Skip to main content
. 2010 Jan 20;2010(1):CD003897. doi: 10.1002/14651858.CD003897.pub3

Kahan 1999.

Methods
  • Placebo controlled RCT

  • Stratified based on donor source

Participants
  • Setting: National multicentre (21)

  • Country: USA

  • First, cadaveric (70%) or living donor kidney transplant

  • Mean age (± SD)

    • Treatment group: 44.9 ± 11.79

    • Control group: 46.2 ± 12.00

  • Number (treatment/control): 348 randomised, 346 analysed (174/173)

  • Sex (M/F)

    • Treatment group: 117/56

    • Control group: 106/67

Interventions Treatment group
  • Basiliximab: 20 mg on days 0 and 4


Control group
  • Placebo


Baseline immunosuppression
  • CSA: trough levels 150‐450 ng/mL (weeks 1‐4), 100‐300 ng/mL for remainder of study

  • Steroids: 0.5‐2.0 mg/kg/d taper to 20 mg/d by day 21 and at least 7.5.mg/d by day 90

Outcomes
  • Mortality

  • Graft loss

  • Acute rejection

  • Infection/CMV

  • Delayed graft function

  • Malignancy

Notes
  • 1 year follow‐up

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Stated "randomized" no further information provided
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 Objective outcomes Unclear risk Double blind, blinding of outcome assessors not stated
Blinding (performance bias and detection bias) 
 Subjective outcomes Unclear risk Double blind, blinding of outcome assessors not stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk ITT analysis reported, 2 patients (1 from each group) were not transplanted. All other patients followed up or accounted for
Selective reporting (reporting bias) Low risk Primary outcomes for this review (death, graft loss and acute rejection) have been reported
Other bias High risk Supported by a grant from Novartis Pharmaceuticals