To provide safety and effectiveness information for Rapamune during the post-marketing period as required by Korea Food and Drug Administration (KFDA) regulations in order to identify any potential drug related treatment factors in the Korean population, such as: 1. Unknown adverse reactions, especially serious adverse reactions 2. To assess the incidence of adverse reactions under the routine drug uses 3. Factors that may affect the safety of the drug (e.g., proteinuria) 4. Factors that may affect the effectiveness of the drug
All patients who receive Rapamune for certain period of time should be included as far as patients consent to participate
Study Type
OBSERVATIONAL
Enrollment
209
Dosage and treatment duration will be decided by physician's discretion considering patient's clinical situations
Seoul National University Hospital (SNUH)
Seoul, Seoul, South Korea
Yeungnam University Medical Center
Daegu, South Korea
The Catholic University of Korea Uijeongbu St. Mary's Hospital
Gyeonggi-do, South Korea
Percentage of Participants With Adverse Events (AEs)/Adverse Drug Reactions (ADRs), Serious AEs (SAEs)/Serious ADRs (SADRs), Unexpected AEs/ADRs, and Unexpected SAEs/SADRs
All AEs reported after the start of administration of Rapamune were considered as treatment-emergent AEs and summarized. All AEs, except for those with causal relationship to the study drug assessed as "unlikely", were considered as AEs whose causal relationship to the study drug could not be excluded and classified as ADRs. Unexpected AEs/ADRs were classified by medical review with reference to the local product document and confirmed by Pfizer.
Time frame: Six months (±1 month) after initiating Rapamune administration or until completion of Rapamune administration, whichever was earlier.
Percentage of Participants With Clinically Significent Abnormal Laboratory Test
Laboratory test was not mandatory because this study was a non-interventional study.
Time frame: Six months (±1 month) after initiating Rapamune administration or until completion of Rapamune administration, whichever was earlier.
Percentage of Participants With Biopsy-Confirmed Acute Rejection Using Banff 09 Diagnostic Categories for Renal Allograft Biopsies
Renal biopsy was required to confirm the diagnosis of acute rejection. However, due to the non-interventional nature of this study, biopsy could not be mandatory. The decision of whether to perform a biopsy was made at the discretion of the investigator and the result was collected if performed.
Time frame: At 6 months (±1 month) after initiating Rapamune administration or at the time of completion of Rapamune administration, whichever was earlier.
Percentage of Participants Alive
The investigator recorded the participant's survival status and evaluation date on the CRF.
Time frame: At 6 months (±1 month) after initiating Rapamune administration or at the time of completion of Rapamune administration, whichever was earlier.
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Maryknoll Medical Center
Pusan, South Korea
Kangdong Sacred Heart Hospital
Seoul, South Korea
Samsung Medical Center
Seoul, South Korea
Gangnam Severance Hospital, Yonsei University Health System
Seoul, South Korea
Korea University Anam Hospital
Seoul, South Korea
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, South Korea
Asan Medical Center
Seoul, South Korea
...and 1 more locations
Percentage of Participants With Survived Graft
Graft survival was defined as not showing graft loss at the time of evaluation.
Time frame: At 6 months (±1 month) after initiating Rapamune administration or at the time of completion of Rapamune administration, whichever was earlier.
Estimated Glomerular Filtration Rate (eGFR) Calculated by Nankivell Formula
Graft function was evaluated by eGFR using Nankivell formula. The investigator recorded the date of evaluation and the calculated value on the CRF.
Time frame: At 6 months (±1 month) after initiating Rapamune administration or at the time of completion of Rapamune administration, whichever was earlier.