Dual antibody induction and de novo use of everolimus enable low-dose tacrolimus with early corticosteroid withdrawal in simultaneous pancreas-kidney transplantation
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Dual antibody induction and de novo use of everolimus enable low-dose tacrolimus with early corticosteroid withdrawal in simultaneous pancreas-kidney transplantation. / Li, Jun; Koch, Martina; Kramer, Kathrin; Kloth, Katja; El Rahman Abu Ganim, Abd; Scheidat, Silke; Rinninger, Franz; Thaiss, Friedrich; Gulati, Amit; Herden, Uta; Achilles, Eike; Fischer, Lutz; Nashan, Bjoern.
In: TRANSPL IMMUNOL, Vol. 50, 10.2018, p. 26-33.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Dual antibody induction and de novo use of everolimus enable low-dose tacrolimus with early corticosteroid withdrawal in simultaneous pancreas-kidney transplantation
AU - Li, Jun
AU - Koch, Martina
AU - Kramer, Kathrin
AU - Kloth, Katja
AU - El Rahman Abu Ganim, Abd
AU - Scheidat, Silke
AU - Rinninger, Franz
AU - Thaiss, Friedrich
AU - Gulati, Amit
AU - Herden, Uta
AU - Achilles, Eike
AU - Fischer, Lutz
AU - Nashan, Bjoern
N1 - Copyright © 2017. Published by Elsevier B.V.
PY - 2018/10
Y1 - 2018/10
N2 - BACKGROUND: To be an optimal immunosuppressive regimen after simultaneous pancreas kidney transplantation (SPK), low dose calcineurin inhibitor and early withdrawal of corticosteroids are desired.METHODS: Immunosuppressive regimen as such has been conducted consecutively in SPK recipients since 2009 in authors' institute. In addition to tacrolimus in low trough level and early corticosteroid withdraw, dual induction with basiliximab and low-dose thymoglobulin in combination with everolimus are the important components of the protocol.RESULTS: 25 consecutive primary SPK recipients were included in the study. Lymphocyte depletion by low dose thymoglobulin was limited to two weeks, and CD25 coating with basiliximab was detectable for 4 weeks. The BPAR within the first 12 months was 13%. During a median follow-up of 58 months, new-onset diabetes mellitus and renal function deterioration were rare events. No cytomegalovirus activation was encountered. The patients, pancreas and kidney graft survival at 1-year and 5-year was 100% and 94.4%, 95.8% and 95.8%, 100% and 100% respectively.
AB - BACKGROUND: To be an optimal immunosuppressive regimen after simultaneous pancreas kidney transplantation (SPK), low dose calcineurin inhibitor and early withdrawal of corticosteroids are desired.METHODS: Immunosuppressive regimen as such has been conducted consecutively in SPK recipients since 2009 in authors' institute. In addition to tacrolimus in low trough level and early corticosteroid withdraw, dual induction with basiliximab and low-dose thymoglobulin in combination with everolimus are the important components of the protocol.RESULTS: 25 consecutive primary SPK recipients were included in the study. Lymphocyte depletion by low dose thymoglobulin was limited to two weeks, and CD25 coating with basiliximab was detectable for 4 weeks. The BPAR within the first 12 months was 13%. During a median follow-up of 58 months, new-onset diabetes mellitus and renal function deterioration were rare events. No cytomegalovirus activation was encountered. The patients, pancreas and kidney graft survival at 1-year and 5-year was 100% and 94.4%, 95.8% and 95.8%, 100% and 100% respectively.
KW - Journal Article
U2 - 10.1016/j.trim.2018.06.001
DO - 10.1016/j.trim.2018.06.001
M3 - SCORING: Journal article
C2 - 29885442
VL - 50
SP - 26
EP - 33
JO - TRANSPL IMMUNOL
JF - TRANSPL IMMUNOL
SN - 0966-3274
ER -