Study to Evaluate the Safety of Chronic Administration of Simulect to Subjects Receiving a First Kidney Transplant

The use of CNI's after kidney transplantation is associated with typical adverse effects such
as potential contribution to progressive impairment of renal function, hypertension, and
metabolic abnormalities. The study consists of a run-in phase (1 month),and treatment phase
(11 months) and safety assessment phase (1 month).

Inclusion Criteria:

- Male or female 18-75

- First kidney transplant from a living or deceased donor

- Receiving CNI and MPA

- Able to tolerate full dose MPA

- Calculated glomerular filtration rate >=30ml/min by Cockcroft-Gault equation

- Able to tolerate renal graft biopsies

- Provided written, informed consent

- Females of childbearing potential must have a negative pregnancy test within 48 hours
prior to the first Simulect administration

Exclusion Criteria:

- Known hypersensitivity to Simulect

- Current preformed PRA>10%

- Multi organ or second kidney transplant

- Use of any investigational immunosuppressive drug within 1 month of inclusion

- Female patients who are pregnant, lactating or of child bearing potential and not
practicing two approved methods of birth control

- Known malignancy or history of malignancy other than excised basal or squamous cell
carcinoma of the skin

- HBV, HCV, or HIV positive patients

- Current severe infection

- Receiving an organ from an extended criteria donor per United Network for Organ
Sharing (UNOS) guidelines

- Dialysis dependent one month post transplant

- Live too far away from the transplant center for adequate follow up