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A study of
more than 600 liver transplants in the United Kingdom and Ireland
found that outcomes in the first year were significantly better
for patients whose immunosuppression was based on Prograf rather
than on cyclosporine, according to a report in The Lancet.
Dr John O'Grady
of King's College Hospital in London reported that 17 percent
of the more than 300 patients randomly assigned to Prograf died
within the first year compared to 24 percent of the more than
300 patients assigned to cyclosporine.
Four precent
of those assigned to Prograf required transplantation of a second
liver, he reported, compared to 10 percent of those assigned to
cyclosporine.
Two percent
of those on Prograf suffered treatment failure for immunological
reasons compared to four percent of those on cyclosporine, he
added.
"Tacrolimus
(Prograf) should be the first choice of calcineurin inhibitor
for patients receiving their first liver graft," the researchers
concluded.
Other
sources: The Lancet
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