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Effect of Early Everolimus-Facilitated Reduction of Tacrolimus on Efficacy and Renal Function in De Novo Liver Transplant Recipients: 24-Month Results for the North American Subpopulation.


ABSTRACT:

Background

A recent randomized phase III study of 719 de novo liver transplant recipients showed that early everolimus plus reduced-dose tacrolimus (EVR + rTAC) led to significantly better kidney function than standard TAC (TAC-C), without compromising efficacy. In that study, patients from North America (n = 211) had increased risk factors for posttransplant renal insufficiency at study start, relative to patients from Europe and rest of world (eg, worse renal function, more diabetes, older age).

Methods

A post hoc analysis was performed to assess whether these regional disparities affected study outcomes in North American patients.

Results

In this subpopulation, estimated glomerular filtration rates at randomization were higher in TAC-C over EVR + rTAC (76.4 vs 69.3

SUBMITTER: Chapman WC 

PROVIDER: S-EPMC5265688 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature