title: Perioperative single high dose ATG-Fresenius S administration as induction immunosuppressive therapy in cadaveric renal transplantation--preliminary results.
abstract: Monoclonal and polyclonal antilymphocyte antibodies have been used successfully in organ transplantation as induction therapy and in the treatment of acute graft rejection. Used for induction the medication is generally given for the first 7-10 days. The aim of this study was to assess the safety and efficacy of single high dose (9 mg/kg) ATG Fresenius S given perioperatively, before revascularization, to kidney allograft recipients. During last twelve months seventy six, first cadaveric kidney adult recipients were included into the study in two centers (center A-64, center B-12). All patients received triple drug immunosuppression (Neoral, steroids and Cellcept which was replaced by azathioprine after 4 months), and were randomized to receive ATG or not. The follow-up period ranged from 1 month up to 1 year. The preliminary results are very promising, the rejection rate in bolus group was significantly lower than in control. No significant side effects or serious adverse events in both groups were observed.
authors.affiliation: Transplantation Institute, The Medical University of Warsaw, Poland.
authors.forename: R
authors.initials: R
authors.lastname: Samsel
authors.forename: A
authors.initials: A
authors.lastname: Chmura
authors.forename: Z
authors.initials: Z
authors.lastname: Włodarczyk
authors.forename: J
authors.initials: J
authors.lastname: Wyzgał
authors.forename: T
authors.initials: T
authors.lastname: Cieciura
authors.forename: B
authors.initials: B
authors.lastname: Lagiewska
authors.forename: J
authors.initials: J
authors.lastname: Pliszczyński
authors.forename: G
authors.initials: G
authors.lastname: Korczak
authors.forename: T
authors.initials: T
authors.lastname: Lazowski
authors.forename: L
authors.initials: L
authors.lastname: Paczek
authors.forename: J
authors.initials: J
authors.lastname: Wałaszewski
authors.forename: M
authors.initials: M
authors.lastname: Lao
authors.forename: W
authors.initials: W
authors.lastname: Rowiński
mesh_terms: D000208:Acute Disease; D000328:Adult; D000961:Antilymphocyte Serum / Q000008:administration & dosage* / Q000009:adverse effects; D002102:Cadaver; D005260:Female; D006084:Graft Rejection / Q000517:prevention & control; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage* / Q000009:adverse effects; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012449:Safety; D013601:T-Lymphocytes / Q000276:immunology
chemical_list: D000961:Antilymphocyte Serum; D007166:Immunosuppressive Agents