The calcineurin inhibitor drugs including cyclosporin and tacrolimus are well-known as nephrotoxicity. However, these drugs are essential for kidney transplant especially in high immunological risks. To date, however, there is an alternative regimen by using of everolimus-based which showing less toxicity than tacrolimus-based regimen by its mechanisms. Of note, this study aims to evaluate the toxicity by using microRNA profiles detection between everolimus-based and tacrolimus-based immunosuppressive regimen in kidney transplantation.
The author aims to evaluate the effects of two regimens (everolimus-based versus tacrolimus-based) in kidney transplantation recipients. Both of regimens are prescribed only in recipents who have low immunologicla risks. After informed consent, all eligible recipients will be collected blood and urine sample for microRNA profile testing during study periods.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
Everolimus dosing to target tough level 6-10 mg/ml
Tacrolimus dosing to target tough level 5-10 ng/ml
Chulalongkorn University
Bangkok, Thailand
RECRUITINGmicroRNA profiles
microRNA profiles including rejection and nephrotoxicity markers
Time frame: 5 years
Allograft tissue pathology
Pathology studies including rejection, interstitial fibrosis and tubular atrophy
Time frame: At year 2 and 5
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