Kidney Transplantation
Conditions
Brief summary
The purpose of the study is to estimate the incidence rates of Post-transplant Lymphoproliferative Disorder (PTLD), malignancy and hospitalized infections in adult kidney-only transplant recipients treated with Belatacept, and compared the incidences to the incidences in those treated with Calcineurin inhibitor (CNI) based regimens at the time of transplantation.
Detailed description
Time Perspective: Prospective design, Retrospective data collection and analysis
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* 1st kidney only transplant during study, at one of the transplant centers participating in CTS, received Belatacept or a CNI at the time of transplantation
Exclusion criteria
* Patients with a history of malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidences of Post-transplant Lymphoproliferative Disorder (PTLD) | 5 years post transplantation |
| Incidences of hospitalized infections | 2 years post transplantation |
| Incidences of malignancy | 5 years post transplantation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence rates of graft rejection in adult kidney-only transplant recipients treated with Belatacept vs. CNI-based regimens at the time of transplantation | Every 6 months and 12 months | — |
| Incidence rates of PTLD in adult subgroups of Belatacept- vs. CNI-treated, kidney-only transplant recipients defined by donor-recipient Epstein Barr virus (EBV) serostatus and by age groups | Every 6 months and 12 months | — |
| Mortality rate of composite bacterial, fungal, viral, tuberculosis, herpes, and CMV infections | 2 years post transplantation | — |
| Incidence rates of graft failure in adult kidney-only transplant recipients treated with Belatacept vs. CNI-based regimens at the time of transplantation | Every 6 months and 12 months | — |
| Location, mortality, and tumor type of all PTLD cases in adult kidney-only transplant recipients treated with Belatacept vs. CNI-based regimens at the time of transplantation and in subgroups of these transplant recipients | Every 6 months and 12 months | Subgroups of the transplant recipients defined by donor-recipient EBV serostatus at the time of transplantation |
| Cumulative incidence of hospitalized infections in adult kidney-only transplant recipients treated with Belatacept vs. CNI-based regimens at the time of transplantation | Every 6 months and 12 months | Hospitalized infections for the following infection groups: 1. Bacterial 2. fungal 3. Viral 4. Tuberculosis 5. Herpes and 6. Cytomegalovirus (CMV) |