Alemtuzumab-based induction treatment versus basiliximab-based induction treatment in kidney transplantation (the 3C Study): a randomised trial
Abstract
Background Calcineurin inhibitors (CNIs) reduce short-term kidney transplant failure, but might contribute to transplant failure in the long-term. The role of alemtuzumab (a potent lymphocyte-depleting antibody) as an induction treatment followed by an early reduction in CNI and mycophenolate exposure and steroid avoidance, after kidney transplantation is uncertain. We aimed to assess the efficacy and safety of alemtuzumab-based induction treatment compared with basiliximab-based induction treatment in patients receiving kidney transplants.Methods For this randomised trial, we enrolled patients aged 18 years and older who were scheduled to receive a kidney transplant in the next 24 h from 18 transplant centres in the UK. Using minimised randomisation, we randomly assigned patients (1:1; minimised for age, sex, and immunological risk) to either alemtuzumab-based induction treatment (ie, alemtuzumab followed by low-dose tacrolimus and mycophenolate without steroids) or basiliximab-based induction treatment (basiliximab followed by standard-dose tacrolimus, mycophenolate, and prednisolone). Participants were reviewed at discharge from hospital and at 1, 3, 6, 9, and 12 months after transplantation. The primary outcome was biopsy-proven acute rejection at 6 months, analysed by intention to treat. The study is registered at ClinicalTrials.gov, number NCT01120028, and isrctn.org, number ISRCTN88894088.Findings Between Oct 4, 2010, and Jan 21, 2013, we randomly assigned 852 participants to treatment: 426 to alemtuzumab-based treatment and 426 to basiliximab-based treatment. Overall, individuals allocated to alemtuzumab-based treatment had a 58% proportional reduction in biopsy-proven acute rejection compared with those allocated to basiliximab-based treatment (31 [7%] patients in the alemtuzumab group vs 68 [16%] patients in the basiliximab group; hazard ratio (HR) 0·42, 95% CI 0·28-0·64; log-rank p<0·0001). We detected no between-group difference in treatment effect on transplant failure during the first 6 months (16 [4%] patients vs 13 [3%] patients; HR 1·23, 0·59-2·55; p=0·58) or serious infection (135 [32%] patients vs 136 [32%] patients; HR 1·02, 0·80-1·29; p=0·88). During the first 6 months after transplantation, 11 (3%) patients given alemtuzumab-based treatment and six (1%) patients given basiliximab-based treatment died (HR 1·79, 95% CI 0·66-4·83; p=0·25).Interpretation Compared with standard basiliximab-based treatment, alemtuzumab-based induction therapy followed by reduced CNI and mycophenolate exposure and steroid avoidance reduced the risk of biopsy-proven acute rejection in a broad range of patients receiving a kidney transplant. Long-term follow-up of this trial will assess whether these effects translate into differences in long-term transplant function and survival.Funding UK National Health Service Blood and Transplant Research and Development Programme, Pfizer, and Novartis UK.
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TA has been described only rarely when alemtuzumab is administered for rheumatoid arthritis, blood cancers, or transplantation, suggesting a disease-specific and/or genetic background effect.
“Interestingly, TA has been described only rarely when alemtuzumab is administered for rheumatoid arthritis [32], blood cancers [33], or transplantation [34], suggesting a disease specific and/or genetic background effect.”
From 2019 European Thyroid Association Guidelines on the Management of Thyroid Dysfunction following Immune Reconstitution Therapy (2019) · cites this paper as [34]
Cites
Regression Models and Life-Tables
Cox, D. R. (1972) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.2517-6161.1972.tb00899.x · Cited by 39,793 · see citing works
Regression Models and Life-Tables
Cox, D. R. (1992) · Springer Series in Statistics · doi:10.1007/978-1-4612-4380-9_37 · Cited by 26,297 · see citing works
Peto, R., Pike, M. C., Armitage, P., Breslow, N. E., Cox, D. R., Howard, S. V., Mantel, N., McPherson, K., Peto, J., & Smith, P. G. (1977) · British Journal of Cancer · doi:10.1038/bjc.1977.1 · Cited by 8,285 · see citing works
Schulz (1995) · doi:10.1001/jama.1995.03520290060030 · Cited by 5,634 · see citing works
Wolfe, R. A., Ashby, V. B., Milford, E. L., OJO, A. O., Ettenger, R. E., Agodoa, L. Y. C., Held, P. J., & Port, F. K. (1999) · New England Journal of Medicine · doi:10.1056/nejm199912023412303 · Cited by 5,370 · see citing works
Pocock, S. J., & Simon, R. (1975) · Biometrics · doi:10.2307/2529712 · Cited by 2,350 · see citing works
Peto, R., Pike, M. C., Armitage, P., Breslow, N. E., Cox, D. R., Howard, S. V., Mantel, N., McPherson, K., Peto, J., & Smith, P. G. (1976) · British Journal of Cancer · doi:10.1038/bjc.1976.220 · Cited by 2,294 · see citing works
The Natural History of Chronic Allograft Nephropathy
Nankivell, B. J., Borrows, R., Fung, C. L.-S., O’Connell, P. J., Allen, R. D. M., & Chapman, J. R. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa020009 · Cited by 1,942 · see citing works
KDIGO clinical practice guideline for the care of kidney transplant recipients: a summary
Kasiske, B. L., Zeier, M. G., Chapman, J. R., Craig, J. C., Ekberg, H., Garvey, C. A., Green, M. D., Jha, V., Josephson, M. A., KIBERD, B. A., et al. (2009) · Kidney International · doi:10.1038/ki.2009.377 · Cited by 1,734 · see citing works
Haas, M., Sis, B., Racusen, L. C., Solez, K., Glotz, D., Colvin, R. B., de Castro, M. C. R., David, D. S. R., David‐Neto, E., Bagnasco, S. M., et al. (2014) · American Journal of Transplantation · doi:10.1111/ajt.12590 · Cited by 1,349 · see citing works
The KDIGO Clinical Practice Guideline for the Care of Kidney Transplant Recipients
Josephson, M. A. (2013) · Cited by 899 · see citing works
Meier‐Kriesche, H., Schold, J. D., & Kaplan, B. E. (2004) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2004.00515.x · Cited by 602 · see citing works
Wyld, M. L. R., Morton, R. L., Hayen, A. D., Howard, K., & Webster, A. C. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001307 · Cited by 511 · see citing works
A Randomized Clinical Trial of Cyclosporine in Cadaveric Renal Transplantation
The Canadian Multicentre Transplant Study Group (1983) · New England Journal of Medicine · doi:10.1056/nejm198310063091401 · Cited by 480 · see citing works
Alemtuzumab Induction in Renal Transplantation
Hanaway, M. J., Woodle, E. S., Mulgaonkar, S. P., Peddi, V. R., Kaufman, D. B., First, M. R., Croy, R., & Holman, J. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1009546 · Cited by 387 · see citing works
Hale, G., Bright, S., Chumbley, G., Hoang, T., Metcalf, D., Munro, A., & Waldmann, H. (1983) · Blood · doi:10.1182/blood.v62.4.873.873 · Cited by 360 · see citing works
Influence of Time of Rejection on Long-Term Graft Survival in Renal Transplantation
Opelz, G., & Döhler, B. (2008) · Transplantation · doi:10.1097/tp.0b013e3181661695 · Cited by 124 · see citing works
Alemtuzumab Induction Therapy in Kidney Transplantation
Morgan, R. D., O'Callaghan, J. M., Knight, S. R., & Morris, P. J. (2012) · Transplantation · doi:10.1097/tp.0b013e318257ad41 · Cited by 104 · see citing works
A New UK 2006 National Kidney Allocation Scheme for Deceased Heart-Beating Donor Kidneys
Johnson, R., Fuggle, S. V., Mumford, L. L., Bradley, J. A., Forsythe, J. L. R., & Rudge, C. J. (2010) · Transplantation · doi:10.1097/tp.0b013e3181c9029d · Cited by 95 · see citing works
Todeschini, M., Cortinovis, M., Perico, N., Poli, F., Innocente, A., Cavinato, R. A., Gotti, E., Ruggenenti, P. L., Gaspari, F., Noris, M., et al. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1203261 · Cited by 81 · see citing works
Shabir, S., Halimi, J., Cherukuri, A., Ball, S. T., Ferro, C. J., Lipkin, G. W., Benavente, D., Gatault, P., Baker, R. J., KIBERD, B. A., et al. (2014) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2013.10.059 · Cited by 77 · see citing works
BK Virus Replication and Nephropathy After Alemtuzumab-Induced Kidney Transplantation
Theodoropoulos, N. M., Wang, E., Penugonda, S., Ladner, D. P., Stosor, V., Leventhal, J. R., Friedewald, J. J., Angarone, M., & Ison, M. G. (2012) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2012.04314.x · Cited by 57 · see citing works
Calcineurin Inhibitor Sparing in Renal Transplantation
Ekberg, H. (2008) · Transplantation · doi:10.1097/tp.0b013e3181856f39 · Cited by 36 · see citing works
Haynes, R., Baigent, C., Harden, P., Landray, M., Akyol, M., Asderakis, A., Baxter, A., Bhandari, S., Chowdhury, P., Clancy, M. J., et al. (2013) · Transplantation Research · doi:10.1186/2047-1440-2-7 · Cited by 23 · see citing works
Flagged first, then by citations
1 of the 25 references couldn’t be matched to a known paper.
Cited by
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Pancreatic Islet Transplantation in Humans: Recent Progress and Future Directions
Rickels, M. R., & Robertson, R. P. (2019) · Endocrine Reviews · doi:10.1210/er.2018-00154 · Cited by 329 · see citing works
BK Polyomavirus: Clinical Aspects, Immune Regulation, and Emerging Therapies
Ambalathingal, G. R., Francis, R. S., Smyth, M. J., Smith, C., & Khanna, R. (2017) · Clinical Microbiology Reviews · doi:10.1128/cmr.00074-16 · Cited by 243 · see citing works
Mikulska, M., Lanini, S., Gudiol, C., Drgoňa, Ľ., Ippolito, G., Fernández‐Ruiz, M., & Salzberger, B. (2018) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2018.02.003 · Cited by 213 · see citing works
Baker, R. J., Mark, P. B., Patel, R. K., Stevens, K. K., & Palmer, N. (2017) · BMC Nephrology · doi:10.1186/s12882-017-0553-2 · Cited by 211 · see citing works
Infectious Complications of Biological and Small Molecule Targeted Immunomodulatory Therapies
Davis, J. S., Ferreira, D., Paige, E. K., Gedye, C. A., & Boyle, M. (2020) · Clinical Microbiology Reviews · doi:10.1128/cmr.00035-19 · Cited by 188 · see citing works
Immunosuppression for kidney transplantation: Where are we now and where are we going?
Lim, M. A., Kohli, J., & Bloom, R. D. (2016) · Transplantation Reviews · doi:10.1016/j.trre.2016.10.006 · Cited by 149 · see citing works
The need for minimization strategies: current problems of immunosuppression
Bamoulid, J., Staeck, O., Halleck, F., Khadzhynov, D., Brakemeier, S., Dürr, M., & Budde, K. (2015) · Transplant International · doi:10.1111/tri.12553 · Cited by 135 · see citing works
A Rationale for Age-Adapted Immunosuppression in Organ Transplantation
Krenzien, F., Elkhal, A., Quante, M., Biefer, H. R. C., Hirofumi, U., Gabardi, S., & Tullius, S. G. (2015) · Transplantation · doi:10.1097/tp.0000000000000842 · Cited by 116 · see citing works
O’Leary, J. G., Samaniego, M., Crespo, M., Potena, L., Zeevi, A., Djamali, A., & Cozzi, E. (2015) · Transplantation · doi:10.1097/tp.0000000000000869 · Cited by 115 · see citing works
Gatault, P., Kamar, N., Büchler, M., Colosio, C., Bertrand, D., Dürrbach, A., Albano, L., Rivalan, J., Meur, Y. L., Essig, M., et al. (2016) · American Journal of Transplantation · doi:10.1111/ajt.14109 · Cited by 111 · see citing works
Banham, G. D., Flint, S. M., Torpey, N., Lyons, P., Shanahan, D. N., Gibson, A., Watson, C. J. E., O’Sullivan, A.-M., Chadwick, J., Foster, K., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)30984-x · Cited by 92 · see citing works
The Calcineurin Inhibitor Tacrolimus Specifically Suppresses Human T Follicular Helper Cells
Wallin, E. F., Hill, D. L., Linterman, M. A., & Wood, K. J. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.01184 · Cited by 86 · see citing works
Muller, I., Moran, C., Lecumberri, B., Decallonne, B., Robertson, N., Jones, J., & Dayan, C. M. (2019) · European Thyroid Journal · doi:10.1159/000500881 · Cited by 78 · see citing works
van der Zwan, M., Baan, C. C., van Gelder, T., & Hesselink, D. A. (2017) · Clinical Pharmacokinetics · doi:10.1007/s40262-017-0573-x · Cited by 74 · see citing works
Hornero, R. A., Betts, G. J., Sawitzki, B., Vogt, K., Harden, P., & Wood, K. J. (2016) · Transplantation · doi:10.1097/tp.0000000000001278 · Cited by 69 · see citing works
Pratschke, J., Dragun, D., Hauser, I. A., Horn, S., Mueller, T., Schemmer, P., & Thaiss, F. (2016) · Transplantation Reviews · doi:10.1016/j.trre.2016.02.002 · Cited by 67 · see citing works
Reinders, M. E. J., Bank, J. R., Dreyer, G. J., Roelofs, H., Heidt, S., Roelen, D. L., Huurman, V. A. L., Lindeman, J. H. N., van Kooten, C., Claas, F. H. J., et al. (2014) · Journal of Translational Medicine · doi:10.1186/s12967-014-0331-x · Cited by 64 · see citing works
Post-transplantation malignancies: here today, gone tomorrow?
Geissler, E. K. (2015) · Nature Reviews Clinical Oncology · doi:10.1038/nrclinonc.2015.186 · Cited by 63 · see citing works
Basophils Trigger Fibroblast Activation in Cardiac Allograft Fibrosis Development
Schiechl, G., Hermann, F. J., Gomez, M. R., Kutzi, S., Schmidbauer, K., Talke, Y., Neumayer, S., Goebel, N., Renner, K., Brühl, H., et al. (2016) · American Journal of Transplantation · doi:10.1111/ajt.13764 · Cited by 58 · see citing works
Comparing Outcomes between Antibody Induction Therapies in Kidney Transplantation
Koyawala, N., Silber, J. H., Rosenbaum, P. R., Wang, W., Hill, A. S., Reiter, J. G., Niknam, B. A., Even‐Shoshan, O., Bloom, R. D., Sawinski, D. L., et al. (2017) · Journal of the American Society of Nephrology · doi:10.1681/asn.2016070768 · Cited by 55 · see citing works
Brook, M. O., Hester, J., Petchey, W. G., Rombach, I., Dutton, S., Bottomley, M. J., Black, J., Abdul-Wahab, S., Bushell, A., Lombardi, G., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061864 · Cited by 51 · see citing works
Liquid Biopsies to Monitor Solid Organ Transplant Function: A Review of New Biomarkers
Verhoeven, J. G. H. P., Boer, K., van Schaik, R. H. N., Manintveld, O. C., Huibers, M. M. H., Baan, C. C., & Hesselink, D. A. (2018) · Therapeutic Drug Monitoring · doi:10.1097/ftd.0000000000000549 · Cited by 48 · see citing works
Nijhoff, M. F., Engelse, M. A., Dubbeld, J., Braat, A. E., Ringers, J., Roelen, D. L., van Erkel, A. R., Spijker, H. S., Bouwsma, H., van der Boog, P. J. M., et al. (2015) · American Journal of Transplantation · doi:10.1111/ajt.13425 · Cited by 46 · see citing works
Khalil, M. A. M., Khalil, M. A. U., Khan, T. F. T., & Tan, J. C. (2018) · Journal of Transplantation · doi:10.1155/2018/9429265 · Cited by 45 · see citing works
Dreyer, G. J., Groeneweg, K. E., Heidt, S., Roelen, D. L., van Pel, M., Roelofs, H., Huurman, V. A. L., Bajema, I. M., Moes, D. J. A. R., Fibbe, W. E., et al. (2020) · American Journal of Transplantation · doi:10.1111/ajt.15910 · Cited by 40 · see citing works
Reinders, M. E. J., Groeneweg, K. E., Hendriks, S. H., Bank, J. R., Dreyer, G. J., de Vries, A. P. J., van Pel, M., Roelofs, H., Huurman, V. A. L., Meij, P., et al. (2021) · American Journal of Transplantation · doi:10.1111/ajt.16528 · Cited by 39 · see citing works
Lemaitre, F., Vethe, N. T., D’Avolio, A., Tron, C., Robertsen, I., de Winter, B. C. M., Nicolò, A. D., Koch, B. C. P., Venkataramanan, R., van Gelder, T., et al. (2020) · Therapeutic Drug Monitoring · doi:10.1097/ftd.0000000000000780 · Cited by 38 · see citing works
The Fourth International Workshop on Clinical Transplant Tolerance
Issa, F., Strober, S., Leventhal, J. R., Kawai, T., Kaufman, D. B., Levitsky, J., Sykes, M., Mas, V. R., Wood, K. J., Bridges, N. D., et al. (2020) · American Journal of Transplantation · doi:10.1111/ajt.16139 · Cited by 38 · see citing works
Li, X., Lau, S. K. P., & Woo, P. C. Y. (2020) · Experimental Biology and Medicine · doi:10.1177/1535370220939862 · Cited by 38 · see citing works
Gathogo, E., Harber, M. A., Bhagani, S. R., Levy, J. B., Jones, R., Hilton, R. M., Davies, G., & Post, F. A. (2015) · Transplantation · doi:10.1097/tp.0000000000000879 · Cited by 38 · see citing works
Dosing algorithms for initiation of immunosuppressive drugs in solid organ transplant recipients
Andrews, L. M., Riva, N., de Winter, B. C. M., Hesselink, D. A., de Wildt, S. N., Cransberg, K., & van Gelder, T. (2015) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1517/17425255.2015.1033397 · Cited by 36 · see citing works
Bahmany, S., de Wit, L. E. A., Hesselink, D. A., van Gelder, T., Shuker, N., Baan, C. C., van der Nagel, B. C. H., Koch, B. C. P., & de Winter, B. C. M. (2018) · Biomedical Chromatography · doi:10.1002/bmc.4416 · Cited by 35 · see citing works
Polyoma virus nephropathy in kidney transplantation
Scadden, J., Sharif, A., Skordilis, K., & Borrows, R. (2017) · World Journal of Transplantation · doi:10.5500/wjt.v7.i6.329 · Cited by 34 · see citing works
Emerging drugs for prevention of T-cell mediated rejection in liver and kidney transplantation
Wong, T. C.-L., Lo, C., & Fung, J. (2017) · Expert Opinion on Emerging Drugs · doi:10.1080/14728214.2017.1330884 · Cited by 33 · see citing works
Efficacy and Safety of Induction Therapy in Kidney Transplantation: A Network Meta-Analysis
Hwang, S. D., Lee, J. H., Lee, S. W., Park, K.-M., Kim, J. K., Kim, M.-J., & Song, J. (2018) · Transplantation Proceedings · doi:10.1016/j.transproceed.2018.01.022 · Cited by 31 · see citing works
Immunosuppression after renal transplantation
Neuwirt, H., Rudnicki, M., Schratzberger, P., Pirklbauer, M., Kronbichler, A., & Mayer, G. J. (2019) · memo - Magazine of European Medical Oncology · doi:10.1007/s12254-019-0507-4 · Cited by 31 · see citing works
Biliary Tract and Liver Complications in Polycystic Kidney Disease
Judge, P. K., Harper, C., Storey, B. C., Haynes, R., Wilcock, M. J., Staplin, N., Goldacre, R., Baigent, C., Collier, J. D., Goldacre, M. J., et al. (2017) · Journal of the American Society of Nephrology · doi:10.1681/asn.2017010084 · Cited by 30 · see citing works
de Weerd, A. E., van den Brand, J. A. J. G., Bouwsma, H., de Vries, A. P. J., Dooper, I. M. M., Sanders, J., Christiaans, M. H. L., van Reekum, F. E., van Zuilen, A. D., Bemelman, F. J., et al. (2021) · Transplant International · doi:10.1111/tri.14145 · Cited by 26 · see citing works
Roos, J. C. P., Moran, C., Chatterjee, K., Jones, J., Coles, A. J., & Murthy, R. (2018) · Eye · doi:10.1038/s41433-018-0282-1 · Cited by 26 · see citing works
Haynes, R., Blackwell, L. S., Staplin, N., Herrington, W. G., Emberson, J., Judge, P. K., Storey, B. C., Landray, M., Harden, P., Baigent, C., et al. (2017) · American Journal of Transplantation · doi:10.1111/ajt.14619 · Cited by 25 · see citing works
Challenges in pediatric renal transplantation
Peruzzi, L. (2014) · World Journal of Transplantation · doi:10.5500/wjt.v4.i4.222 · Cited by 24 · see citing works
Guthoff, M., Berger, K., Althaus, K., Mühlbacher, T., Bakchoul, T., Steurer, W., Nadalin, S., Königsrainer, A., & Heyne, N. (2020) · BMC Nephrology · doi:10.1186/s12882-020-01767-z · Cited by 23 · see citing works
Brook, M. O., Hennessy, C., Hester, J., Hammad, S., Alzhrani, A., Rombach, I., Dutton, S., Lombardi, G., Wood, K. J., Friend, P. J., et al. (2024) · Transplantation · doi:10.1097/tp.0000000000005065 · Cited by 22 · see citing works
Shamali, A., Kassimatis, T. I., Phillips, B. L., Burton, H., Kessaris, N., & Callaghan, C. J. (2019) · Transplant International · doi:10.1111/tri.13403 · Cited by 21 · see citing works
Amore, A. (2015) · Current Opinion in Organ Transplantation · doi:10.1097/mot.0000000000000230 · Cited by 20 · see citing works
Ciancio, G., Gaynor, J. J., Guerra, G., Sageshima, J., Roth, D., Chen, L., Kupin, W. L., Mattiazzi, A. D., Tueros, L., Flores, S., et al. (2016) · Transplant Immunology · doi:10.1016/j.trim.2016.11.004 · Cited by 20 · see citing works
Santos, A. H., Casey, M. J., & Womer, K. L. (2017) · Journal of Transplantation · doi:10.1155/2017/8132672 · Cited by 20 · see citing works
Ravindra, K. V., Sanoff, S., Vikraman, D. S., Zaaroura, A., Nanavati, A. J., Sudan, D. L., & Irish, W. D. (2018) · American Journal of Transplantation · doi:10.1111/ajt.15102 · Cited by 19 · see citing works
Recommendations for living donor kidney transplantation
Frutos, M. Á., Crespo, M., Valentín, M. D. L. O., Melgar, Á. A., Alonso, J., Fernández, C., Erauzkin, G. G., González, E., González-Rinne, A. M., Guirado, L., et al. (2022) · Nefrología (English Edition) · doi:10.1016/j.nefroe.2022.07.001 · Cited by 20 · see citing works
BJS commission on surgery and perioperative care post-COVID-19
BJS Commission Team, Abahuje, E. A. E., Abbas, A., Maksoud, M. A. E. A. A. E., Abdelhady, A., Abdelhamid, S., Faraj, H., Abdelqader, B., Abdou, H., Abdullah, A., et al. (2021) · British journal of surgery · doi:10.1093/bjs/znab307 · Cited by 18 · see citing works
Weißenbacher, A., Vrakas, G., Chen, M., Reddy, S., Allan, P., Giele, H. P., Barnardo, M., Vaidya, A. C., Friend, P. J., & Fuggle, S. V. (2017) · Transplant International · doi:10.1111/tri.13096 · Cited by 18 · see citing works
for the South West Thames Renal Transplantation Network, Phanish, M. K., Hull, R., Andrews, P., Popoola, J., Kingdon, E., & MacPhee, I. A. M. (2020) · BMC Nephrology · doi:10.1186/s12882-020-01739-3 · Cited by 18 · see citing works
Infections associated with the new ‘nibs and mabs’ and cellular therapies
Maus, M. V., & Lionakis, M. S. (2020) · Current Opinion in Infectious Diseases · doi:10.1097/qco.0000000000000656 · Cited by 18 · see citing works
Potential Application of T-Follicular Regulatory Cell Therapy in Transplantation
Dudreuilh, C., Basu, S., Scottà, C., Dorling, A., & Lombardi, G. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2020.612848 · Cited by 17 · see citing works
Living donor uterus transplant in the UK: A case report
Jones, B. P., Vali, S., Saso, S., Devaney, A., Bracewell‐Milnes, T., Nicopoullos, J. D. M., Thum, M., Kaur, B. S., Roufosse, C. A., Stewart, V. R., et al. (2023) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17639 · Cited by 17 · see citing works
Use of polyclonal/monoclonal antibody therapies in transplantation
Yeung, M. Y., Gabardi, S., & Sayegh, M. H. (2017) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2017.1283400 · Cited by 17 · see citing works
Regulatory B cells in transplantation: roadmaps to clinic
Beckett, J., Hester, J., Issa, F., & Shankar, S. (2020) · Transplant International · doi:10.1111/tri.13706 · Cited by 17 · see citing works
Immunosuppression and Results in Renal Transplantation
Bamoulid, J., Staeck, O., Halleck, F., Khadzhynov, D., Paliege, A., Brakemeier, S., Dürr, M., & Budde, K. (2016) · European Urology Supplements · doi:10.1016/j.eursup.2016.04.011 · Cited by 17 · see citing works
Eder, M., Kainz, A., Omić, H., Aigner, C., Copic, D., Kotton, C. N., Kamar, N., Wojciechowski, D., Hirsch, H. H., & Oberbauer, R. W. (2025) · Kidney International · doi:10.1016/j.kint.2025.06.014 · Cited by 15 · see citing works
Immunological risks of minimization strategies
Snanoudj, R., Tinel, C., & Legendre, C. M. (2015) · Transplant International · doi:10.1111/tri.12570 · Cited by 15 · see citing works
Napolitano, G., Bucci, I., Dalmazi, G. D., & Giuliani, C. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.769084 · Cited by 15 · see citing works
Lymphocyte-depleting induction and steroid minimization after kidney transplantation: A review
Naesens, M., Berger, S. P., Biancone, L., Crespo, M., Djamali, A., Hertig, A., Öllinger, R., Portolés, J. M., Zuckermann, A. O., & Pascual, J. (2016) · Nefrología · doi:10.1016/j.nefro.2016.03.019 · Cited by 14 · see citing works
Asderakis, A., Sabah, T., Watkins, W. J., Khalid, U., Szabó, L. D., Stephens, M., Griffin, S., & Chavez, R. (2022) · Kidney International Reports · doi:10.1016/j.ekir.2022.01.1042 · Cited by 13 · see citing works
Pittappilly, M., Sharshir, M. A., & Paramesh, A. S. (2025) · Biomedicines · doi:10.3390/biomedicines13040929 · Cited by 13 · see citing works
BK virus-induced renal allograft nephropathy
Krejčí, K., Tichý, T., Bednaříková, J., Žamboch, K., & Zadražil, J. (2018) · Biomedical Papers · doi:10.5507/bp.2018.018 · Cited by 13 · see citing works
Diagnosis and treatment of allograft rejection in islet transplantation
Landstra, C. P., Nijhoff, M. F., Roelen, D. L., de Vries, A. P. J., & de Koning, E. J. P. (2023) · American Journal of Transplantation · doi:10.1016/j.ajt.2023.05.035 · Cited by 12 · see citing works
Lemaitre, F., & Hesselink, D. A. (2022) · Therapeutic Drug Monitoring · doi:10.1097/ftd.0000000000001034 · Cited by 12 · see citing works
Bezstarosti, S., Meziyerh, S., Reinders, M. E. J., Voogt‐Bakker, K., Groeneweg, K. E., Roelen, D. L., Kers, J., de Fijter, J. W., & Heidt, S. (2023) · HLA · doi:10.1111/tan.15008 · Cited by 12 · see citing works
Corticosteroid minimization in renal transplantation: Careful patient selection enables feasibility
Vlachopanos, G., Bridson, J.-M., Sharma, A. K., & Halawa, A. M. (2016) · World Journal of Transplantation · doi:10.5500/wjt.v6.i4.759 · Cited by 12 · see citing works
Bank, J. R., Heidt, S., Moes, D. J. A. R., Roelen, D. L., Mallat, M. J. K., van der Boog, P. J. M., Vergunst, M., der Zijde, C. M. J., Bredius, R. G. M., Braat, A. E., et al. (2016) · Transplantation Direct · doi:10.1097/txd.0000000000000634 · Cited by 12 · see citing works
Willicombe, M. K., Goodall, D., Mclean, A. G., & Taube, D. H. (2017) · Transplant International · doi:10.1111/tri.12978 · Cited by 12 · see citing works
Sydes, M. R., Murray, M. L., Ahmed, S., Apostolidou, S., Bliss, J. M., Bloomfield, C., Cannings-John, R. L., Carpenter, J., Clayton, T. C., Clout, M., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107514 · Cited by 11 · see citing works
Honeyman, C. S., Stark, H. L., Wang, C., Hester, J., Issa, F., & Giele, H. P. (2020) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2020.11.022 · Cited by 11 · see citing works
Recomendaciones para el trasplante renal de donante vivo
Frutos, M. Á., Crespo, M., Valentín, M. D. L. O., Melgar, Á. A., Alonso, J., Fernández, C., Erauzkin, G. G., González, E., González-Rinne, A. M., Guirado, L., et al. (2022) · Nefrología · doi:10.1016/j.nefro.2021.10.002 · Cited by 11 · see citing works
Pharmacotherapeutic management of HIV in transplant patients
Spagnuolo, V., Uberti‐Foppa, C., & Castagna, A. (2019) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2019.1612364 · Cited by 11 · see citing works
Acute Rejection in Kidney Transplantation and Early Beginning of Tacrolimus
Salcedo, S., Ramírez, J. L. P., Garcia-Lopez, A. E., Amaya-Nieto, J., & Girón-Luque, F. (2019) · Transplantation Proceedings · doi:10.1016/j.transproceed.2019.04.048 · Cited by 11 · see citing works
Wali, R. K., Lee, A. H., Kam, J. C., Jonsson, J., Thatcher, A. L., Poretz, D. M., Ambardar, S., Piper, J. B., Lynch, C., Kulkarni, S., et al. (2015) · American Journal of Transplantation · doi:10.1111/ajt.13398 · Cited by 11 · see citing works
Kyriakidis, I., Tragiannidis, A., Zündorf, I., & Groll, A. H. (2017) · Mycoses · doi:10.1111/myc.12621 · Cited by 11 · see citing works
Geoghegan, L., Al-Khalil, M., Scarborough, A., Murray, A., & Issa, F. (2020) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2020.05.010 · Cited by 10 · see citing works
Alemtuzumab in renal transplantation. Reviews of literature and usage in the United Kingdom
Chukwu, C., Spiers, H. V. M., Middleton, R., Kalra, P. A., Asderakis, A., Rao, A., & Augustine, T. (2022) · Transplantation Reviews · doi:10.1016/j.trre.2022.100686 · Cited by 10 · see citing works
Mannon, R. B., Askar, M. Z., Jackson, A. M., Newell, K. A., & Mengel, M. (2018) · American Journal of Transplantation · doi:10.1111/ajt.14977 · Cited by 9 · see citing works
Yakubu, I., Ravichandran, B. R., Sparkes, T. M., Barth, R. N., Haririan, A., & Masters, B. M. (2019) · Journal of Pharmacy Practice · doi:10.1177/0897190019850934 · Cited by 9 · see citing works
Alemtuzumab induction therapy in kidney transplantation
Kuypers, D. R. J. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61174-0 · Cited by 8 · see citing works
Safa, K., Chandran, S., & Wojciechowski, D. (2015) · Drugs · doi:10.1007/s40265-015-0487-6 · Cited by 8 · see citing works
Gundroo, A. A., Zachariah, M. S., Singh, N. K., & Sharma, R. K. (2015) · Current Opinion in Organ Transplantation · doi:10.1097/mot.0000000000000255 · Cited by 7 · see citing works
Swaab, T. D. A., Pol, R. A., Crop, M. J., Sanders, J., Berger, S. P., Hofker, H. S., Bakker, S. J. L., & Velde‐Keyzer, C. A. T. (2025) · Scientific Reports · doi:10.1038/s41598-025-06750-y · Cited by 6 · see citing works
Umber, A., Killackey, M. T., Paramesh, A. S., Liu, Y., Qin, H., Atiq, M. U., Lee, B., Alper, A., Simon, E. E., Buell, J. F., et al. (2016) · Journal of Nephrology · doi:10.1007/s40620-016-0304-7 · Cited by 6 · see citing works
Perioperative Care for Kidney Transplant Recipients
Hultin, S., Hawley, C. M., Johnson, D. W., & Francis, R. S. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.84388 · Cited by 6 · see citing works
Florescu, D. F., Seaman, J. A., Kalil, A. C., Qiu, F., Bremers, D., & Westphal, S. G. (2020) · Transplantation Proceedings · doi:10.1016/j.transproceed.2020.08.025 · Cited by 5 · see citing works
Sabah, T., Khalid, U., Ilham, M. A., Ablorsu, E., Szabó, L. D., Griffin, S., Chavez, R., & Asderakis, A. (2021) · Transplant Immunology · doi:10.1016/j.trim.2021.101388 · Cited by 5 · see citing works
The Utility of Routine Ultrasound Imaging after Elective Transplant Ureteric Stent Removal
Das, B., Hobday, D., Olsburgh, J., & Callaghan, C. J. (2016) · Journal of Transplantation · doi:10.1155/2016/1231567 · Cited by 5 · see citing works
Wang, Z., Lai, L., Ran, S., Li, Y., Zhao, J., Wu, J., Guo, C., Cui, J., & Xia, J. (2025) · Journal of Translational Medicine · doi:10.1186/s12967-025-07383-5 · Cited by 4 · see citing works
Renal transplantation—reducing risk and improving outcome
Hesselink, D. A., & Weimar, W. W. (2014) · Nature Reviews Nephrology · doi:10.1038/nrneph.2014.240 · Cited by 4 · see citing works
Concepts and Challenges in Organ Transplantation
Wood, K. J., Shankar, S., Hester, J., & Issa, F. (2019) · Elsevier eBooks · doi:10.1016/b978-0-7020-6896-6.00081-8 · Cited by 4 · see citing works
Wallin, E. F., Linterman, M. A., & Wood, K. J. (2019) · OBM Transplantation · doi:10.21926/obm.transplant.1903079 · Cited by 4 · see citing works
Pharmacotherapeutic options for the prevention of kidney transplant rejection: the evidence to date
Spasovski, G. B., Trajceska, L., & Rambabova‐Bushljetik, I. (2022) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2022.2102418 · Cited by 4 · see citing works
Hardinger, K. L., Agha, I. A., & Brennan, D. C. (2016) · Springer eBooks · doi:10.1007/978-3-319-28797-3_3 · Cited by 4 · see citing works
van Vugt, L. K., Zwart, T. C., Bezstarosti, S., Heidt, S., Reinders, M. E. J., Hesselink, D. A., de Vries, A. P. J., de Winter, B. C. M., & Moes, D. J. A. R. (2025) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.3714 · Cited by 3 · see citing works
Alshaer, I., Hung, R. K. Y., Basu, S., Goldet, G., JONES, G. L., Harber, M. A., Fernando, R., Magee, C. N., Motallebzadeh, R., Caplin, B., et al. (2025) · Journal of Transplantation · doi:10.1155/joot/5547629 · Cited by 3 · see citing works
The Natural History and Impact of Urinary Tract Infections in Kidney Transplant Recipients
Elhoweris, A. E., Sullivan, M. K., Norton, W. G., Salim, E., & Aitken, E. (2026) · Transplantation Proceedings · doi:10.1016/j.transproceed.2026.01.026 · Cited by 3 · see citing works
- Authors
- †
- Corresponding author
- †
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 384
- Issue
- 9955
- Pages
- 1684-1690
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2186473865
- Cited by
- 149
- References
- 25
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 6 · 2023: 6 · 2022: 11 · 2021: 8 · 2020: 15 · 2019: 13 · 2018: 17 · 2017: 19 · 2016: 16 · 2015: 17 · 2014: 6
- FWCI
- 19.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- Pfizer Ltd and Novartis Pharmaceuticals UK Ltd, and by NHS Blood and Transplant (project reference 09-15-01-03)
- Topics
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Transplantation › Organ and Tissue Transplantation Research
- Keywords
- alemtuzumab, basiliximab, kidney transplantation, induction therapy, acute rejection, calcineurin inhibitors, tacrolimus, mycophenolate, steroid avoidance, transplant failure, lymphocyte depletion, immunosuppression, renal allograft survival, acute kidney injury, acute tubular necrosis, acute interstitial nephritis
- MeSH terms
- Alemtuzumab, Basiliximab, Adult, Antibodies, Monoclonal, Female, Graft Rejection, Humans, Immunosuppressive Agents, Male, Opportunistic Infections, Recombinant Fusion Proteins, Kidney Transplantation, Antibodies, Monoclonal, Humanized
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