Renal Transplant
Conditions
Brief summary
Study safety of longterm immunosuppressive protocol with Sirolimus plus Prednisolone, and Calcineurin inhibitor withdrawal.
Detailed description
Sirolimus with Cyclosporine minimization is the standard protocol for kidney transplantation in Chulalongkorn University. The investigators published the safety of this regimen in Transplantation Proceeding 2008; 40: 2206-8. The investigators now further study in those patients who doing well with this regimen more than 1 year. The patients will be asked for kidney biopsy to evaluate and make sure they don't have subclinical rejection. The patients who don't have subclinical rejection will discontinue cyclosporine and continue with only sirolimus and prednisolone.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Kidney transplant with Sirolimus plus Cyclosporine plus Prednisolone more than 1 year
Exclusion criteria
* history of acute rejection, or subclinical rejection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| longterm glomerular filtration rate defined by eGFR CKD-EPI | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Acute rejection rate | 5 years |
Countries
Thailand