Your browser doesn't support javascript.
Basiliximab induction therapy for live donor kidney transplantation: a long-term follow-up of prospective randomized controlled study.
Clin Exp Nephrol ; 12(5): 376-381, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18327678


The effect of basiliximab induction therapy on long-term patient and graft survival is not yet clear. We aimed to evaluate if there is any advantage of routine basiliximab induction on the long-term outcome of living related donor kidney transplantation.


One hundred adult recipients with their first kidney allograft were randomized into two treatment groups, one group received basiliximab and the second served as a control. All patients received a maintenance triple immunosuppressive therapy (steroids, cyclosporine (CsA) micro-emulsion and azathioprine) and were followed up thoroughly for 7 years.


Basiliximab significantly reduced the proportion of patients who experienced acute rejection in the first year (18/50) when compared to the control group (31/50), and in 7 years (28/50) when compared to (37/50) in controls. The cumulative steroid dose used throughout the whole study period was significantly lower in the basiliximab group. The overall incidence of post-transplant complications was comparable among the two treatment groups. There was no significant difference in patient or graft survival; 7 years patient and graft survival were 92, 76% for basiliximab and 92, 80% for the control group, respectively.


Routine basiliximab induction significantly reduced the incidence of acute rejection without any noticeble beneficial effect on the long-term renal transplantation outcome.





Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Proteínas Recombinantes de Fusão / Transplante de Rim / Doadores Vivos / Rejeição de Enxerto / Imunossupressores / Anticorpos Monoclonais Tipo de estudo: Primary_study Aspecto clínico: Prognóstico / Terapia Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: Clin Exp Nephrol Assunto da revista: Nefrologia Ano de publicação: 2008 Tipo de documento: Artigo País de afiliação: Egito