Adult Primary Kidney Transplantation
Conditions
Brief summary
Comparison of outcomes/safety/and tolerability of SRL/FK/Pred vs. FK/MMF/Pred vs. SRL/Neoral®/Pred in cadaveric and non-HLA identical LRD kidney transplants.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>14 years * Weight \> 40 kg * Primary renal allograft: cadaveric or mismatched living donor * Negative standard cross match for T-cells * Women of childbearing potential will be required to have a negative qualitative serum pregnancy test and agree to use an adequate method of contraception throughout the study period and for 3 months after discontinuation of study medication (3yrs, 3 mos.) * Signed and dated informed consent (Parent or legal guardian must provide written consent for patients \<18 years of age)
Exclusion criteria
* Evidence of systemic infection * History of malignancy within 10 years (with the exception of localized skin cancer) * Use of any investigational drug or treatment up to 4 weeks prior to enrolling in the study and during the 12-month treatment phase * Concurrent use of astemizole, pimozide, cisapride, terfenadine, or ketoconazole * Known hypersensitivity to sirolimus and its derivatives * Patients with a screening/baseline (or within 96 hours of transplant) * total white blood cell count \< 4000/mm3; * platelet count \< 100,000/mm3; * fasting triglycerides \> 400 mg/dl (\> 4.6 mmol/L); * fasting total cholesterol \> 300 mg/dl (\> 7.8 mmol/L); * fasting HDL-cholesterol \< 30 mg/dl; * fasting LDL-cholesterol \> 200mg/dl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence and severity of acute rejection episodes | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| 1. Graft loss 2. Renal function as determined by serum creatinine and calculated creatinine clearance (using the Cockcroft-Gault method) six and 12 months | 1, 3, and 5 years |
Countries
United States