Interleukin-2 receptor antibody-induced alterations of ciclosporin dose requirements in paediatric transplant recipients.
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Interleukin-2 receptor antibody-induced alterations of ciclosporin dose requirements in paediatric transplant recipients. / Strehlau, J; Pape, L; Offner, G; Nashan, Björn; Ehrich, J H.
in: LANCET, Jahrgang 356, Nr. 9238, 9238, 2000, S. 1327-1328.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Interleukin-2 receptor antibody-induced alterations of ciclosporin dose requirements in paediatric transplant recipients.
AU - Strehlau, J
AU - Pape, L
AU - Offner, G
AU - Nashan, Björn
AU - Ehrich, J H
PY - 2000
Y1 - 2000
N2 - In a retrospective analysis of paediatric renal-transplant recipients receiving basiliximab, we noted significantly increased blood concentrations of cyclosporin, early cyclosporin toxicity, and a lower dose requirement within the first 10 days compared with controls. As the CD25 saturation fades at days 28-50, cyclosporin concentrations decline and 20% higher doses are required to maintain adequate trough concentrations. We suggest that an interleukin-2 receptor-mediated alteration of the cytochrome P450 system causes this systemic drug interaction and propose that the initial ciclosporin dose should be limited to 400 mg/m2 if used in combination with basiliximab.
AB - In a retrospective analysis of paediatric renal-transplant recipients receiving basiliximab, we noted significantly increased blood concentrations of cyclosporin, early cyclosporin toxicity, and a lower dose requirement within the first 10 days compared with controls. As the CD25 saturation fades at days 28-50, cyclosporin concentrations decline and 20% higher doses are required to maintain adequate trough concentrations. We suggest that an interleukin-2 receptor-mediated alteration of the cytochrome P450 system causes this systemic drug interaction and propose that the initial ciclosporin dose should be limited to 400 mg/m2 if used in combination with basiliximab.
M3 - SCORING: Zeitschriftenaufsatz
VL - 356
SP - 1327
EP - 1328
JO - LANCET
JF - LANCET
SN - 0140-6736
IS - 9238
M1 - 9238
ER -