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Study safety of longterm immunosuppressive protocol with Sirolimus plus Prednisolone, and Calcineurin inhibitor withdrawal.
Sirolimus with Cyclosporine minimization is the standard protocol for kidney transplantation in Chulalongkorn University. The investigators published the safety of this regimen in Transplantation Proceeding 2008; 40: 2206-8.
The investigators now further study in those patients who doing well with this regimen more than 1 year. The patients will be asked for kidney biopsy to evaluate and make sure they don't have subclinical rejection. The patients who don't have subclinical rejection will discontinue cyclosporine and continue with only sirolimus and prednisolone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sirolimus with Prednisolone | Experimental | Sirolimus with Prednisolone, and withdraw cyclosporine |
|
| Sirolimus with Cyclosporine with Prednisolone | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Withdraw cyclosporine | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| longterm glomerular filtration rate defined by eGFR CKD-EPI | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Acute rejection rate | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Natavudh Townamchai, MD | Contact | +66894904222 | ntownamchai@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chulalongkorn University | Recruiting | Bangkok | Thailand |
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