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Cited by 379

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Campath-1H Induction Plus Rapamycin Monotherapy for Renal Transplantation: Results of a Pilot Study

Open access
Knechtle, Stuart J., Pirsch, John D., Fechner, John H., Becker, Bryan N., Friedl, Andreas, Colvin, Robert B., Lebeck, Lauralynn K., Chin, L. Thomas, Becker, Yolanda T., Odorico, Jon S., D’Alessandro, Anthony M., Kalayoglu, Munci, Hamawy, Majed M., Hu, Huaizhong, Bloom, Debra D., Sollinger, Hans W.·2003·American Journal of Transplantation

Abstract

Campath-1H, an anti-CD52 monoclonal antibody, was used as induction therapy (40 mg i.v. total dose) in 29 primary human renal transplants, and the patients were maintained on rapamycin monotherapy (levels 8-15 ng/mL) post-transplant. Campath-1H profoundly depletes lymphocytes long-term and more transiently depletes B cells and monocytes. All patients are alive and well at 3-29 months of follow up. One graft was lost because of rejection. There have been no systemic infections and no malignancies. Eight of 29 patients have experienced rejection, which was successfully treated in seven of eight patients. Five of these patients had pathological evidence of a humoral component of their rejection. Seven of the 29 patients were converted to standard triple therapy on account of rejection. Rapamycin was generally well tolerated in that there were no significant wound-healing problems; two lymphoceles required surgical drainage; and most patients were treated with a lipid-lowering agent. Flow crossmatch testing post-transplant revealed evidence of alloantibody in two patients tested with previous combined cellular and humoral rejection. Biopsies have shown no chronic allograft nephropathy to date. In view of the relatively high incidence of early humoral rejection, we plan to modify the immunosuppressive regimen in subsequent pilot studies. This clinical trial provides insight into the use of Campath-1H induction in combination with rapamycin maintenance monotherapy.

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Metadata

Authors
Knechtle, S. J., Pirsch, J. D., Fechner, J. H., Becker, B. N., Friedl, A., Colvin, R. B., Lebeck, L. K., Chin, L. T., Becker, Y. T., Odorico, J. S., D’Alessandro, A. M., Kalayoglu, M., Hamawy, M. M., Hu, H., Bloom, D. D., & Sollinger, H. W.
Venue
American Journal of Transplantation
Publisher
Elsevier BV
Published
2003-06
Volume
3
Issue
6
Pages
722-730
ISSN
1600-6135 (ISSN-L)
OpenAlex
W2081695157
Cited by
379
References
11
FWCI
22.21
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Campath-1H Induction Plus Rapamycin Monotherapy for Renal Transplantation: Results of a Pilot Study. https://app.cochat.ai/papers/10.1034/j.1600-6143.2003.00120.x
The paper
Knechtle, S. J., Pirsch, J. D., Fechner, J. H., Becker, B. N., Friedl, A., Colvin, R. B., Lebeck, L. K., Chin, L. T., Becker, Y. T., Odorico, J. S., D’Alessandro, A. M., Kalayoglu, M., Hamawy, M. M., Hu, H., Bloom, D. D., & Sollinger, H. W. (2003). Campath-1H Induction Plus Rapamycin Monotherapy for Renal Transplantation: Results of a Pilot Study. American Journal of Transplantation. https://doi.org/10.1034/j.1600-6143.2003.00120.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.