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. 2023 Feb 7;36:10581. doi: 10.3389/ti.2023.10581

TABLE 6.

Everolimus strategies.

Demographics CNI minimization (n = 55) CNI elimination (n = 36) p-value
Characteristic
 Age (yr), mean 51.47 ± 14.10 51.89 ± 13.75 0.89
 Gender: male, n (%) 25 (45.4) 24 (66.7) 0.047
Indication for transplantation, n (%)
 Chronic obstructive pulmonary disease 24 (43.6) 19 (52.8) 0.305
 Cystic fibrosis 12 (21.8) 7 (19.4) 0.785
 Interstitial lung disease 12 (21.8) 7 (19.4) 0.785
 Pulmonary hypertension 4 (7.3) 2 (5.6) 0.747
 Other 3 (5.5) 1 (2.8) 0.416
Transplantation type, n (%)
 Bilateral sequential lung 49 (89.0) 32 (88.9) 0.83
 Single lung 5 (9.2) 4 (11.1) 0.75
 Heart and lung 1 (1.8) 0 (0.0) 1.00
Maintenance Immunosuppression, n (%)#
 Tacrolimus 47 (85.5) 26 (72.2) 0.12
 Ciclosporin 8 (14.5) 6 (16.7) 0.78
 Mycophenolate 19 (34.5) 19 (52.8) 0.09
 Azathioprine 25 (45.5) 9 (25.0) 0.049
Rejection
 ISHLT graded ≥2 ACR^ 8 (14.5) 5 (13.9) 0.93
 Diagnosis of CLAD* 34 (61.8) 23 (63.9) 0.72
 RAS 18 (32.7) 13 (23.6) 0.48
 BOS 16 (29.1) 10 (18.2) 0.63

Abbreviations: ACR, acute cellular rejection; BOS, bronchiolitis obliterans syndrome; CLAD, chronic lung allograft dysfunction; CNI, calcineurin inhibitor; EVE, everolimus; RAS, restrictive allograft syndrome.

#Maintenance immunosuppression at time of switch to EVE.

^Episode of ISHLT graded ≥ 2 ACR pre or post switch to EVE.

*Diagnosis of BOS or rCLAD pre or post switch to EVE.