Table 1.
Characteristics | Belatacept Conversion, n=223 | CNI Continuation, n=223 |
---|---|---|
Age, yr | 53.4 (11.3) | 52.6 (11.7) |
<65 | 184 (83%) | 186 (83%) |
≥65 | 39 (17%) | 37 (17%) |
Sex | ||
Men | 150 (67%) | 151 (68%) |
Women | 73 (33%) | 72 (32%) |
Race | ||
White | 191 (86%) | 187 (84%) |
Black | 24 (11%) | 24 (11%) |
Asian | 1 (<1%) | 3 (1%) |
Other | 7 (3%) | 9 (4%) |
Geographic region | ||
Europe | 97 (43%) | 92 (41%) |
North America | 91 (41%) | 94 (42%) |
South America | 35 (16%) | 37 (17%) |
Prior transplants | ||
0 | 183 (82%) | 182 (82%) |
1 | 37 (17%) | 39 (17%) |
2 | 3 (1%) | 2 (1%) |
Baseline eGFR based on laboratory values, ml/min per 1.73 m2 | ||
<30 | 1 (<1%) | 0 |
30 to <45 | 87 (39%) | 83 (37%) |
45 to <75 | 131 (59%) | 136 (61%) |
≥75 | 4 (2%) | 4 (2%) |
Mean | 49.6 (12.1) | 50.7 (11.6) |
Mean (SD) baseline creatinine, mg/dl | 1.47 (0.35) | 1.44 (0.33) |
Time from transplant to randomization, mo | 21.5 (14.0) | 21.6 (13.5) |
Panel reactive antibodies, n/N (%) | ||
≤5% | 164/211 (78) | 160/212 (75) |
>5% | 47/211 (22) | 52/212 (25) |
Missing | 12/223 (5) | 11/223 (5) |
Type of transplant donor | ||
Living, related | 37 (17%) | 41 (18%) |
Living, unrelated | 38 (17%) | 36 (16%) |
Deceased donor | 148 (66%) | 146 (65%) |
Primary cause of ESKD | ||
Glomerular disease | 45 (20%) | 54 (24%) |
Polycystic kidney disease | 43 (19%) | 45 (20%) |
Diabetes mellitus | 38 (17%) | 30 (13%) |
Hypertensive nephrosclerosis | 24 (11%) | 27 (12%) |
Tubular and intestinal diseases | 9 (4%) | 9 (4%) |
Renovascular and other vascular diseases | 8 (4%) | 6 (3%) |
Congenital, rare familial, and metabolic disorders | 5 (2%) | 3 (1%) |
Neoplasms | 0 | 1 (<1%) |
Other | 50 (22%) | 48 (22%) |
Not reported | 1 (<1%) | 0 |
Specific disease history | ||
Hypertension | 208 (93%) | 210 (94%) |
Hypercholesterolemia | 100 (45%) | 104 (47%) |
Type 2 diabetes mellitus | 60 (27%) | 63 (28%) |
Type 1 diabetes mellitus | 14 (6%) | 4 (2%) |
Donor-recipient HLA mismatches | ||
0–3 | 117 (52%) | 116 (52%) |
4–6 | 106 (48%) | 107 (48%) |
Donor-recipient CMV serostatus | ||
Positive-positive | 94 (42%) | 99 (44%) |
Negative-negative | 47 (21%) | 39 (17%) |
Negative-positive | 39 (17%) | 43 (19%) |
Positive-negative | 39 (17%) | 42 (19%) |
Unknown | 4 (2%) | 0 |
Baseline immunosuppressants a | ||
Tacrolimus + MMF | 118 (53%) | 125 (56%) |
Tacrolimus + MPS | 82 (37%) | 73 (33%) |
Cyclosporin + MMF | 13 (6%) | 15 (7%) |
Cyclosporin + MPS | 10 (4%) | 10 (4%) |
Data are n (%) or mean (SD) unless otherwise stated. MMF, mycophenolate mofetil; MPS, mycophenolate sodium.
Baseline tacrolimus and cyclosporin concentrations at study entry are provided in Supplemental Table 2.