| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| kidney disease after pulmonary transplant |  | 
| MedDRA Classification | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 9.1 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10038474 |  
| E.1.2 | Term | Renal insufficiency |  | 
| E.1.3 | Condition being studied is a rare disease | No | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| to obtain a significative reduction of slope of curve after one year of treatment |  | 
| E.2.2 | Secondary objectives of the trial | 
| to evaluate graft immunological and infective complications |  | 
| E.2.3 | Trial contains a sub-study | No | 
| E.3 | Principal inclusion criteria | 
| eta' > 18 anni Maschi o femmine seguiti in follow-up presso il nostro centro in regime ambulatoriale, trapianto, di polmone singolo o doppio o cuore polmone, da almeno 6 mesi alla data di inclusione nello studio, valori di creatinina persistentemente (per la durata del periodo di screening) >/= a 1.50 mg/dl, quadro istologico di nefrotossicita' cronica da ciclosporina 
 |  | 
| E.4 | Principal exclusion criteria | 
| Saranno esclusi pazienti con, ad esame istologico, presenza di nefropatia primitiva o secondaria (ad es. nefrite interstiziale, glomerulosclerosi diabetica, glomerulosclerosi ipertensiva con ialinosi arteriolare intimale), riscontro di proteinuria significativa > di 0.6 gr/24 ore, riceventi di trapianto renale, riceventi di trapianto polmonare (polmone singolo o doppio, o cuore polmone) da meno di 6 mesi all’atto del reclutamento, portatori nel post-trapianto di una patologia neoplastica sia cutanea che viscerale o ematologica, con significativo grado di compromissione tossica midollare (>/= a 2: secondo i criteri del NCI corrispondenti ad una conta nel sangue periferico di neutrofili </= 1500/mcl e/o di piastrine </= 75.000 /mcl), con evidenza di infezione o colonizzazione cronica delle vie aeree o dei seni paranasali da parte di batteri multireristenti o funghi, con infezione cronica da Virus epatite B o C, con persistente incremento di EBVDNA-emia > 5000 gEq/100.000 cellule mononucleate controllate a tempo -3 e 0, con un declino funzionale del graft tale da configurare una diagnosi di rigetto cronico (sindrome da bronchiolite obliterante) di grado >2 (sulla base delle recenti linee guida ISHLT), con stenosi significative a livello delle anastomosi bronchiali complicate da evidenza di cronica colonizzazione batterica o fungina, gia' inclusi in altri protocolli di trattamento sperimentali, con nota ipersensibilita' o che abbiano presentato reazioni avverse con tacrolimus o everolimus. 
 |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| significative reduction of slope of curve after one year of treatment. |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | No | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | Yes | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | No | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | No | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | No | 
| E.7.1.2 | Bioequivalence study | No | 
| E.7.1.3 | Other | No | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | No | 
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | No | 
| E.8.1.1 | Randomised | No | 
| E.8.1.2 | Open | No | 
| E.8.1.3 | Single blind | No | 
| E.8.1.4 | Double blind | No | 
| E.8.1.5 | Parallel group | No | 
| E.8.1.6 | Cross over | No | 
| E.8.1.7 | Other | No | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT | 
| E.8.2.2 | Placebo | Information not present in EudraCT | 
| E.8.2.3 | Other | Information not present in EudraCT | 
| E.8.3 | The trial involves single site in the Member State concerned | Yes | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | No | 
| E.8.4.1 | Number of sites anticipated in Member State concerned | 1 | 
| E.8.5 | The trial involves multiple Member States | No | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | No | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT | 
| E.8.7 | Trial has a data monitoring committee | No | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 3 | 
| E.8.9.1 | In the Member State concerned months | 0 | 
| E.8.9.1 | In the Member State concerned days |  | 
| E.8.9.2 | In all countries concerned by the trial years | 3 | 
| E.8.9.2 | In all countries concerned by the trial months | 0 |