Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?

Martina Koch, Thomas Becker, Rainer Lueck, Michael Neipp, Juergen Klempnauer, Bjoern NashanKlinik fuer Allgemein-, Viszeral- und Transplantationschirurgie, Medizinische Hochschule Hannover, Hannover, GermanyAbstract: The interleukin-2 receptor antagonist basiliximab has proven in large clinical tria...

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Autores principales: Martina Koch, Thomas Becker, Rainer Lueck, Michael Neipp, Juergen Klempnauer, Bjoern Nashan
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Publicado: Dove Medical Press 2009
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Acceso en línea:https://doaj.org/article/e03be2da5bdf40568c482564d4475e36
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spelling oai:doaj.org-article:e03be2da5bdf40568c482564d4475e362021-12-02T00:47:38ZBasiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?1177-54751177-5491https://doaj.org/article/e03be2da5bdf40568c482564d4475e362009-01-01T00:00:00Zhttp://www.dovepress.com/basiliximab-induction-therapy-in-kidney-transplantation-benefits-for-l-a2781https://doaj.org/toc/1177-5475https://doaj.org/toc/1177-5491Martina Koch, Thomas Becker, Rainer Lueck, Michael Neipp, Juergen Klempnauer, Bjoern NashanKlinik fuer Allgemein-, Viszeral- und Transplantationschirurgie, Medizinische Hochschule Hannover, Hannover, GermanyAbstract: 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.Keywords: basiliximab, induction therapy, long term graft survival, renal transplantation Martina KochThomas BeckerRainer LueckMichael NeippJuergen KlempnauerBjoern NashanDove Medical PressarticleMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol 2009, Iss default, Pp 51-56 (2009)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Martina Koch
Thomas Becker
Rainer Lueck
Michael Neipp
Juergen Klempnauer
Bjoern Nashan
Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
description Martina Koch, Thomas Becker, Rainer Lueck, Michael Neipp, Juergen Klempnauer, Bjoern NashanKlinik fuer Allgemein-, Viszeral- und Transplantationschirurgie, Medizinische Hochschule Hannover, Hannover, GermanyAbstract: 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.Keywords: basiliximab, induction therapy, long term graft survival, renal transplantation
format article
author Martina Koch
Thomas Becker
Rainer Lueck
Michael Neipp
Juergen Klempnauer
Bjoern Nashan
author_facet Martina Koch
Thomas Becker
Rainer Lueck
Michael Neipp
Juergen Klempnauer
Bjoern Nashan
author_sort Martina Koch
title Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
title_short Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
title_full Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
title_fullStr Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
title_full_unstemmed Basiliximab induction therapy in kidney transplantation: Benefits for long term allograft function after 10 years?
title_sort basiliximab induction therapy in kidney transplantation: benefits for long term allograft function after 10 years?
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/e03be2da5bdf40568c482564d4475e36
work_keys_str_mv AT martinakoch basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
AT thomasbecker basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
AT rainerlueck basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
AT michaelneipp basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
AT juergenklempnauer basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
AT bjoernnashan basiliximabinductiontherapyinkidneytransplantationbenefitsforlongtermallograftfunctionafter10years
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