Intestinal transplantation with alemtuzumab (Campath-1H) induction for adult patients.

Abstract:

BACKGROUND:Alemtuzumab (Campath-1H [C1H]) is a humanized monoclonal antibody directed against the CD 52 antigen that is present on the surface of T cells, B cells, natural killer cells and monocytes. We studied its application in intestinal transplantation. METHODS:This is a retrospective review of adult patients who underwent intestinal transplantation between December 1994 and May 2005. Group 1: non-C1H group (n = 39); group 2: C1H group (n = 37). C1H was administered as an induction immunosuppression in four doses (0.3 mg/kg), or in two doses (30 mg/kg). Tacrolimus levels were maintained at low level (5-10 ng/dL). No maintenance steroids were given. RESULTS:One-year survival of group 1 and group 2 patients were 57% and 70%, respectively. This difference is not statistically significant. Of 37 patients in group 2, 21 are alive. The incidence of rejection was lower in group 2 (P < .005). Average current tacrolimus level is 6.97 +/- 3.98 ng/dL. Seventeen patients (81%) are steroid free, and 15 (71%) are maintained solely on tacrolimus. There was no graft versus host disease in group 2. CONCLUSIONS:Our preliminary data suggest that C1H can provide effective immunosuppression for intestinal transplantation. Incidence of rejection was less with this regimen using low maintenance tacrolimus and minimal steroids.

journal_name

Transplant Proc

authors

Nishida S,Levi DM,Moon JI,Madariaga JR,Kato T,Selvaggi G,Tryphonopoulos P,DeFaria W,Santiago S,Gaynor J,Weppler D,Martinez E,Ruiz P,Tzakis AG

doi

10.1016/j.transproceed.2006.05.057

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

1747-9

issue

6

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(06)00547-1

journal_volume

38

pub_type

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