BENEFIT
Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression Trial
Patient / Population Intervention / Exposure Comparison Outcome
In 666 kidney-transplant recipients, belatacept improved 7-year patient and graft survival compared with ciclosporin.
N
666
Design
Phase 3 RCT, 7-year follow-up
Endpoint
Death or graft loss at 7 years
Relevance
2
ResultHR 0.57 (95% CI 0.35–0.95; p=0.02); mean eGFR ~70 vs ~45 mL/min.
Vincenti F, et al. N Engl J Med. 2016;374(4):333-343. 10.1056/NEJMoa1506027
Discussion & critique
A CNI-free alternative with better kidney function; post-transplant lymphoproliferative risk restricts it to EBV-seropositive recipients.