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10.1186/s12882-018-0950-1

http://scihub22266oqcxt.onion/10.1186/s12882-018-0950-1
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suck abstract from ncbi


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pmid29954336
      BMC+Nephrol 2018 ; 19 (1 ): 154
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  • Histological findings to five years after early conversion of kidney transplant patients from cyclosporine to everolimus: an analysis from the randomized ZEUS study #MMPMID29954336
  • Eisenberger U ; Budde K ; Lehner F ; Sommerer C ; Reinke P ; Witzke O ; Wüthrich RP ; Stahl R ; Heller K ; Suwelack B ; Mühlfeld A ; Hauser IA ; Nadalin S ; Porstner M ; Arns W
  • BMC Nephrol 2018[Jun]; 19 (1 ): 154 PMID29954336 show ga
  • BACKGROUND: Conversion from calcineurin inhibitor (CNI) therapy to everolimus within 6 months after kidney transplantation improves long-term graft function but can increase the risk of mild biopsy-proven acute cellular rejection (BPAR). We performed a post-hoc analysis of histological data from a randomized trial in order to further analyze histologic information obtained from indication and protocol biopsies up to 5 years after transplantation. METHODS: Biopsy samples obtained up to 5 years post-transplant were analyzed from the randomized ZEUS study, in which kidney transplant patients were randomized at month 4.5 to switch to everolimus (n?=?154) or remain on cyclosporine (CsA)-based immunosuppression (n?=?146). All patients received mycophenolate and steroids. RESULTS: At least one investigator-initiated biopsy was undertaken in 53 patients in each group between randomization and year 5, with a mean (SD) of 2.6 (1.7) and 2.2 (1.4) biopsies per patient in the everolimus and CsA groups, respectively. In the everolimus and CsA groups, investigator-initiated biopsies showed (i) BPAR in 12.3 and 7.5% (p?=?0.182) of patients, respectively, with episodes graded mild in 22/24 and 18/20 cases (ii) CsA toxicity lesions in 4.5 and 10.3% of patients (p?=?0.076) (iii) antibody-mediated rejection in 0.6 and 2.7% of patients (p?=?0.204), respectively. CONCLUSIONS: This analysis of histological findings in the ZEUS study to 5 years after kidney transplantation shows no increase in antibody-mediated rejection under everolimus-based therapy with a lower rate of CNI-related toxicity compared to a conventional CsA-based regimen, and confirms the preponderance of mild BPAR seen in the main study after the early switch to CsA-free everolimus therapy. TRIAL REGISTRATION: ClinicalTrials.gov NCT00154310 . Date of registration: September 12, 2005.
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Cyclosporine/*administration & dosage [MESH]
  • |Drug Substitution/methods/*trends [MESH]
  • |Everolimus/*administration & dosage [MESH]
  • |Female [MESH]
  • |Graft Survival/*drug effects/physiology [MESH]
  • |Humans [MESH]
  • |Immunosuppressive Agents/*administration & dosage [MESH]
  • |Kidney Transplantation/*trends [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Time Factors [MESH]


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