triple immunosuppression (MMF plus CSA (reduced dosage) plus steroids.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patients after pediatric liver transplantation * no acute rejections for the last half year
Exclusion criteria
* concomitant malign disease (e.g. ptld) * neutropenia (granulocytes \<1000/µl) * systemic infection * thrombopenia (\<80/nl)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety of a triple immunosuppression (MMF/CSA/Steroids)regarding the number of acute rejections | 1, 3, 6, 9, 12, 24 month |
Secondary
| Measure | Time frame |
|---|---|
| incidence of chronic kidney disease | 12, 24 month |
| incidence of infections | 1, 3, 6, 9, 12, 24 month |
| incidence of ptld (post transplant lymphoproliferative disease) | 1, 3, 6, 9, 12, 24 month |
Countries
Germany