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. 2017 Jul 21;2017(7):CD006750. doi: 10.1002/14651858.CD006750.pub2

Budde 2007.

Methods
  • Study design: parallel RCT

  • Study duration: not reported

  • Duration of follow‐up: 12 months

Participants
  • Setting: multicentre (5 centres)

  • Countries: Germany, Belgium

  • Primary or secondary kidney transplant from a deceased‐donor, living‐related or living‐unrelated donor randomised 1 month after transplant; aged 18 to 75 years

  • Number: treatment group (44); control group (45)

  • Mean age ± SD (years): treatment group (45.5 ± 14.9); control group (48.7 ± 11.7)

  • Sex (M/F): treatment group (28/16); control group (33/12)

  • Exclusion criteria: receipt of a multiorgan transplant; PRA > 50%; severe liver disease; thrombocytopenia (< 75,000/mm3); neutropenia (< 1500 mm3); leukopenia (< 2,500 mm3); anaemia (Hb < 6 g/dL); active peptic ulcer disease

Interventions Treatment group
  • Reduced‐dose CsA C2 targets: 1300 to 1700 ng/mL (month 1), 1000 to 1300 ng/mL (months 2 and 3), 700 to 1000 ng/mL (months 4 to 6), 550 to 700 ng/mL (months 7 to 12)


Control group
  • Standard‐dose CSA C2 targets: 1300 to 1700 ng/mL (months 1 to 3), 1000 to 1300 ng/mL (months 4 to 6), 850 to 1000 ng/mL (months 7 to 12)

Outcomes
  • Mean calculated CrCl

  • Death

  • Graft survival

  • BPAR

  • Adverse events

Notes
  • Funding source: supported by Novartis Pharma GmbH (Germany)

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Study was described as randomised, method of randomisation was not reported
Allocation concealment (selection bias) Unclear risk All patient outcome data reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label study
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Study design may not allow for blinding
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patient outcome data reported
Selective reporting (reporting bias) Low risk prespecified outcomes reported
Other bias High risk Funded by Novartis