Week/month (after transplantation) | Months 1-3 (±3 days) | Months 4-12 (±7 days) | Months 13-24 (–7 days) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Week | Monthly (except months 6 and 12) | Months | Bimonthly (except month 24) | Month | |||||||
0 | 4* | 6 | 8 | 10 | 12 | 6 | 12 | 24 | |||
Visits | 1 | 2 | 3 | 4 | 4 | 6-14 | 8 | 14 | 15-20 | 20 | |
Informed consent1 | X | ||||||||||
Randomization | X | ||||||||||
Inclusion/exclusion criteria | X | ||||||||||
Medical history | X | ||||||||||
Transplantation | X | ||||||||||
Pregnancy test as appropriate2 | X | ||||||||||
Vital signs (weight, blood pressure, pulse) | X | X | X | X | X | X | X | X | X | X | |
Height | X | X | X | X | X | X | X | X | |||
Hematology (including differential count) | X | X | X | X | X | X | X | X | X | X | |
Chemistry panel (bilirubine., SGOT, SGPT, yGT, GlDH, CK, LDH)3 | X | (X) | X | (X) | X | ||||||
Lipid profile (cholesterol, LDL, HDL, triglycerides) | X | X | X | X | |||||||
Serum creatinine, urea | X | X | X | X | X | X | X | X | X | X | |
Urine analysis (sticks, quantitative urine albumin and creatinine) | X | X | X | X | X | X | X | X | X | X | |
Trough level of CsA4 | X | X | X | X | X | X | X | X | X | X | |
Trough level of everolimus4 | X | X | X | X | X | X | X | X | X | X | |
CMV-, ADV-, HSV-specific T cells5 | X | X | X | X | X | X | X | X | X | X | |
CMV, HSV, EBV IgG, IgM | X | X | X | X | X | X | X | X | X | X | |
CMV, ADV, EBV HSV-PCR | X | X | X | X | X | X | X | X | X | X | |
Clinical assessment | X | X | X | X | X | X | X | X | X | ||
Protocol biopsy | X | X | X | X | X | X | X | ||||
CsA half dose and start everolimus | X | X | X | X | X | X | X | ||||
Start of steroid elimination | X | X | X | X | X | X | X | ||||
Treatment of rejection6 | X | X | X | X | X | X | X | (X) | (X) | (X) | |
Prior/concomitant medications | X | X | X | X | X | X | X | X | X | X | |
Adverse events | X | X | X | X | X | X | X | X | X | X | X |