Document Detail

Basiliximab induction in patients receiving tacrolimus-based immunosuppressive regimens.
MedLine Citation:
PMID:  23054318     Owner:  NLM     Status:  Publisher    
PURPOSE: The use of basiliximab induction increased significantly in recent years based on its superior efficacy and excellent safety profile demonstrated in studies with cyclosporine-based immunosuppression. However, its clinical utility in patients receiving tacrolimus-based immunosuppressive regimens is still uncertain. METHODS: We retrospectively reviewed data of 366 low immunological risk recipients of deceased donor kidney transplants. Of them, 134 received basiliximab and tacrolimus (TAC-IL2-RA), 100 received basiliximab and delayed tacrolimus(dTAC-IL2-RA), and 132 patients received tacrolimus without basiliximab(TAC-No). The endpoints were the incidence of acute rejection, graft function, and patient and graft survivals at 1 year. RESULTS: The incidence of acute rejection was higher in dTAC-IL2-RA compared to TAC-IL-2RA and TAC-No Groups (33 vs.14.9 vs. 14.3 %, p < 0.001). Inferior creatinine clearance was observed in dTAC-IL2-RA Group compared to TAC-IL2-RA and TAC-No Groups at months 1 (41.6 vs. 49.9 vs. 44.8 mL/min, p = 0.004), 3 (49.8 vs. 57.2 vs. 53.5 mL/min, p = 0.017), and 6 (53.1 vs. 61.8 vs. 57.0 mL/min, p = 0.001). Patients who received basiliximab (TAC-IL2-RA and dTAC-IL2-RA Groups) had lower incidence of posttransplant diabetes (24 vs.18 vs. 39.3 %, p = 0.009). Patient and graft survivals were similar among the groups. CONCLUSIONS: In low immunological risk kidney transplant recipients receiving tacrolimus, the use of basiliximab induction was not associated with lower rejection rates and did not allow delayed tacrolimus introduction.
Tainá Veras de Sandes-Freitas; Cláudia Rosso Felipe; Marcello Fabiano de Franco; Hélio Tedesco-Silva; José Osmar Medina-Pestana
Related Documents :
8474968 - Metabolism of prednisone in kidney transplanted patients with necrosis of the femoral h...
20006798 - Acute kidney injury in the elderly: problems and prospects.
12521208 - Progression of renal failure delayed by use of losartan in a case of iga nephropathy.
8605558 - Postoperative intravenous infusion of alprostadil (pge1) does not improve renal functio...
24935278 - Ethical issues relating to renal transplantation from prediabetic living donor.
17469708 - Hepatic function and non-invasive hepatosplanchnic monitoring in patients with abdomina...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-11
Journal Detail:
Title:  International urology and nephrology     Volume:  -     ISSN:  1573-2584     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Hospital do Rim e Hipertensão, Nephrology Division, Universidade Federal de São Paulo, Rua Borges Lagoa, 960, Vila Clementino, São Paulo, SP, 04038-002, Brazil,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Clamping renal artery alone produces less ischemic damage compared to clamping renal artery and vein...
Next Document:  Correlation of ultrasonographic measurement of intrarenal arterial resistance index with microalbumi...