Title
Planned Conversion From TAC to SRL-based Regimen in de Novo Kidney Transplant Recipients
Outcomes of Planned Conversion From Tacrolimus to Sirolimus-based Immunosuppressive Regimen in de Novo Kidney Transplant Recipients
Phase
Phase 4Lead Sponsor
Hospital do Rim e HipertensãoStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Kidney TransplantIntervention/Treatment
tacrolimus sirolimus ...Study Participants
320Background Early conversion from calcineurin inhibitor to mammalian target of rapamycin inhibitor is one of the immunosuppressive strategies that have been investigated to mitigate long-term CNi associated adverse events. This study aims to evaluate the conversion from tacrolimus to sirolimus in de novo kidney transplant recipients.
This multicenter, open-label study, planned to enroll 297 patients initially treated with tacrolimus, enteric-coated mycophenolate sodium (1440 mg/day, orally) and prednisone. The primary objective is to show superior glomerular filtration rate in the SRL group at 24 months after transplantation.
Conversion from Tacrolimus to Sirolimus
Inclusion Criteria: patients older than 18 years, recipients of first kidney transplant from brain dead deceased or living related non-HLA identical donors not older than 65 years, patients had to receive an ABO compatible organ with a CDC negative crossmatch and a peak panel reactive antibody lower that 30%, all patients agreed to use contraceptive methods during the study and up to 3 months after study drug discontinuation. Exclusion Criteria: patients with chronic kidney diseases due to focal and segmental glomerulosclerosis and membranoproliferative glomerulonephritis, patients with active infection or positive for hepatitis B or C or human immunodeficiency viruses, patients with previous history of malignancy, patients with significant hematological or metabolic laboratorial abnormalities.