Advancing Renal TRANSplant eFficacy and Safety Outcomes With an eveRolimus-based regiMen (TRANSFORM)

Inclusion Criteria:

1. Written informed consent obtained.

2. Subject randomized within 24 hr of completion of transplant surgery.

3. Recipient of a kidney with a cold ischemia time < 30 hours.

4. Recipient of a primary (or secondary, if first graft is not lost due to immunological
reasons) renal transplant from a deceased heart beating, living unrelated, living
related non-human leukocyte antigen identical or an expanded criteria donor.

Exclusion Criteria:

1. Subject unable to tolerate oral medication at time of randomization.

2. Use of other investigational drugs at the time of enrollment.

3. History of hypersensitivity to any of the study drugs or to drugs of similar chemical
classes.

4. Multi-organ transplant recipient.

5. Recipient of ABO incompatible allograft or complement-dependent lymphocytotoxic (CDC)
crossmatch positive transplant.

6. Subject at high immunological risk for rejection as determined by local practice for
assessment of anti-donor reactivity e.g. high PRA, presence of pre-existing DSA.

7. Subject who is HIV-positive.

8. HBsAg and/or a HCV positive subject with evidence of elevated LFTs (ALT/AST levels ≥
2.5 times ULN). Viral serology results obtained within 6 months prior to randomization
are acceptable.

9. Recipient of a kidney from a donor who tests positive for human immunodeficiency virus
(HIV), hepatitis B surface antigen (HBsAg) or anti-hepatitis C virus (HCV).

10. Subject with a BMI greater than 35.

11. Subject with severe systemic infections, current or within the two weeks prior to
randomization.

12. Subject requiring systemic anticoagulation.

13. History of malignancy of any organ system.

14. Subject with severe restrictive or obstructive pulmonary disorders.

15. Subject with severe hypercholesterolemia or hypertriglyceridemia that cannot be
controlled.

16. Subject with white blood cell (WBC) count ≤ 2,000 /mm3 or with platelet count ≤ 50,000
/mm3.

17. Pregnant or nursing (lactating) women.

18. Women of child-bearing potential, defined as all women physiologically capable of
becoming pregnant, unless they are using effective methods of contraception during
dosing of study treatment.