Jul 18, 2015

Effect of Pretransplant Rituximab Use on Posttransplant Clinical Outcomes in Patients with High Panel Reactive Antibody Scores

Nephron
Seun Deuk HwangChul Woo Yang

Abstract

Whether desensitization treatment is needed before kidney transplant (KT) in patients with high panel reactive antibody (PRA) scores but negative cross-matching (XM) tests remains controversial. This study aimed to investigate the effect of pretransplant rituximab (RTX) treatment on clinical outcomes in these patients. The study included 52 patients with PRA >50% but negative XM tests before transplantation. A single dose of RTX was administered before KT in 32 patients (RTX group). The 20 patients without RTX treatment were considered as controls (CON group). We compared the development of acute antibody-mediated rejection (AMR), rejection-free survival, allograft function, allograft and patients' survival rates and infection rates between the 2 groups. The rate of acute AMR development was significantly lower in the RTX group than in the CON group (p = 0.009), and rejection-free survival in the RTX group was higher than in the CON group (p = 0.042). The 3-year graft and patient survival rates were higher in the RTX group than in the CON group (p = 0.007 and p = 0.037, respectively). There were no significant differences in infection rates between the groups. Pretransplant use of RTX improved the post-transplant clinical outco...Continue Reading

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Mentioned in this Paper

Real-Time Polymerase Chain Reaction
Transplanted Kidney
Study
Laboratory Procedures
Immunologic Deficiency Syndromes
Virus Diseases
Pancreatitis, Graft
CNOT8
Mycophenolate mofetil
Epidermal Growth Factor Receptor Activity

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