Review Article

Everolimus and Malignancy after Solid Organ Transplantation: A Clinical Update

Table 1

Case reports of conversion to everolimus for Kaposi’s sarcoma after solid organ transplantation.

Age (years)/type of txLocation of KSTime post-tx to switch to everolimus, monthsOriginal IS regimenEverolimus-based IS regimenOther intervention for KSFollow-up (months)Outcome for KS

Campistol and Schena 2007 [52]29/kidneySkin
Lung
Stomach
24 CsA
MMF
Steroids
Everolimus
Steroids
Doxorubicin5Resolution in all locations

Campistol and Schena 2007 [52]66/kidneySkin3CsA
MMF
Steroids
Everolimus
Steroids
None4Resolution

Campistol and Schena 2007 [52]66/kidneyNot stated15Tacrolimus
MMF
Steroids
Everolimus
MMF
Steroids
None4Resolution

Basu et al. 2011 [55]55/kidneySkin
Soft palate
6CsA
Azathioprine
Steroids
Everolimus
Steroids
Leflunomide36Resolution

Detroyer et al. 2015 [56]27/kidneySkin
Liver
Lymph nodes
12Tacrolimus
MMF
Steroids
Everolimus
Steroids
None9Resolution at all locations

Lund et al, 2013 [57]60/lungJejunum/ileum18CsA
MMF
Steroids
Everolimus
Low CsA
Steroids
None12Resolution

CsA, cyclosporine; IS, immunosuppressive; KS, Kaposi’s sarcoma; MMF, mycophenolate mofetil; tx, transplantation.