Table 2:
Risk of rejection | Up to 48% |
---|---|
Diagnosis | Rise in serum creatinine and kidney biopsy |
Median time to graft rejection | 3 weeks |
Histology of rejected allograft | TCMR or mixed TCMR and ABMR |
Response to treatment | Poor with up to 70% graft loss |
Risk factors | Low-dose corticosteroids, history of graft rejection, anti-PD-1 treatment or combination therapy |
Factors associated with lower risk of rejection | mTOR and at least two immunosuppressants at time of ICI initiation |
KTR: kidney transplant recipients, TCMR: T cell-mediated rejection, ABMR: antibody-mediated rejection. PD-1: programmed cell death-1, mTOR: mammalian target of rapamycin