Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
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Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years? / Koch, Martina; Becker, Thomas; Lueck, Rainer; Neipp, Michael; Klempnauer, Juergen; Nashan, Björn.
In: BIOL-TARGETS THER, Vol. 3, 2009, p. 51-56.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
AU - Koch, Martina
AU - Becker, Thomas
AU - Lueck, Rainer
AU - Neipp, Michael
AU - Klempnauer, Juergen
AU - Nashan, Björn
PY - 2009
Y1 - 2009
N2 - The interleukin-2 receptor antagonist basiliximab has proven in large clinical trials to be safe and effective to reduce acute rejections in the first year after renal transplantation. Since acute rejections are a risk factor for chronic graft loss, their effective reduction might have a positive effect on long term allograft survival. So far data is spares to prove this hypothesis and 10-year follow up on basiliximab induction therapy is not available. In our center, 41 patients were enrolled in the multicenter trial CHIB201 in 1995/96 comparing basiliximab vs no induction therapy after renal transplantation. We retrospectively analyzed the outcome of these patients after 10 years. The main reason for patient death with functioning graft were infectious complications (basiliximab: 3/20, placebo 1/19), 21% of all patients developed cancer without an obvious correlation to specific immunosuppression. Death censored 10-year graft survival was equivalent in both groups: 65% in the basiliximab and 68% in the placebo group with a mean s-creatinine-clearance of 60 and 44 ml/min. In this small study patient and graft survival was equivalent 10 years after transplantation comparing basiliximab induction therapy and placebo.
AB - The interleukin-2 receptor antagonist basiliximab has proven in large clinical trials to be safe and effective to reduce acute rejections in the first year after renal transplantation. Since acute rejections are a risk factor for chronic graft loss, their effective reduction might have a positive effect on long term allograft survival. So far data is spares to prove this hypothesis and 10-year follow up on basiliximab induction therapy is not available. In our center, 41 patients were enrolled in the multicenter trial CHIB201 in 1995/96 comparing basiliximab vs no induction therapy after renal transplantation. We retrospectively analyzed the outcome of these patients after 10 years. The main reason for patient death with functioning graft were infectious complications (basiliximab: 3/20, placebo 1/19), 21% of all patients developed cancer without an obvious correlation to specific immunosuppression. Death censored 10-year graft survival was equivalent in both groups: 65% in the basiliximab and 68% in the placebo group with a mean s-creatinine-clearance of 60 and 44 ml/min. In this small study patient and graft survival was equivalent 10 years after transplantation comparing basiliximab induction therapy and placebo.
U2 - 10.2147/btt.2009.2781
DO - 10.2147/btt.2009.2781
M3 - SCORING: Zeitschriftenaufsatz
VL - 3
SP - 51
EP - 56
JO - BIOL-TARGETS THER
JF - BIOL-TARGETS THER
SN - 1177-5475
ER -