2014, Number 1
Induction therapy with basiliximab in renal transplantation. Twelve years of experience in the Central Military Hospital.
Noyola-Villalobos HF, Espinoza-Mercado F, Jiménez-Chavarría E, Loera-Torres MA, Rivera-Navarrete E
Language: Spanish
References: 8
Page: 12-16
PDF size: 290.79 Kb.
ABSTRACT
Background: Basiliximab is classified as IgG1 monoclonal antibody directed against the interleukin-2 receptor; is a chimeric murine/human antibody indicated as induction therapy in renal transplantation and in combination with other immunosuppressive drugs to prevent acute rejection. Objective: To assess the efficacy of induction therapy with basiliximab per protocol in kidney transplant patients. Methodology: This is an observational, retrospective, descriptive, single-center study, conducted in the period between January 1999 and December 2010. A systematic review of the patient´s records of who received kidney transplants and induction therapy with basiliximab; the primary outcome measures were mortality and rejection rate. Results: Of 496 kidney transplant patients over a period of 12 years, 278 received induction therapy with basiliximab (56%); 129 subjects with daclizumab (26%); four with Thymoglobulin (0.8%), and there were 85 patients without induction (17.2%). People with basiliximab showed 6.8% of acute rejection, chronic rejection 5.3% and 5% mortality. Conclusion: Induction therapy with basiliximab significantly reduces the proportion of patients who experienced acute rejection during the first year, so it is an effective and safe procedure with rejection rates similar to those reported in the literature.REFERENCES