transplantatie geneeskunde renal transplantation
Conditions
Interventions
At month 3, the tacrolimus dosage in the study arm (A) is lowered.
Sponsors
PPD
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Male or female 18-65 years old Primary transplant from cadaveric, living-unrelated or non-HLA identical living related donor Cold Ischemia time
Exclusion criteria
Exclusion criteria: Multiple organtransplants Non-heart beating donor PRA>=50% Hypercholestrolemia >9,1 mmol/L Leucocytes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This objective will be assessed by comparing renal function evaluated by calculated glomerular filtration rate (MDRD formula) at 12 months post-transplant (this method has gained favor in the transplant literature above the endogenous creatinine clearance because its reproducibility is far greater). | — |
Secondary
| Measure | Time frame |
|---|---|
| The main secondary objective is to assess efficacy of the two regimens. This will be evaluated by the comparison between the two groups of the incidence of biopsy-proven acute rejection (BPAR) from Month 4 until Month 12 after transplantation The other secondary objectives are to assess the efficacy and safety of the two regimens. This will be evaluated at 12 months by the comparison between the two groups of: Incidence of efficacy failure defined as biopsy-proven acute rejection (BPAR), graft loss, death or lost to follow-up Incidence of each of the components of efficacy failure Incidence of treated acute rejection Renal function as measured by serum creatinine value and creatinine clearance (Cockcroft-Gault formula) Change in renal function evaluated by calculated GFR (MDRD formula) and creatinine clearance (Cockcroft-Gault formula) between Months 4 and 12 Incidence of SAEs Incidence of AEs Incidence of new onset diabetes mellitus defined as fasting plasma glucose >= 126 mg/dL or symptoms of diabetes plus casual plasma glucose >= 200 mg/dL or 2h plasma glucose >= 200 mg/dL during an Oral Glucose Tolerance Test (OGTT) | — |
Countries
Netherlands
Outcome results
None listed