Benefits of early initiation of Certican® after liver transplantation
Renal-sparing strategies as early as 1-month post-LT with everolimus-facilitated CNI reduction is explored and recommended to reduce CNI-associated toxicities.1
6.7% vs. 9.7%
Incidence of tBPAR, graft loss
or death at 12 months
(p<0.001 for noninferiority)2
11.5% vs. 14.6%
Incidence of tBPAR, graft loss
or death 3 years post LT
(p=0.334)3
8.50 mL/min/1.73m2
eGFR difference
at 12 months (97.5% CI 3.74, 13.27 mL min/1.73 m2, p<0.001 for superiority)2
Mean eGFR rate decline
3 years post LT (p=0.334)3
No or Low HCC recurrence in Certican® + rCNI vs. standard CNI
*p–value is not reported
Abbreviations:
IS, immunosuppressant; LT, liver transplant; CNI, Calcineurin inhibitors; tBPAR, treated biopsy-proven acute rejection; eGFR, estimated glomerular filtration rate; rCNI, reduced-exposure calcineurin inhibitor; HCC, hepatocellular carcinoma
References:
1. De Simone P, et al. Transplantation. 2017;101(2):239-251. 2. De Simone P, et al. Am J Transplant. 2012;12(11):3008-3020. 3. Fischer L, et al. Transplantation. 2015;99(7):1455-1462. 4. Lee et al. Transplantation. 2021;105(7):1564-1575.
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