The purpose of the study is to see if campath-1H can be used in first time renal transplant subjects to prevent rejection and reduce the overall amount of anti-rejection medications that patients take on a daily basis.

Twenty nine primary recipients of either a live donor or deceased donor renal transplant were enrolled in this study. Subjects were administered two 20mg doses of Campath-1H antibody therapy (Day 0 and Day 1) in combination with a short course of corticosteroids, and maintenance sirolimus.

Subjects were followed for 3 years to compare the incidence and severity of rejection episodes, complications related to the immunosuppression, including infections, malignancies and adverse events. All subjects underwent protocol renal transplant biopsies at 6 and 12 months (unless medically contraindicated).

Inclusion Criteria:

• primary renal transplant (not HLA identical)
• ages 18-60 years

Exclusion Criteria:

• recipient panel reactive antibody level >10%
• recipient of a DCD kidney
• no prior organ transplant
• no multi-organ transplant recipient
• no subject who is currently receiving systemic corticosteroids
• no pregnant or lactating subjects
• no history of Hepatitis B, C or HIV positivity
• no recipient of a kidney with cold ischemia time >36 hours

Reported Adverse Events include events starting on of after Day 0 (day of Transplant) and on or before Month 36.

If a subject experienced more than 1 or a given AE, the subject is counted only once for that AE. If a subject experienced more than one AE in a system organ class (SOC), the subject is counted only once in that SOC