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. 2017 Jan 11;2017(1):CD004759. doi: 10.1002/14651858.CD004759.pub2

Squifflet 1997.

Methods
  • Study design: parallel RCT; stratified by 1st and 2nd graft

  • Study duration: April 1995 to February 1996

  • Study follow‐up: 6 months

Participants
  • Country: Belgium

  • Setting: single centre

  • Inclusion criteria: DD kidney transplant recipients; ≥ 18 years

  • Number: treatment group (20); control group (20)

  • Mean age ± SD (years): treatment group (39.90 ± 11.38); control group (37.40 ± 11.70)

  • Sex (M/F): treatment group (10/10); control group (10/10)

  • 1st/2nd transplant: treatment group (16/4); control group (16/4)

  • Exclusion criteria: not reported

Interventions Treatment group
  • Humanised anti‐CD2 rat MAb: BTI‐322 5 mg/d IV for 10 days. 1st dose given in operating theatre prior to vascular anastomosis

  • MP: 250 mg at unclamping and repeat 6 h later

  • CSA, AZA, PRED as per control


Control group
  • CSA: 3 to 8 mg/kg/d, adjust for trough 200 to 400 ng/mL

  • AZA:' 1 mg/kg/d

  • PRED: 0.5 mg/kg/d tapered to 0.1 mg/kg/d by 9 months 

Outcomes
  • Patient survival

  • Graft survival

  • Biopsy‐proven acute rejection

  • Infection

  • DGF

  • Malignancy

Notes
  • Funding source: supported by a grant from BioTransplant Inc

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Unlikely to influence outcomes
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unlikely to influence outcomes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patient outcome data reported
Selective reporting (reporting bias) Low risk All expected outcomes reported
Other bias High risk Supported by the manufacturers of BTI‐322