Acute rejection ( 21 % Alem vs 44 % rATG , p = 0.12 ) and major infection ( 39 % Alem vs 67 % rATG , p = 0.13 ) rates were slightly lower in the Alem group ; cytomegalovirus infections were significantly lower ( 0 Alem vs 17 % rATG , p = 0.05 ) .