TABLE 6.
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.