The impact of mycophenolate mofetil on long-term outcomes in kidney transplantation

Titte R. Srinivas, Bruce Kaplan, Jesse D. Schold, Herwig Ulf Meier-Kriesche

    Research output: Contribution to journalReview articlepeer-review

    35 Scopus citations

    Abstract

    Mycophenolate mofetil (MMF) has been used in kidney and pancreas transplantation for almost 10 years. In the pivotal phase III trials, MMF use was accompanied by a dramatic reduction of rejection rates in kidney transplantation; however, the impact on graft and patient was undetermined. Analyses of the United States Renal Data System and the Scientific Registry of Transplant Recipients databases later provided a valuable measure of the impact of MMF in improving outcomes. In this review, we provide a synopsis of the prospective studies, including but not limited to the pivotal MMF approval trials, and analyses of the national transplant registries relevant to the long-term impact of MMF in kidney transplantation. Indeed, a substantial body of evidence has shown MMF treatment improves patient survival, graft survival, and death-censored graft survival in kidney transplantation. The beneficial effects of MMF have been particularly notable in high-risk recipients such as African Americans. In coming years, these benefits will require reevaluation in the context of the growing use of novel protocols combining MMF with tacrolimus or sirolimus.

    Original languageEnglish (US)
    Pages (from-to)S211-S220
    JournalTransplantation
    Volume80
    Issue numberSUPPL. 2
    DOIs
    StatePublished - Oct 15 2005

    Keywords

    • African Americans
    • Calcineurin inhibitors
    • Kidney transplantation
    • Mycophenolate mofetil
    • Sirolimus

    ASJC Scopus subject areas

    • Transplantation

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