[A comparative trial of OKT3 and antilymphocyte serum in the preventive treatment of rejection after kidney transplantation in children].
The monoclonal antibody OKT3, administered for 2 to 3 weeks in a dosage of 0.1 mg/kg, in combination with azathioprine and prednisone, proved more effective than conventional antilymphocyte serum for the prevention of renal transplant rejection. Side effects were less marked with OKT3 than with antilymphocyte serum. Infectious complications, especially viral, occurred with the same incidence in both groups. In the long term, following discontinuation of OKT3 or antilymphocyte serum, incidence of rejection episodes and graft survival rates were identical in both groups. OKT3 in a lower dosage of 0.05 mg/kg was less effective, with several patients developing rejection during treatment, and induced more common and earlier anti-OKT3 immunization.
Niaudet
P
P
Service de Néphrologie Pédiatrique, Hôpital des Enfants-Malades, Paris.
Murcia
I
I
Jean
G
G
Broyer
M
M
D000911:Antibodies, Monoclonal / Q000008:administration & dosage / Q000627:therapeutic use*; D000945:Antigens, Differentiation, T-Lymphocyte; D000961:Antilymphocyte Serum / Q000008:administration & dosage / Q000627:therapeutic use*; D001379:Azathioprine / Q000008:administration & dosage / Q000627:therapeutic use; D017252:CD3 Complex; D002648:Child; D002985:Clinical Protocols; D003524:Cyclosporins / Q000627:therapeutic use; D005260:Female; D006084:Graft Rejection / Q000187:drug effects*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D011948:Receptors, Antigen, T-Cell; D013601:T-Lymphocytes
D000911:Antibodies, Monoclonal; D000945:Antigens, Differentiation, T-Lymphocyte; D000961:Antilymphocyte Serum; D017252:CD3 Complex; D003524:Cyclosporins; D011948:Receptors, Antigen, T-Cell; D001379:Azathioprine; D011241:Prednisone
Essai comparatif de l'OKT3 et du sérum antilymphocytaire dans le traitement préventif du rejet après transplantation rénale chez l'enfant.