niertransplantatie renal transplantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: At baseline: * 18 years and above. * 1st or 2nd renal transplantation from a cadaveric or living unrelated-/related donor. * Negative pregnancy test (if relevant). At randomization: * Use of a CNI (tacrolimus or cyclosporin) plus sodium mycophenolate plus steroids. * Serum creatinin less than 250 *mol/l and actual eGFR (MDRD4) at least 25 mL/min/1.73 m2
Exclusion criteria
Exclusion criteria: At baseline: * Recipient of multiple organ transplants. * Recipient of ABO incompatible allograft or a positive cross-match. * Patient with current Panel Reactive Antibodies (PRA) level * 30 %. * HIV, hepatitis B or C (AST/ALT *2,5 x ULN) positive. * Organ from a HIV or hepatitis B or C positive donor. * Severe restrictive or obstructive pulmonary disease. * Severe hypercholesterolaemia of hypertriglyceridaemia. At randomization: * Graft loss. * Renal replacement therapy. * Serious humoral and/or cellulare rejection. * 2 or more episodes of acute rejection or an episode that needed antibody treatment. * Ongoing- or currently treated acute rejection (2 weeks prior to randomization). * Proteïnuria more than 1 g/day. * Severe hypercholesterolaemia of hypertriglyceridaemia. * Impaired would healing. * Serious immunosuppressive complications or side effects. * Anticoagulants as contraindication for a renal biopsy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| eGFR after 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| BPAR, graft loss, death, LV mass index (LVMi), other renal function parameters, side effects, cardiovascular events, PK, blood pressure during 24 h, arterial stiffness. | — |
Countries
Netherlands