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. 2019 Dec 16;2019(12):CD004290. doi: 10.1002/14651858.CD004290.pub3

Stallone 2004.

Methods
  • Design: open‐label RCT

  • Duration: enrolment from January 2000

  • Follow up: 12 months

Participants
  • Setting: single centre

  • Country: Italy

  • Kidney transplant recipients

  • Number (group 1/group 2): 90 (42/48)

  • Mean age ± SD (years): group 1 (50.4 ± 7.8); group 2 (51.8 ± 6.3)

  • Sex (M/F): not reported

  • Exclusions: not reported

Interventions Treatment group 1
  • SRL: 15 mg, then 5 mg/d for trough levels 6 to 10 ng/mL

  • CSA: 4 to 7 mg/kg/d for C2 levels 600 to 800 ng/mL; for DGF, CSA 3 to 5 mg/kg/d for C2 levels 400 to 600 ng/mL


Treatment group 2
  • MMF: 2 g/d

  • CSA: 10 mg/kg/d for C2 levels 1200 to 1400 ng/mL; for DGF, CSA C2 levels 800 to 1000 ng/mL


Co‐interventions
  • Basiliximab

  • Prednisolone

Outcomes
  • Death (all causes)

  • Graft loss censored for death

  • Graft loss or death with a functioning graft

  • Acute rejection

  • CrCl

  • SCr

Notes
  • Comparison: TOR‐I versus antimetabolite

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 High risk Open‐label study
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcomes unlikely to be influenced by lack of blinding
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All recipients accounted for
Selective reporting (reporting bias) High risk No report of adverse effects
Other bias Unclear risk Insufficient information to permit judgement