Abstract
Background
Induction therapy with IL-2 receptor antagonist (IL2-RA) is recommended as a first-line agent in low immunological risk kidney transplant recipients. However, the role of IL2-RA in the setting of tacrolimus-based immunosuppression has not been fully investigated.
Aims
To compare different induction therapeutic strategies with 2 doses of basiliximab vs. no induction in low immunologic risk kidney transplant recipients as per KFSHRC protocol.
Methods
Prospective, randomized, double blind, non-inferiority, controlled clinical trial
Expected outcomes
1. Primary outcomes:
Biopsy-proven acute rejection within first year following transplant
2. Secondary outcomes:
a. Patient and graft survival at 1 year
b. eGFR at 6 months and at 12 months
c. Emergence of de novo donor-specific antibodies (DSAs)
Trial registration
The study has been prospectively registered at clinicaltrials.gov (NTC: 04404127). Registered on 27 May 2020.
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Details
; Aleid, Hassan 2 ; Ali, Tariq Zulfiquar 2 ; Joharji, Hala 1 ; Almeshari, Khalid 2 ; Nazmi, Ahmed Mohammed 2 ; Shah, Yaser 2 ; Devol, Edward 3 ; Alkortas, Dalal 1 ; Alabdulkarim, Zinah 1 ; Broering, Dieter 4 ; Alahmadi, Ibrahim 2 ; Ullah, Asad 2 ; Alotaibi, Anwar 3 ; Aljedai, Ahmed 5 1 King Faisal Specialist Hospital and Research Centre (KFSHRC), Pharmaceutical Care Division MBC 11, Riyadh, Saudi Arabia (GRID:grid.415310.2) (ISNI:0000 0001 2191 4301)
2 King Faisal Specialist Hospital and Research Centre (KFSHRC), Kidney & Pancreas Health Centre - Riyadh, KPT, Riyadh, Saudi Arabia (GRID:grid.415310.2) (ISNI:0000 0001 2191 4301)
3 Biostats, Epidemiology and Scientific Computing Department, Riyadh, Saudi Arabia (GRID:grid.415310.2)
4 Organ Transplant Centre of Excellence- Riyadh, OTC, Riyadh, Saudi Arabia (GRID:grid.415310.2)
5 King Faisal Specialist Hospital and Research Centre (KFSHRC), Pharmaceutical Care Division MBC 11, Riyadh, Saudi Arabia (GRID:grid.415310.2) (ISNI:0000 0001 2191 4301); Deputyship of Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia (GRID:grid.415696.9)




