Trial Outcomes & Findings for Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection (NCT NCT00300274)

NCT ID: NCT00300274

Last Updated: 2012-08-16

Results Overview

Composite efficacy failure was defined as Biopsy Proven Acute Rejection(BPAR) of International Society for Heart and Lung Transplantation(ISHLT) grade ≥3A, Acute Rejection associated with Hemodynamic Compromise, Graft loss/Retransplant, Death or Loss to follow-up. Identification of acute rejection was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤30% or 25% lower than Baseline or Fractional shortening ≤20% or 25% lower than Baseline and/or use of inotropic treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

721 participants

Primary outcome timeframe

12 Months

Results posted on

2012-08-16

Participant Flow

Participant milestones

Participant milestones
Measure
Everolimus 1.5 mg
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Everolimus 3.0 mg
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Overall Study
STARTED
282
168
271
Overall Study
Completed 12 Month
250
149
248
Overall Study
COMPLETED
236
141
226
Overall Study
NOT COMPLETED
46
27
45

Reasons for withdrawal

Reasons for withdrawal
Measure
Everolimus 1.5 mg
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Everolimus 3.0 mg
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Overall Study
Withdrawal by Subject
12
3
14
Overall Study
Lost to Follow-up
3
4
5
Overall Study
Death
31
20
25
Overall Study
Re-transplant
0
0
1

Baseline Characteristics

Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Total
n=721 Participants
Total of all reporting groups
Age Continuous
51.1 years
STANDARD_DEVIATION 10.99 • n=5 Participants
48.9 years
STANDARD_DEVIATION 12.06 • n=7 Participants
50.2 years
STANDARD_DEVIATION 11.88 • n=5 Participants
50.3 years
STANDARD_DEVIATION 11.6 • n=4 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
39 Participants
n=7 Participants
51 Participants
n=5 Participants
147 Participants
n=4 Participants
Sex: Female, Male
Male
225 Participants
n=5 Participants
129 Participants
n=7 Participants
220 Participants
n=5 Participants
574 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 12 Months

Population: Intent-to-treat population included all randomized participants.

Composite efficacy failure was defined as Biopsy Proven Acute Rejection(BPAR) of International Society for Heart and Lung Transplantation(ISHLT) grade ≥3A, Acute Rejection associated with Hemodynamic Compromise, Graft loss/Retransplant, Death or Loss to follow-up. Identification of acute rejection was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤30% or 25% lower than Baseline or Fractional shortening ≤20% or 25% lower than Baseline and/or use of inotropic treatment.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Composite Efficacy Failure at 12 Months
35.1 Percentage of participants
33.6 Percentage of participants
35.1 Percentage of participants

SECONDARY outcome

Timeframe: 12 Months

Population: Intent-to-treat population included all randomized participants.

Loss to follow-up for this composite endpoint included participants who did not experience graft loss/re-transplant or death and whose last day of contact was prior to Day 316 (start day of the Month 12 visit window).

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 Months
11.9 Percentage of participants
8.9 Percentage of participants
11.7 Percentage of participants

SECONDARY outcome

Timeframe: 12 Months

Population: Participants from the intent-to-treat population (all randomized participants) with data available for analysis.

GFR was calculated using the Modification of Diet and Renal Disease (MDRD) formula: GFR \[mL/min/1.73m\^2\] = 186.3\*(C\^-1.154)\*(A\^-0.203)\*G\*R where C is the serum concentration of creatinine \[mg/dL\] A is age \[years\] G=0.742 when gender is female, otherwise G=1 R=1.21 when race is black, otherwise R=1

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=141 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=238 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=241 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Renal Function Measured by Glomerular Filtration Rate (GFR) at 12 Months
59.78 mL/min/1.73^2
Standard Deviation 23.141
64.37 mL/min/1.73^2
Standard Deviation 28.365
59.21 mL/min/1.73^2
Standard Deviation 23.113

SECONDARY outcome

Timeframe: Baseline, Month 12

Population: IVUS population consisted of randomized patients who had a minimum of 11 matched slices between IVUS images from Baseline and from Month 12 (IVUS Centers).

Maximum intimal thickness was assessed using Intravascular Ultrasound (IVUS). IVUS is a technique for taking ultrasound pictures of the wall of an artery from inside the artery itself. It shows the thickness of the artery wall and any narrowing of the artery.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=37 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=101 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=88 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Change From Baseline in the Average Maximum Intimal Thickness at Month 12
0.04 mm
Standard Deviation 0.06
0.07 mm
Standard Deviation 0.110
0.03 mm
Standard Deviation 0.052

SECONDARY outcome

Timeframe: 12 Months

Population: IVUS population consisted of randomized patients who had a minimum of 11 matched slices between IVUS images from Baseline and from Month 12 (IVUS centers).

Cardiac allograft vasculopathy is defined as a 0.5 mm increase in maximum intimal thickness as measured by Intravascular Ultrasound (IVUS) in at least one matched slice between baseline and Month 12.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=37 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=101 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=88 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Cardiac Allograft Vasculopathy (CAV) at Month 12
21.6 Percentage of participants
26.7 Percentage of participants
12.5 Percentage of participants

SECONDARY outcome

Timeframe: 12 Months

Population: Intent-to-treat population includes all randomized participants.

Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline, and/or use of inotropic treatment.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 12
AR associated with HDC
3.0 Percentage of participants
2.6 Percentage of participants
3.9 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 12
BPAR of ISHLT ≥ 3A
25.6 Percentage of participants
24.7 Percentage of participants
22.3 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 12
Death
10.1 Percentage of participants
4.8 Percentage of participants
7.8 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 12
Graft loss/re-transplant
3.0 Percentage of participants
1.8 Percentage of participants
1.4 Percentage of participants

SECONDARY outcome

Timeframe: 24 Months

Population: Intent-to-treat population included all randomized participants.

Composite efficacy failure was defined as Biopsy Proven Acute Rejection (BPAR) of International Society for Heart and Lung Transplantation grade ≥ 3A, Acute Rejection associated with Hemodynamic Compromise, Graft loss/Retransplant, Death or Loss to follow-up. Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline and/or use of inotropic treatment.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Composite Efficacy Failure at 24 Months
41.1 Percentage of participants
41.3 Percentage of participants
39.4 Percentage of participants

SECONDARY outcome

Timeframe: 24 Months

Population: Intent-to-treat population included all randomized participants.

Loss to follow-up for this composite endpoint included participants who did not experience graft loss/re-transplant or death and whose last day of contact was prior to Day 631 (start day of 24 Month visit window).

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 24 Months
16.1 Percentage of participants
15.1 Percentage of participants
15.2 Percentage of participants

SECONDARY outcome

Timeframe: 24 Months

Population: Participants from the intent-to-treat population (all randomized participants) with data available for analysis.

GFR was calculated using the Modification of Diet and Renal Disease (MDRD) formula: GFR \[mL/min/1.73m\^2\] = 186.3\*(C\^-1.154)\*(A\^-0.203)\*G\*R C is the serum concentration of creatinine \[mg/dL\] A is age \[years\] G=0.742 when gender is female, otherwise G=1 R=1.21 when race is black, otherwise R=1

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=132 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=127 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=227 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Renal Function Calculated by Glomerular Filtration Rate (GFR) at 24 Months
61.84 mL/min/1.73^2
Standard Deviation 25.247
64.52 mL/min/1.73^2
Standard Deviation 23.764
59.50 mL/min/1.73^2
Standard Deviation 22.438

SECONDARY outcome

Timeframe: 24 Months

Population: Intent-to-treat population included all randomized participants.

Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline, and/ or use of inotropic treatment.

Outcome measures

Outcome measures
Measure
Everolimus 3.0 mg
n=168 Participants
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=271 Participants
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Everolimus 1.5 mg
n=282 Participants
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
AR associated with HDC
3.6 Percentage of participants
5.2 Percentage of participants
4.3 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
BPAR of ISHLT grade ≥ 3A
28.6 Percentage of participants
27.3 Percentage of participants
24.1 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
Death
11.9 Percentage of participants
9.2 Percentage of participants
10.6 Percentage of participants
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
Graft loss/re-transplant
3.0 Percentage of participants
3.7 Percentage of participants
2.5 Percentage of participants

Adverse Events

Everolimus 1.5 mg

Serious events: 209 serious events
Other events: 275 other events
Deaths: 0 deaths

Everolimus 3.0 mg

Serious events: 119 serious events
Other events: 165 other events
Deaths: 0 deaths

Mycophenolate Mofetil

Serious events: 168 serious events
Other events: 262 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Everolimus 1.5 mg
n=279 participants at risk
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Everolimus 3.0 mg
n=167 participants at risk
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=268 participants at risk
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Blood and lymphatic system disorders
Anaemia
1.8%
5/279
3.0%
5/167
1.5%
4/268
Blood and lymphatic system disorders
Bone marrow failure
0.00%
0/279
0.60%
1/167
0.00%
0/268
Blood and lymphatic system disorders
Coagulopathy
0.00%
0/279
0.60%
1/167
0.00%
0/268
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Blood and lymphatic system disorders
Haemolytic anaemia
0.00%
0/279
0.60%
1/167
0.75%
2/268
Blood and lymphatic system disorders
Leukocytosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Blood and lymphatic system disorders
Leukopenia
0.36%
1/279
2.4%
4/167
0.75%
2/268
Blood and lymphatic system disorders
Neutropenia
0.00%
0/279
0.00%
0/167
0.75%
2/268
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/279
0.60%
1/167
0.37%
1/268
Blood and lymphatic system disorders
Thrombocytopenia
0.36%
1/279
1.2%
2/167
0.37%
1/268
Blood and lymphatic system disorders
Thrombotic microangiopathy
0.36%
1/279
0.00%
0/167
0.00%
0/268
Blood and lymphatic system disorders
Thrombotic thrombocytopenic purpura
0.36%
1/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Acute myocardial infarction
0.00%
0/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Angina pectoris
1.4%
4/279
1.2%
2/167
0.00%
0/268
Cardiac disorders
Aortic valve incompetence
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Arrhythmia
0.00%
0/279
0.60%
1/167
0.75%
2/268
Cardiac disorders
Atrial fibrillation
2.5%
7/279
1.8%
3/167
3.7%
10/268
Cardiac disorders
Atrial flutter
1.4%
4/279
0.60%
1/167
1.9%
5/268
Cardiac disorders
Atrial tachycardia
0.36%
1/279
0.00%
0/167
0.75%
2/268
Cardiac disorders
Atrial thrombosis
0.00%
0/279
1.2%
2/167
0.75%
2/268
Cardiac disorders
Atrioventricular block
0.00%
0/279
1.2%
2/167
0.37%
1/268
Cardiac disorders
Atrioventricular block complete
0.36%
1/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Atrioventricular block second degree
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Bradycardia
0.72%
2/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Cardiac arrest
1.1%
3/279
3.0%
5/167
1.1%
3/268
Cardiac disorders
Cardiac failure
0.36%
1/279
0.60%
1/167
0.75%
2/268
Cardiac disorders
Cardiac failure acute
0.00%
0/279
0.00%
0/167
0.75%
2/268
Cardiac disorders
Cardiac failure congestive
1.4%
4/279
0.60%
1/167
1.5%
4/268
Cardiac disorders
Cardiac perforation
0.36%
1/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Cardiac tamponade
1.8%
5/279
1.8%
3/167
1.5%
4/268
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Cardiogenic shock
0.72%
2/279
0.60%
1/167
2.2%
6/268
Cardiac disorders
Cardiomegaly
0.00%
0/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Coronary artery disease
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Coronary artery dissection
0.00%
0/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Coronary artery occlusion
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Coronary artery stenosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Dilatation atrial
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Ischaemic cardiomyopathy
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Left ventricular dysfunction
0.72%
2/279
0.00%
0/167
0.75%
2/268
Cardiac disorders
Nodal arrhythmia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Nodal rhythm
0.36%
1/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Palpitations
1.8%
5/279
0.00%
0/167
1.5%
4/268
Cardiac disorders
Pericardial cyst
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Pericardial effusion
13.6%
38/279
10.8%
18/167
4.5%
12/268
Cardiac disorders
Pericardial haemorrhage
0.36%
1/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Pericarditis
0.00%
0/279
1.2%
2/167
0.00%
0/268
Cardiac disorders
Pericarditis constrictive
0.72%
2/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Pulseless electrical activity
0.72%
2/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Right ventricular dysfunction
0.72%
2/279
1.8%
3/167
0.00%
0/268
Cardiac disorders
Right ventricular failure
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Sick sinus syndrome
0.00%
0/279
0.60%
1/167
0.37%
1/268
Cardiac disorders
Sinus arrest
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Supraventricular tachycardia
0.72%
2/279
0.00%
0/167
0.75%
2/268
Cardiac disorders
Tachycardia
0.36%
1/279
0.00%
0/167
1.1%
3/268
Cardiac disorders
Tricuspid valve incompetence
1.1%
3/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Ventricular arrhythmia
0.36%
1/279
0.00%
0/167
0.75%
2/268
Cardiac disorders
Ventricular asystole
0.36%
1/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Ventricular dysfunction
0.00%
0/279
0.60%
1/167
0.00%
0/268
Cardiac disorders
Ventricular extrasystoles
0.00%
0/279
0.00%
0/167
0.37%
1/268
Cardiac disorders
Ventricular fibrillation
0.72%
2/279
0.00%
0/167
0.00%
0/268
Cardiac disorders
Ventricular tachycardia
0.72%
2/279
0.00%
0/167
0.00%
0/268
Ear and labyrinth disorders
Vertigo
0.00%
0/279
0.00%
0/167
0.37%
1/268
Endocrine disorders
Adrenal insufficiency
0.00%
0/279
0.00%
0/167
0.37%
1/268
Endocrine disorders
Hyperthyroidism
0.00%
0/279
0.00%
0/167
0.37%
1/268
Eye disorders
Blindness
0.00%
0/279
0.00%
0/167
0.37%
1/268
Eye disorders
Retinal artery thrombosis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Eye disorders
Vision blurred
0.00%
0/279
0.00%
0/167
0.37%
1/268
Eye disorders
Visual impairment
0.00%
0/279
1.2%
2/167
0.37%
1/268
Eye disorders
Vitreous haemorrhage
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Abdominal discomfort
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Abdominal distension
0.72%
2/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Abdominal hernia
1.4%
4/279
1.8%
3/167
0.37%
1/268
Gastrointestinal disorders
Abdominal pain
0.72%
2/279
1.2%
2/167
1.1%
3/268
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/279
0.00%
0/167
0.75%
2/268
Gastrointestinal disorders
Ascites
0.00%
0/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Colitis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Colitis ulcerative
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Diarrhoea
1.8%
5/279
1.2%
2/167
1.9%
5/268
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.00%
0/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Dyspepsia
0.00%
0/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Enteritis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Epigastric discomfort
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/279
0.60%
1/167
1.1%
3/268
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Gingival hyperplasia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Hernial eventration
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Ileitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Ileus
0.36%
1/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Ileus paralytic
0.36%
1/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Inguinal hernia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Intestinal ischaemia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Large intestinal ulcer
0.00%
0/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Large intestine perforation
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Megacolon
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Melaena
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Nausea
1.1%
3/279
2.4%
4/167
2.6%
7/268
Gastrointestinal disorders
Odynophagia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Oesophagitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Oral disorder
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Pancreatitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Pancreatitis acute
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Paraesthesia oral
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Reflux oesophagitis
0.00%
0/279
0.60%
1/167
0.37%
1/268
Gastrointestinal disorders
Stomatitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Gastrointestinal disorders
Stomatitis necrotising
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Umbilical hernia
0.36%
1/279
0.60%
1/167
0.00%
0/268
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/279
0.00%
0/167
0.37%
1/268
Gastrointestinal disorders
Vomiting
1.4%
4/279
1.8%
3/167
1.9%
5/268
General disorders
Asthenia
1.1%
3/279
0.00%
0/167
0.37%
1/268
General disorders
Cardiac death
0.00%
0/279
0.00%
0/167
0.37%
1/268
General disorders
Catheter site haematoma
0.00%
0/279
0.00%
0/167
0.37%
1/268
General disorders
Chest pain
0.00%
0/279
0.60%
1/167
0.00%
0/268
General disorders
Chills
1.1%
3/279
2.4%
4/167
0.75%
2/268
General disorders
Concomitant disease progression
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Crepitations
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Device breakage
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Device malfunction
0.00%
0/279
0.60%
1/167
0.00%
0/268
General disorders
Fatigue
0.72%
2/279
1.2%
2/167
2.2%
6/268
General disorders
Feeling hot
0.00%
0/279
0.60%
1/167
0.00%
0/268
General disorders
Generalised oedema
0.72%
2/279
0.60%
1/167
0.00%
0/268
General disorders
Hyperpyrexia
0.00%
0/279
0.60%
1/167
0.00%
0/268
General disorders
Hyperthermia
0.72%
2/279
0.60%
1/167
0.00%
0/268
General disorders
Hypothermia
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Impaired healing
0.00%
0/279
0.60%
1/167
0.75%
2/268
General disorders
Malaise
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Multi-organ failure
2.2%
6/279
1.8%
3/167
1.9%
5/268
General disorders
Non-cardiac chest pain
2.9%
8/279
1.2%
2/167
1.1%
3/268
General disorders
Oedema
0.00%
0/279
0.60%
1/167
0.00%
0/268
General disorders
Oedema peripheral
2.2%
6/279
3.0%
5/167
1.5%
4/268
General disorders
Pyrexia
4.3%
12/279
8.4%
14/167
3.7%
10/268
General disorders
Sudden cardiac death
0.36%
1/279
0.00%
0/167
0.00%
0/268
General disorders
Sudden death
0.00%
0/279
0.00%
0/167
0.37%
1/268
General disorders
Systemic inflammatory response syndrome
0.36%
1/279
0.00%
0/167
0.00%
0/268
Hepatobiliary disorders
Bile duct stone
0.36%
1/279
0.00%
0/167
0.00%
0/268
Hepatobiliary disorders
Cholangitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Hepatobiliary disorders
Cholecystitis
0.72%
2/279
0.60%
1/167
0.37%
1/268
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/279
0.00%
0/167
0.37%
1/268
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/279
0.00%
0/167
0.37%
1/268
Hepatobiliary disorders
Cholelithiasis
1.1%
3/279
1.2%
2/167
0.37%
1/268
Hepatobiliary disorders
Cholestasis
0.00%
0/279
0.00%
0/167
0.75%
2/268
Hepatobiliary disorders
Hepatic failure
0.00%
0/279
0.00%
0/167
0.75%
2/268
Hepatobiliary disorders
Hepatitis acute
0.36%
1/279
0.00%
0/167
0.00%
0/268
Hepatobiliary disorders
Hepatorenal syndrome
0.36%
1/279
0.00%
0/167
0.00%
0/268
Hepatobiliary disorders
Ischaemic hepatitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Immune system disorders
Allergy to animal
0.00%
0/279
0.00%
0/167
0.37%
1/268
Immune system disorders
Anaphylactic shock
0.00%
0/279
0.00%
0/167
0.37%
1/268
Immune system disorders
Drug hypersensitivity
0.72%
2/279
0.00%
0/167
0.37%
1/268
Immune system disorders
Heart transplant rejection
7.2%
20/279
7.8%
13/167
9.7%
26/268
Immune system disorders
Hypersensitivity
0.36%
1/279
0.00%
0/167
0.00%
0/268
Immune system disorders
Transplant rejection
0.72%
2/279
0.60%
1/167
0.75%
2/268
Infections and infestations
Abscess intestinal
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Abscess limb
0.00%
0/279
0.60%
1/167
0.37%
1/268
Infections and infestations
Abscess neck
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Acute pulmonary histoplasmosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Acute sinusitis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Appendicitis
0.72%
2/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Aspergillosis
0.72%
2/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Bacteraemia
0.36%
1/279
1.2%
2/167
0.37%
1/268
Infections and infestations
Bacterial diarrhoea
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Brain abscess
0.00%
0/279
1.2%
2/167
0.00%
0/268
Infections and infestations
Bronchiolitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Bronchitis
0.36%
1/279
1.2%
2/167
0.75%
2/268
Infections and infestations
Bronchitis bacterial
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Bronchopulmonary aspergillosis
0.72%
2/279
0.60%
1/167
0.75%
2/268
Infections and infestations
Candida pneumonia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Cellulitis
0.72%
2/279
1.2%
2/167
0.75%
2/268
Infections and infestations
Cerebral aspergillosis
0.00%
0/279
0.00%
0/167
0.75%
2/268
Infections and infestations
Chlamydial infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Clostridial infection
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Clostridium difficile colitis
0.36%
1/279
1.2%
2/167
0.37%
1/268
Infections and infestations
Cytomegalovirus colitis
0.00%
0/279
0.00%
0/167
0.75%
2/268
Infections and infestations
Cytomegalovirus gastritis
0.00%
0/279
0.00%
0/167
0.75%
2/268
Infections and infestations
Cytomegalovirus infection
1.1%
3/279
3.0%
5/167
3.7%
10/268
Infections and infestations
Cytomegalovirus syndrome
0.00%
0/279
0.00%
0/167
1.1%
3/268
Infections and infestations
Cytomegalovirus viraemia
0.36%
1/279
1.2%
2/167
3.0%
8/268
Infections and infestations
Device related infection
0.72%
2/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Device related sepsis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Diarrhoea infectious
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Endocarditis
0.36%
1/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Enterobacter bacteraemia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Enterobacter infection
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Enterobacter pneumonia
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Enterococcal infection
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Escherichia infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Escherichia sepsis
0.36%
1/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Fungal abscess central nervous system
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Fungal infection
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Fungal peritonitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Fungal sepsis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Gastroenteritis
1.4%
4/279
0.60%
1/167
1.5%
4/268
Infections and infestations
Gastroenteritis viral
1.1%
3/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Gastrointestinal infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
H1N1 influenza
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Herpes simplex
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Herpes virus infection
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Herpes zoster
0.72%
2/279
0.00%
0/167
1.1%
3/268
Infections and infestations
Herpes zoster disseminated
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Incision site infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Infected lymphocele
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Infection
0.72%
2/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Influenza
0.00%
0/279
0.60%
1/167
0.37%
1/268
Infections and infestations
Intraspinal abscess
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Listeriosis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Lobar pneumonia
0.36%
1/279
0.60%
1/167
1.1%
3/268
Infections and infestations
Lower respiratory tract infection
0.36%
1/279
1.2%
2/167
0.37%
1/268
Infections and infestations
Lung abscess
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Lung infection
1.8%
5/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Lung infection pseudomonal
0.36%
1/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Mediastinitis
1.4%
4/279
0.60%
1/167
0.75%
2/268
Infections and infestations
Meningitis cryptococcal
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Mycobacterium avium complex infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Mycobacterium chelonei infection
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Myocarditis mycotic
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Necrotising fasciitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Oral herpes
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Osteomyelitis
0.00%
0/279
1.8%
3/167
0.75%
2/268
Infections and infestations
Pericarditis fungal
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pneumococcal sepsis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pneumocystis jiroveci pneumonia
0.36%
1/279
1.2%
2/167
0.00%
0/268
Infections and infestations
Pneumonia
5.4%
15/279
6.6%
11/167
3.0%
8/268
Infections and infestations
Pneumonia bacterial
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pneumonia cryptococcal
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Pneumonia cytomegaloviral
0.00%
0/279
0.60%
1/167
1.1%
3/268
Infections and infestations
Pneumonia escherichia
0.72%
2/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pneumonia haemophilus
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pneumonia klebsiella
0.36%
1/279
0.60%
1/167
0.37%
1/268
Infections and infestations
Pneumonia legionella
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Pneumonia pneumococcal
1.1%
3/279
0.60%
1/167
0.37%
1/268
Infections and infestations
Pneumonia primary atypical
0.72%
2/279
0.60%
1/167
0.75%
2/268
Infections and infestations
Pneumonia respiratory syncytial viral
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Post procedural pneumonia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Postoperative wound infection
1.8%
5/279
3.0%
5/167
0.75%
2/268
Infections and infestations
Pseudomembranous colitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Pseudomonas bronchitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Purulent pericarditis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Pyelonephritis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Pyothorax
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Respiratory tract infection
0.00%
0/279
0.60%
1/167
0.37%
1/268
Infections and infestations
Respiratory tract infection viral
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Rhinovirus infection
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Salmonella sepsis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Sepsis
2.5%
7/279
3.6%
6/167
0.75%
2/268
Infections and infestations
Sepsis syndrome
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Septic embolus
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Septic shock
1.4%
4/279
1.8%
3/167
0.75%
2/268
Infections and infestations
Sinusitis
1.1%
3/279
1.2%
2/167
0.75%
2/268
Infections and infestations
Skin infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Spinal cord infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Staphylococcal bacteraemia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Staphylococcal mediastinitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Staphylococcal sepsis
1.1%
3/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Stenotrophomonas infection
0.00%
0/279
0.60%
1/167
0.00%
0/268
Infections and infestations
Tonsillitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Tooth infection
0.36%
1/279
0.00%
0/167
0.00%
0/268
Infections and infestations
Tracheobronchitis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Tuberculosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Upper respiratory tract infection
1.1%
3/279
1.2%
2/167
0.37%
1/268
Infections and infestations
Urinary tract infection
1.8%
5/279
0.00%
0/167
1.9%
5/268
Infections and infestations
Urosepsis
0.36%
1/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Varicella
0.00%
0/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Viral infection
1.1%
3/279
1.2%
2/167
0.00%
0/268
Infections and infestations
Viral upper respiratory tract infection
1.8%
5/279
0.00%
0/167
0.37%
1/268
Infections and infestations
Wound infection
0.36%
1/279
1.2%
2/167
0.00%
0/268
Infections and infestations
Wound infection staphylococcal
0.36%
1/279
0.00%
0/167
0.75%
2/268
Injury, poisoning and procedural complications
Alcohol poisoning
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Arterial injury
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Complications of transplanted heart
0.72%
2/279
0.00%
0/167
0.75%
2/268
Injury, poisoning and procedural complications
Contrast media reaction
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Contusion
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Dislocation of sternum
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Extradural haematoma
0.00%
0/279
0.60%
1/167
0.00%
0/268
Injury, poisoning and procedural complications
Fall
0.72%
2/279
0.00%
0/167
0.75%
2/268
Injury, poisoning and procedural complications
Femoral neck fracture
0.72%
2/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/279
0.60%
1/167
0.37%
1/268
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Gastrointestinal anastomotic leak
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Head injury
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Incision site pain
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Incisional hernia
1.1%
3/279
1.2%
2/167
0.00%
0/268
Injury, poisoning and procedural complications
Jaw fracture
0.00%
0/279
0.60%
1/167
0.00%
0/268
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/279
0.60%
1/167
0.00%
0/268
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Pelvic fracture
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Post procedural complication
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Post procedural diarrhoea
0.00%
0/279
0.60%
1/167
0.00%
0/268
Injury, poisoning and procedural complications
Post procedural discharge
0.36%
1/279
1.2%
2/167
0.37%
1/268
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.36%
1/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Post procedural swelling
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Post-traumatic pain
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Postoperative thoracic procedure complication
0.72%
2/279
0.00%
0/167
1.5%
4/268
Injury, poisoning and procedural complications
Postoperative wound complication
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Rib fracture
0.00%
0/279
0.00%
0/167
0.37%
1/268
Injury, poisoning and procedural complications
Road traffic accident
0.36%
1/279
0.00%
0/167
0.00%
0/268
Injury, poisoning and procedural complications
Seroma
1.4%
4/279
1.2%
2/167
0.00%
0/268
Injury, poisoning and procedural complications
Spinal fracture
0.00%
0/279
0.00%
0/167
0.75%
2/268
Injury, poisoning and procedural complications
Toxicity to various agents
0.36%
1/279
0.60%
1/167
0.37%
1/268
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.36%
1/279
0.60%
1/167
0.00%
0/268
Injury, poisoning and procedural complications
Wound dehiscence
0.00%
0/279
1.2%
2/167
0.37%
1/268
Investigations
Atrial pressure increased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Blood creatine phosphokinase increased
0.36%
1/279
0.00%
0/167
0.00%
0/268
Investigations
Blood creatinine increased
1.4%
4/279
1.2%
2/167
0.37%
1/268
Investigations
Blood potassium increased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Blood pressure increased
0.00%
0/279
0.60%
1/167
0.00%
0/268
Investigations
Catheterisation cardiac
0.00%
0/279
0.60%
1/167
0.00%
0/268
Investigations
Cells in urine
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Central venous pressure increased
0.36%
1/279
0.00%
0/167
0.00%
0/268
Investigations
Culture wound positive
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Cytomegalovirus test positive
0.00%
0/279
1.2%
2/167
0.75%
2/268
Investigations
Ejection fraction decreased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Haemoglobin decreased
0.72%
2/279
0.00%
0/167
0.00%
0/268
Investigations
Immunosuppressant drug level
0.36%
1/279
0.00%
0/167
0.00%
0/268
Investigations
Immunosuppressant drug level decreased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Immunosuppressant drug level increased
0.36%
1/279
0.60%
1/167
0.00%
0/268
Investigations
Left ventricular end-diastolic pressure increased
0.00%
0/279
0.60%
1/167
0.00%
0/268
Investigations
Liver function test abnormal
0.00%
0/279
0.60%
1/167
0.00%
0/268
Investigations
Red blood cell count decreased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Sputum culture positive
0.00%
0/279
0.00%
0/167
0.37%
1/268
Investigations
Troponin increased
0.36%
1/279
0.00%
0/167
0.00%
0/268
Investigations
Weight increased
0.36%
1/279
0.00%
0/167
0.37%
1/268
Investigations
White blood cell count decreased
0.00%
0/279
0.00%
0/167
0.75%
2/268
Metabolism and nutrition disorders
Dehydration
1.4%
4/279
1.2%
2/167
0.75%
2/268
Metabolism and nutrition disorders
Diabetes mellitus
1.1%
3/279
0.60%
1/167
0.00%
0/268
Metabolism and nutrition disorders
Diabetic foot
0.36%
1/279
0.00%
0/167
0.00%
0/268
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Metabolism and nutrition disorders
Failure to thrive
0.00%
0/279
0.60%
1/167
0.00%
0/268
Metabolism and nutrition disorders
Fluid overload
2.2%
6/279
3.6%
6/167
2.2%
6/268
Metabolism and nutrition disorders
Fluid retention
0.36%
1/279
0.00%
0/167
0.37%
1/268
Metabolism and nutrition disorders
Gout
0.00%
0/279
0.00%
0/167
0.75%
2/268
Metabolism and nutrition disorders
Hyperglycaemia
1.1%
3/279
0.60%
1/167
0.37%
1/268
Metabolism and nutrition disorders
Hyperkalaemia
0.36%
1/279
1.2%
2/167
1.5%
4/268
Metabolism and nutrition disorders
Hypervolaemia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Metabolism and nutrition disorders
Hypoalbuminaemia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Metabolism and nutrition disorders
Hypoglycaemia
1.1%
3/279
1.2%
2/167
0.75%
2/268
Metabolism and nutrition disorders
Hypokalaemia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Metabolism and nutrition disorders
Hyponatraemia
1.1%
3/279
0.00%
0/167
0.00%
0/268
Metabolism and nutrition disorders
Metabolic acidosis
0.72%
2/279
1.2%
2/167
0.00%
0/268
Metabolism and nutrition disorders
Metabolic disorder
0.00%
0/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Arthralgia
0.72%
2/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Back pain
0.36%
1/279
1.8%
3/167
1.5%
4/268
Musculoskeletal and connective tissue disorders
Bone lesion
0.00%
0/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Compartment syndrome
0.00%
0/279
0.00%
0/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Fistula
0.00%
0/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Haemarthrosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Intervertebral disc compression
0.36%
1/279
0.00%
0/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/279
1.2%
2/167
0.75%
2/268
Musculoskeletal and connective tissue disorders
Mobility decreased
0.00%
0/279
0.00%
0/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/279
0.00%
0/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/279
0.60%
1/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Myalgia
0.36%
1/279
0.00%
0/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Myopathy
0.36%
1/279
0.00%
0/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Osteochondrosis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.36%
1/279
1.2%
2/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Osteoporosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Pain in extremity
0.36%
1/279
0.60%
1/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.36%
1/279
0.60%
1/167
0.37%
1/268
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Musculoskeletal and connective tissue disorders
Spondylitis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
1.4%
4/279
1.8%
3/167
0.75%
2/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of skin
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder transitional cell carcinoma
0.00%
0/279
0.60%
1/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.00%
0/279
0.00%
0/167
0.37%
1/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Diffuse large B-cell lymphoma
0.00%
0/279
0.00%
0/167
0.37%
1/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Epstein-Barr virus associated lymphoproliferative disorder
0.00%
0/279
0.60%
1/167
0.75%
2/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Haemangioma
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lipoma
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.00%
0/279
0.00%
0/167
0.37%
1/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ovarian cancer
0.36%
1/279
0.00%
0/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.72%
2/279
0.60%
1/167
0.00%
0/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Small cell lung cancer stage unspecified
0.00%
0/279
0.00%
0/167
0.37%
1/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.36%
1/279
1.2%
2/167
0.37%
1/268
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.36%
1/279
0.00%
0/167
0.00%
0/268
Nervous system disorders
Amnesia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Nervous system disorders
Aphasia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Ataxia
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Basal ganglia haemorrhage
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Brain injury
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Brain stem infarction
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Cerebral artery occlusion
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Cerebral haemorrhage
0.72%
2/279
1.2%
2/167
0.37%
1/268
Nervous system disorders
Cerebral infarction
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Cerebrovascular accident
0.72%
2/279
1.2%
2/167
0.37%
1/268
Nervous system disorders
Cerebrovascular insufficiency
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Cognitive disorder
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Coma
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Convulsion
1.4%
4/279
0.60%
1/167
0.75%
2/268
Nervous system disorders
Depressed level of consciousness
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Dizziness
0.72%
2/279
1.8%
3/167
0.75%
2/268
Nervous system disorders
Encephalopathy
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Grand mal convulsion
0.72%
2/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Haemorrhage intracranial
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Headache
0.72%
2/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Hemiparesis
0.72%
2/279
0.00%
0/167
0.00%
0/268
Nervous system disorders
Hypoaesthesia
0.36%
1/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Hypoxic-ischaemic encephalopathy
0.00%
0/279
0.60%
1/167
0.00%
0/268
Nervous system disorders
Loss of consciousness
0.00%
0/279
0.60%
1/167
0.75%
2/268
Nervous system disorders
Migraine
0.36%
1/279
1.2%
2/167
0.37%
1/268
Nervous system disorders
Neurological symptom
0.36%
1/279
0.00%
0/167
0.00%
0/268
Nervous system disorders
Neuropathy peripheral
0.36%
1/279
0.00%
0/167
0.00%
0/268
Nervous system disorders
Paraesthesia
0.00%
0/279
0.60%
1/167
0.75%
2/268
Nervous system disorders
Polyneuropathy
0.72%
2/279
0.60%
1/167
1.5%
4/268
Nervous system disorders
Sciatica
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Subarachnoid haemorrhage
0.00%
0/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Syncope
1.8%
5/279
0.60%
1/167
2.2%
6/268
Nervous system disorders
Thalamic infarction
0.36%
1/279
0.00%
0/167
0.37%
1/268
Nervous system disorders
Transient ischaemic attack
0.36%
1/279
1.8%
3/167
0.37%
1/268
Nervous system disorders
Tremor
0.36%
1/279
0.00%
0/167
0.37%
1/268
Psychiatric disorders
Abnormal behaviour
0.36%
1/279
0.00%
0/167
0.00%
0/268
Psychiatric disorders
Alcohol abuse
0.00%
0/279
0.00%
0/167
0.37%
1/268
Psychiatric disorders
Anxiety
0.36%
1/279
0.60%
1/167
1.1%
3/268
Psychiatric disorders
Confusional state
0.00%
0/279
0.00%
0/167
0.75%
2/268
Psychiatric disorders
Delirium
0.00%
0/279
1.2%
2/167
0.37%
1/268
Psychiatric disorders
Depression
0.36%
1/279
0.60%
1/167
0.75%
2/268
Psychiatric disorders
Drug abuse
0.00%
0/279
0.00%
0/167
0.37%
1/268
Psychiatric disorders
Hallucination
0.00%
0/279
0.60%
1/167
0.00%
0/268
Psychiatric disorders
Mental disorder
0.00%
0/279
0.00%
0/167
0.37%
1/268
Psychiatric disorders
Mental status changes
0.00%
0/279
0.60%
1/167
1.1%
3/268
Psychiatric disorders
Suicide attempt
0.00%
0/279
0.00%
0/167
0.37%
1/268
Renal and urinary disorders
Azotaemia
0.00%
0/279
0.60%
1/167
0.00%
0/268
Renal and urinary disorders
Calculus ureteric
0.00%
0/279
0.00%
0/167
0.37%
1/268
Renal and urinary disorders
Haematuria
0.36%
1/279
0.00%
0/167
0.00%
0/268
Renal and urinary disorders
Nephropathy toxic
0.00%
0/279
0.60%
1/167
0.00%
0/268
Renal and urinary disorders
Nephrosclerosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Renal and urinary disorders
Polyuria
0.36%
1/279
0.00%
0/167
0.00%
0/268
Renal and urinary disorders
Proteinuria
0.36%
1/279
0.00%
0/167
0.00%
0/268
Renal and urinary disorders
Renal failure
3.6%
10/279
0.00%
0/167
1.1%
3/268
Renal and urinary disorders
Renal failure acute
4.3%
12/279
7.8%
13/167
4.9%
13/268
Renal and urinary disorders
Renal failure chronic
0.36%
1/279
1.2%
2/167
0.00%
0/268
Renal and urinary disorders
Renal impairment
1.1%
3/279
0.00%
0/167
0.37%
1/268
Renal and urinary disorders
Renal tubular necrosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Reproductive system and breast disorders
Colpocele
0.36%
1/279
0.00%
0/167
0.00%
0/268
Reproductive system and breast disorders
Epididymitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Reproductive system and breast disorders
Oedema genital
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.36%
1/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Apnoea
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Bronchial haemorrhage
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/279
0.00%
0/167
0.75%
2/268
Respiratory, thoracic and mediastinal disorders
Chylothorax
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Cough
0.72%
2/279
1.8%
3/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Diaphragmatic paralysis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.0%
14/279
4.8%
8/167
3.0%
8/268
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
0.36%
1/279
0.00%
0/167
0.75%
2/268
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/279
1.2%
2/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Haemothorax
1.1%
3/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Hiccups
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.00%
0/279
1.2%
2/167
0.37%
1/268
Respiratory, thoracic and mediastinal disorders
Lung infiltration
0.72%
2/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Mediastinal haematoma
0.72%
2/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Mediastinal mass
0.00%
0/279
0.00%
0/167
0.37%
1/268
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.36%
1/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Nasal polyps
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Orthopnoea
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pleural effusion
4.7%
13/279
2.4%
4/167
2.2%
6/268
Respiratory, thoracic and mediastinal disorders
Pleural haemorrhage
0.00%
0/279
0.00%
0/167
0.37%
1/268
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pneumothorax
1.8%
5/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Productive cough
0.36%
1/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
1.8%
5/279
2.4%
4/167
0.75%
2/268
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
0.36%
1/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pulmonary infarction
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Pulmonary toxicity
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.36%
1/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.4%
4/279
1.2%
2/167
0.75%
2/268
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/279
0.60%
1/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Sputum discoloured
0.36%
1/279
0.00%
0/167
0.00%
0/268
Respiratory, thoracic and mediastinal disorders
Tracheal stenosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Skin and subcutaneous tissue disorders
Blood blister
0.36%
1/279
0.00%
0/167
0.00%
0/268
Skin and subcutaneous tissue disorders
Diabetic ulcer
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Excessive granulation tissue
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Rash macular
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/279
0.00%
0/167
0.37%
1/268
Skin and subcutaneous tissue disorders
Subcutaneous emphysema
0.00%
0/279
0.60%
1/167
0.00%
0/268
Surgical and medical procedures
Incisional drainage
0.00%
0/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Angiodysplasia
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Arteriovenous fistula
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Deep vein thrombosis
1.1%
3/279
1.2%
2/167
1.1%
3/268
Vascular disorders
Femoral artery aneurysm
0.00%
0/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Flushing
0.36%
1/279
0.00%
0/167
0.37%
1/268
Vascular disorders
Haematoma
0.72%
2/279
0.00%
0/167
0.37%
1/268
Vascular disorders
Haemodynamic instability
0.36%
1/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Hypertension
1.4%
4/279
1.2%
2/167
0.00%
0/268
Vascular disorders
Hypertensive crisis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Hypotension
1.1%
3/279
3.0%
5/167
1.5%
4/268
Vascular disorders
Intermittent claudication
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Intra-abdominal haemorrhage
0.00%
0/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Jugular vein thrombosis
0.36%
1/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Lymphocele
1.8%
5/279
0.60%
1/167
0.37%
1/268
Vascular disorders
Lymphoedema
0.00%
0/279
0.60%
1/167
0.00%
0/268
Vascular disorders
Lymphorrhoea
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Malignant hypertension
0.00%
0/279
0.00%
0/167
0.37%
1/268
Vascular disorders
Peripheral ischaemia
0.00%
0/279
0.00%
0/167
0.75%
2/268
Vascular disorders
Phlebitis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Subclavian vein thrombosis
0.36%
1/279
0.00%
0/167
0.00%
0/268
Vascular disorders
Thrombosis
0.00%
0/279
0.00%
0/167
0.37%
1/268
Vascular disorders
Venous thrombosis limb
0.36%
1/279
0.00%
0/167
0.75%
2/268

Other adverse events

Other adverse events
Measure
Everolimus 1.5 mg
n=279 participants at risk
Within 72 hours after transplantation participants received 0.75 mg everolimus tablets twice a day 12 hours apart for a total 1.5 mg daily dose in combination with reduced cyclosporine and standard corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 3-8 ng/mL.
Everolimus 3.0 mg
n=167 participants at risk
Within 72 hours after transplantation participants received 1.5 mg everolimus tablets twice a day 12 hours apart for a total 3.0 mg daily dose in combination with reduced cyclosporine and standard dose corticosteroids for 24 months. The everolimus dose could be adjusted to maintain a target everolimus trough level of 6-12 ng/mL.
Mycophenolate Mofetil
n=268 participants at risk
Within 72 hours after transplantation participants received 3 tablets 500 mg mycophenolate mofetil twice a day 12 hours apart for a total daily dose of 3000 mg in combination with a standard cyclosporine dose and standard dose corticosteroids for 24 months.
Blood and lymphatic system disorders
Anaemia
37.6%
105/279
35.9%
60/167
27.6%
74/268
Blood and lymphatic system disorders
Leukocytosis
13.3%
37/279
16.2%
27/167
10.1%
27/268
Blood and lymphatic system disorders
Leukopenia
12.9%
36/279
17.4%
29/167
25.0%
67/268
Blood and lymphatic system disorders
Neutropenia
2.9%
8/279
2.4%
4/167
5.6%
15/268
Blood and lymphatic system disorders
Thrombocytopenia
9.3%
26/279
15.0%
25/167
9.3%
25/268
Cardiac disorders
Atrial fibrillation
7.2%
20/279
7.8%
13/167
8.2%
22/268
Cardiac disorders
Left ventricular hypertrophy
5.7%
16/279
3.0%
5/167
4.5%
12/268
Cardiac disorders
Mitral valve incompetence
5.4%
15/279
4.2%
7/167
6.7%
18/268
Cardiac disorders
Palpitations
4.3%
12/279
8.4%
14/167
5.2%
14/268
Cardiac disorders
Pericardial effusion
33.3%
93/279
30.5%
51/167
25.7%
69/268
Cardiac disorders
Sinus tachycardia
4.7%
13/279
5.4%
9/167
2.6%
7/268
Cardiac disorders
Tachycardia
7.2%
20/279
8.4%
14/167
8.6%
23/268
Cardiac disorders
Tricuspid valve incompetence
10.0%
28/279
10.2%
17/167
9.0%
24/268
Gastrointestinal disorders
Abdominal distension
3.9%
11/279
4.8%
8/167
6.3%
17/268
Gastrointestinal disorders
Abdominal pain
10.4%
29/279
10.2%
17/167
9.7%
26/268
Gastrointestinal disorders
Abdominal pain upper
6.1%
17/279
5.4%
9/167
6.3%
17/268
Gastrointestinal disorders
Constipation
25.1%
70/279
25.1%
42/167
23.5%
63/268
Gastrointestinal disorders
Diarrhoea
22.2%
62/279
25.7%
43/167
25.0%
67/268
Gastrointestinal disorders
Dyspepsia
6.1%
17/279
5.4%
9/167
6.0%
16/268
Gastrointestinal disorders
Nausea
22.9%
64/279
31.1%
52/167
26.9%
72/268
Gastrointestinal disorders
Vomiting
11.8%
33/279
12.6%
21/167
16.8%
45/268
General disorders
Asthenia
5.7%
16/279
7.2%
12/167
7.8%
21/268
General disorders
Chills
4.3%
12/279
7.2%
12/167
4.9%
13/268
General disorders
Fatigue
14.0%
39/279
13.2%
22/167
18.7%
50/268
General disorders
Non-cardiac chest pain
13.6%
38/279
6.0%
10/167
9.7%
26/268
General disorders
Oedema peripheral
47.7%
133/279
41.3%
69/167
44.4%
119/268
General disorders
Pyrexia
16.8%
47/279
13.2%
22/167
14.2%
38/268
Immune system disorders
Heart transplant rejection
2.2%
6/279
1.2%
2/167
5.6%
15/268
Infections and infestations
Bronchitis
2.5%
7/279
4.2%
7/167
5.6%
15/268
Infections and infestations
Cytomegalovirus infection
5.0%
14/279
4.2%
7/167
9.3%
25/268
Infections and infestations
Herpes zoster
2.9%
8/279
2.4%
4/167
8.6%
23/268
Infections and infestations
Nasopharyngitis
12.5%
35/279
7.2%
12/167
11.9%
32/268
Infections and infestations
Oral candidiasis
3.6%
10/279
1.8%
3/167
5.2%
14/268
Infections and infestations
Oral herpes
2.5%
7/279
5.4%
9/167
5.6%
15/268
Infections and infestations
Upper respiratory tract infection
12.2%
34/279
9.6%
16/167
11.9%
32/268
Infections and infestations
Urinary tract infection
6.5%
18/279
11.4%
19/167
7.5%
20/268
Injury, poisoning and procedural complications
Incision site pain
7.2%
20/279
11.4%
19/167
7.5%
20/268
Injury, poisoning and procedural complications
Post procedural discharge
5.0%
14/279
3.6%
6/167
2.6%
7/268
Injury, poisoning and procedural complications
Procedural pain
12.5%
35/279
14.4%
24/167
11.9%
32/268
Investigations
Blood creatinine increased
9.0%
25/279
10.2%
17/167
6.7%
18/268
Investigations
Blood triglycerides increased
4.7%
13/279
5.4%
9/167
2.6%
7/268
Investigations
Cytomegalovirus test positive
1.4%
4/279
5.4%
9/167
6.7%
18/268
Investigations
Haemoglobin decreased
6.8%
19/279
3.6%
6/167
8.2%
22/268
Investigations
Weight increased
5.0%
14/279
3.0%
5/167
5.6%
15/268
Investigations
White blood cell count decreased
3.9%
11/279
7.2%
12/167
13.1%
35/268
Metabolism and nutrition disorders
Decreased appetite
3.6%
10/279
6.6%
11/167
3.0%
8/268
Metabolism and nutrition disorders
Diabetes mellitus
7.2%
20/279
4.8%
8/167
8.2%
22/268
Metabolism and nutrition disorders
Fluid overload
16.8%
47/279
18.0%
30/167
16.0%
43/268
Metabolism and nutrition disorders
Gout
5.4%
15/279
3.6%
6/167
2.6%
7/268
Metabolism and nutrition disorders
Hypercholesterolaemia
13.6%
38/279
13.2%
22/167
8.6%
23/268
Metabolism and nutrition disorders
Hyperglycaemia
11.5%
32/279
12.6%
21/167
11.6%
31/268
Metabolism and nutrition disorders
Hyperkalaemia
12.2%
34/279
10.2%
17/167
12.7%
34/268
Metabolism and nutrition disorders
Hyperlipidaemia
7.9%
22/279
5.4%
9/167
3.7%
10/268
Metabolism and nutrition disorders
Hypertriglyceridaemia
14.7%
41/279
13.8%
23/167
11.2%
30/268
Metabolism and nutrition disorders
Hypoglycaemia
5.4%
15/279
6.0%
10/167
6.7%
18/268
Metabolism and nutrition disorders
Hypokalaemia
14.0%
39/279
15.0%
25/167
11.9%
32/268
Metabolism and nutrition disorders
Hypomagnesaemia
7.5%
21/279
12.0%
20/167
13.8%
37/268
Musculoskeletal and connective tissue disorders
Arthralgia
8.2%
23/279
7.8%
13/167
11.2%
30/268
Musculoskeletal and connective tissue disorders
Back pain
18.3%
51/279
10.2%
17/167
15.7%
42/268
Musculoskeletal and connective tissue disorders
Muscle spasms
14.7%
41/279
12.6%
21/167
13.4%
36/268
Musculoskeletal and connective tissue disorders
Muscular weakness
6.8%
19/279
3.6%
6/167
3.7%
10/268
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
5.7%
16/279
2.4%
4/167
4.9%
13/268
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.0%
14/279
5.4%
9/167
6.7%
18/268
Musculoskeletal and connective tissue disorders
Myalgia
8.6%
24/279
6.6%
11/167
6.7%
18/268
Musculoskeletal and connective tissue disorders
Pain in extremity
10.0%
28/279
5.4%
9/167
9.3%
25/268
Nervous system disorders
Dizziness
13.3%
37/279
11.4%
19/167
10.1%
27/268
Nervous system disorders
Headache
30.5%
85/279
23.4%
39/167
26.1%
70/268
Nervous system disorders
Paraesthesia
8.2%
23/279
6.0%
10/167
6.3%
17/268
Nervous system disorders
Tremor
20.8%
58/279
19.8%
33/167
22.4%
60/268
Psychiatric disorders
Anxiety
14.7%
41/279
13.2%
22/167
13.1%
35/268
Psychiatric disorders
Depression
9.7%
27/279
8.4%
14/167
9.7%
26/268
Psychiatric disorders
Insomnia
27.6%
77/279
19.2%
32/167
22.4%
60/268
Renal and urinary disorders
Renal failure
15.8%
44/279
15.0%
25/167
10.1%
27/268
Renal and urinary disorders
Renal impairment
8.2%
23/279
4.8%
8/167
4.9%
13/268
Reproductive system and breast disorders
Erectile dysfunction
5.7%
16/279
3.6%
6/167
3.4%
9/268
Respiratory, thoracic and mediastinal disorders
Atelectasis
5.4%
15/279
4.2%
7/167
7.5%
20/268
Respiratory, thoracic and mediastinal disorders
Cough
24.0%
67/279
13.8%
23/167
19.0%
51/268
Respiratory, thoracic and mediastinal disorders
Dyspnoea
19.4%
54/279
15.0%
25/167
17.5%
47/268
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
4.7%
13/279
5.4%
9/167
6.0%
16/268
Respiratory, thoracic and mediastinal disorders
Epistaxis
6.1%
17/279
6.6%
11/167
3.4%
9/268
Respiratory, thoracic and mediastinal disorders
Nasal congestion
5.0%
14/279
5.4%
9/167
3.4%
9/268
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
7.5%
21/279
5.4%
9/167
6.0%
16/268
Respiratory, thoracic and mediastinal disorders
Pleural effusion
23.3%
65/279
22.2%
37/167
21.3%
57/268
Respiratory, thoracic and mediastinal disorders
Pneumothorax
5.4%
15/279
2.4%
4/167
3.0%
8/268
Respiratory, thoracic and mediastinal disorders
Productive cough
5.4%
15/279
3.0%
5/167
3.7%
10/268
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
3.9%
11/279
6.0%
10/167
6.7%
18/268
Skin and subcutaneous tissue disorders
Acne
8.2%
23/279
10.8%
18/167
10.4%
28/268
Skin and subcutaneous tissue disorders
Hirsutism
2.9%
8/279
5.4%
9/167
2.2%
6/268
Skin and subcutaneous tissue disorders
Rash
5.4%
15/279
10.2%
17/167
6.3%
17/268
Vascular disorders
Hypertension
47.3%
132/279
43.1%
72/167
46.6%
125/268
Vascular disorders
Hypotension
8.2%
23/279
7.8%
13/167
10.1%
27/268
Vascular disorders
Jugular vein thrombosis
5.0%
14/279
2.4%
4/167
1.9%
5/268

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER