Acute Rejection of Renal Transplant
Conditions
Brief summary
For patients who meet the inclusion criteria and who agree to participate in this study, the investigators sampled peripheral blood 10cc and performed the analysis for immunologic profile just before the conversion of immune suppressant. At 1 month, 6 month, and 1 year from the conversion of Immune suppressant (CNI to rapamune), the investigators performed tha analysis fo immune profile again. During the study period, the interval of the visit of subclinic and the kinds of laboratory test (Blood and urine test) would not change compared to before the start of this study.
Interventions
Beginning on day, an initial maintenance dose of 2mg/day should be given. A trough level should be obtained between days 3 and 8, and the daily dose of sirolimus should be adjusted thereafter.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Renal transplant recipient who has passed at least 10 years 2. No acute rejection episode during the previous 6 months 3. No change of prescription of immune suppressants 4. Normal allograft function (MDRD eGFR \> 80 mL/min/1.73 m2) 5. Change of allograft function less than 10 % of baseline value durant the previous 1 year 6. No proteinuria and hematuria
Exclusion criteria
1. Patients who donut want to participate in this study 2. Patients who should continue immune suppressant due to another cause (e/g combined autoimmune disease)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| biopsy proven acute rejection | Study duration is 12 months | Number of episode of biopsy proven acute rejection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum Creatinine, MDRD eGFR | Study duration is 12 months | Mean diurnal Serum Creatinine, MDRD eGFR change of greater than or equal to 20% at month 12 vs baseline |
Countries
South Korea