| Everolimus 1.5 mg (n= 61) | MMF 2 g (n= 61) | Risk ratio (95% CI) |
---|---|---|---|
Any adverse event | 61 (100) | 61 (100) | – |
Serious adverse events | 27 (44.3) | 33 (54.1) | 0.82 (0.568, 1.178) |
Severe adverse events | 7 (11.5) | 8 (13.1) | 0.88 (0.338, 2.263) |
Adverse events leading to study drug discontinuationa | 3 (4.9%) | 1 (1.6%) | 3.00 (0.321, 28.044) |
Adverse events leading to study drug dose adjustment/interruption | 15 (24.6) | 52 (85.2) | 0.29 (0.184, 0.453) |
Most frequently reported adverse events and infections (≥20% of patients in any treatment group) b | |||
Hyperlipidemia | 28 (45.9) | 19 (31.1) | 1.47 (0.928, 2.339) |
Nasopharyngitis | 21 (34.4) | 26 (42.6) | 0.81 (0.514, 1.270) |
Constipation | 19 (31.1) | 27 (44.3) | 0.70 (0.441, 1.123) |
Hypertension | 19 (31.1) | 18 (29.5) | 1.06 (0.616, 1.808) |
Insomnia | 17 (27.9) | 9 (14.8) | 1.89 (0.914, 3.903) |
Acne | 15 (24.6) | 22 (36.1) | 0.68 (0.393, 1.184) |
Headache | 13 (21.3) | 9 (14.8) | 1.44 (0.667, 3.127) |
Toxic nephropathy | 13 (21.3) | 6 (9.8) | 2.17 (0.881, 5.329) |
Blood alkaline phosphatase increased | 13 (21.3) | 7 (11.5) | 1.86 (0.796, 4.334) |
Pyrexia | 13 (21.3) | 12 (19.7) | 1.08 (0.538, 2.181) |
Iron deficiency anemia | 12 (19.7) | 13 (21.3) | 0.92 (0.458, 1.858) |
Diarrhea | 11 (18.0) | 15 (24.6) | 0.73 (0.367, 1.466) |
Increased blood creatinine | 11 (18.0) | 14 (23.0) | 0.79 (0.388, 1.591) |
Hyperuricemia | 7 (11.5) | 13 (21.3) | 0.54 (0.231, 1.257) |
Cytomegalovirus test positive | 4 (6.6) | 19 (31.1) | 0.21 (0.076, 0.583) |
Cytomegalovirus infection | 3 (4.9) | 21 (34.4) | 0.14 (0.045, 0.454) |
Other adverse events of interest | |||
Cyclosporine-associated adverse events | |||
 Gingival hypertrophy | 0 (0.0) | 2 (3.3%) | – |
 Gingival injury | 0 (0.0) | 1 (1.6%) | – |
 Gingivitis | 0 (0.0) | 1 (1.6%) | – |
 Tremor | 4 (6.6%) | 1 (1.6%) | 4.00 (0.460, 34.767) |
 Hirsutism | 1 (1.6%) | 4 (6.6%) | 0.25 (0.029, 2.173) |
 Hypertrichosis | 2 (3.3%) | 3 (4.9%) | 0.67 (0.115, 3.850) |
Everolimus-associated adverse events | |||
 Wound-healing eventc | 24 (39.3) | 7 (11.5) | 3.43 (1.598, 7.357) |
 New-onset diabetesc | 7 (11.5) | 3 (4.9) | 2.33 (0.633, 8.606) |
 Edema eventsc | 20 (32.8) | 8 (13.1) | 2.50 (1.194, 5.235) |
 Stomatitis eventsc | 14 (23.0) | 10 (16.4) | 1.40 (0.675, 2.904) |
 Blood luteinizing hormone increased | 9 (14.8) | 0 (0.0) | – |
 Blood follicle stimulating hormone increased | 8 (13.1) | 1 (1.6) | 8.00 (1.032, 62.040) |
 Proteinuria | 8 (13.1) | 5 (8.2) | 1.60 (0.555, 4.616) |
Investigator-reported severity | Â | Â | Â |
 Mild | 6 (9.8) | 3 (4.9) | 2.00 (0.524, 7.636) |
 Moderate | 2 (3.3) | 1 (1.6) | 2.00 (0.186, 21.482) |
 Severe | 0 (0.0) | 1 (1.6) | – |