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The use of CNIs (CSA or FK) as primary immunosuppressive drugs after pediatric liver transplantation is one of the main causes of chronic kidney disease in these patients in the long term.
The study objective is the evaluation of safety of a modification in immunosuppression from a dual-immunosuppression (CSA or FK plus steroids) to a triple immunosuppression (MMF plus CSA (reduced dosage) plus steroids.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MMF | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| safety of a triple immunosuppression (MMF/CSA/Steroids)regarding the number of acute rejections | 1, 3, 6, 9, 12, 24 month |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of chronic kidney disease | 12, 24 month | |
| incidence of infections | 1, 3, 6, 9, 12, 24 month | |
| incidence of ptld (post transplant lymphoproliferative disease) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Melter, PhD, MD | Hannover Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hannover medical School | Hanover | 30625 | Germany |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D007674 | Kidney Diseases |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 1, 3, 6, 9, 12, 24 month |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |