Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study
Introduction and aim: The interleukin-2 receptor antagonist; basiliximab is used to allow delayed introduction of Calcineurin inhibitors (CNI) after liver transplantation and thus delay their renal insult. However, there is only little evidence for the safety and the efficacy of this regimen. This s...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Annals of Hepatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1665268120300818 |
| _version_ | 1818602658310651904 |
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| author | Mohamed Hashim Ayman Alsebaey Amr Ragab Hossam Eldeen Soliman Imam Waked |
| author_facet | Mohamed Hashim Ayman Alsebaey Amr Ragab Hossam Eldeen Soliman Imam Waked |
| author_sort | Mohamed Hashim |
| collection | DOAJ |
| description | Introduction and aim: The interleukin-2 receptor antagonist; basiliximab is used to allow delayed introduction of Calcineurin inhibitors (CNI) after liver transplantation and thus delay their renal insult. However, there is only little evidence for the safety and the efficacy of this regimen. This study aimed to evaluate the effectiveness and safety of basiliximab induction in liver transplantation. Materials and methods: This study included 89 patients who were classified into two groups: standard triple immunosuppression (IS) regimen of steroid, tacrolimus (TAC) and mycophenolate mofetil (MMF) (n = 47) and induction IS regimen of basiliximab, low dose steroids and MMF with delayed introduction of CNI (n = 42). All patients were followed after liver transplantation for at least six months or until death. Results: There were no significant differences in patient survival, graft dysfunction, infection rate or type, or wound healing between both groups. The acute rejection rate was equivalent in both groups. Renal dysfunction in the first six months post-transplant was less in the basiliximab group in comparison to the other group (7.1% and 19.1% respectively). Conclusion: Basiliximab-induced IS protocol is a safe regimen that reduces medium-term renal dysfunction and achieves similar survival without increasing the acute rejection or infection rate in liver transplantation recipients. |
| first_indexed | 2024-12-16T13:10:46Z |
| format | Article |
| id | doaj.art-d8aeb29f864f48ae99c4ce2720af0d05 |
| institution | Directory Open Access Journal |
| issn | 1665-2681 |
| language | English |
| last_indexed | 2024-12-16T13:10:46Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Hepatology |
| spelling | doaj.art-d8aeb29f864f48ae99c4ce2720af0d052022-12-21T22:30:38ZengElsevierAnnals of Hepatology1665-26812020-09-01195541545Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center studyMohamed Hashim0Ayman Alsebaey1Amr Ragab2Hossam Eldeen Soliman3Imam Waked4Department of Hepatology, National Liver Institute, Menoufiya University, Shebin Elkom, Egypt; Corresponding author at: National Liver Institute, Menoufiya University, Meleg Road, Shebin ElKom, Egypt.Department of Hepatology, National Liver Institute, Menoufiya University, Shebin Elkom, EgyptDepartment of Hepatology, National Liver Institute, Menoufiya University, Shebin Elkom, EgyptDepartment of Hepatobiliary and Pancreatic Surgery, National Liver Institute, Menoufiya University, Shebin Elkom, EgyptDepartment of Hepatology, National Liver Institute, Menoufiya University, Shebin Elkom, EgyptIntroduction and aim: The interleukin-2 receptor antagonist; basiliximab is used to allow delayed introduction of Calcineurin inhibitors (CNI) after liver transplantation and thus delay their renal insult. However, there is only little evidence for the safety and the efficacy of this regimen. This study aimed to evaluate the effectiveness and safety of basiliximab induction in liver transplantation. Materials and methods: This study included 89 patients who were classified into two groups: standard triple immunosuppression (IS) regimen of steroid, tacrolimus (TAC) and mycophenolate mofetil (MMF) (n = 47) and induction IS regimen of basiliximab, low dose steroids and MMF with delayed introduction of CNI (n = 42). All patients were followed after liver transplantation for at least six months or until death. Results: There were no significant differences in patient survival, graft dysfunction, infection rate or type, or wound healing between both groups. The acute rejection rate was equivalent in both groups. Renal dysfunction in the first six months post-transplant was less in the basiliximab group in comparison to the other group (7.1% and 19.1% respectively). Conclusion: Basiliximab-induced IS protocol is a safe regimen that reduces medium-term renal dysfunction and achieves similar survival without increasing the acute rejection or infection rate in liver transplantation recipients.http://www.sciencedirect.com/science/article/pii/S1665268120300818TransplantationImmunosuppressionBasiliximabCalcineurin inhibitorsinterleukin-2Rejection |
| spellingShingle | Mohamed Hashim Ayman Alsebaey Amr Ragab Hossam Eldeen Soliman Imam Waked Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study Annals of Hepatology Transplantation Immunosuppression Basiliximab Calcineurin inhibitors interleukin-2 Rejection |
| title | Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study |
| title_full | Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study |
| title_fullStr | Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study |
| title_full_unstemmed | Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study |
| title_short | Efficacy and safety of basiliximab as initial immunosuppression in liver transplantation: A single center study |
| title_sort | efficacy and safety of basiliximab as initial immunosuppression in liver transplantation a single center study |
| topic | Transplantation Immunosuppression Basiliximab Calcineurin inhibitors interleukin-2 Rejection |
| url | http://www.sciencedirect.com/science/article/pii/S1665268120300818 |
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