Anti-TNFα as an Adjunctive Therapy in Pancreas and Kidney Transplantation Article Swipe
Christophe Masset
,
Benoît Mesnard
,
Olivia Rousseau
,
Alexandre Walencik
,
I. Chelghaf
,
Magali Giral
,
Aurélie Houzet
,
Gilles Blancho
,
Jacques Dantal
,
Julien Branchereau
,
Claire F. Garandeau
,
Diego Cantarovich
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/ti.2025.14026
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/ti.2025.14026
The rate of early pancreas allograft failure remains high due to thrombosis but also to severity of rejection episodes. We investigated if adjunct anti-TNFα therapy was safe and could improve outcomes after pancreas transplantation. We investigated all pancreas transplants performed in our institution between 2010 and 2022. Etanercept, an anti TNFα therapy, was added to our standard immunosuppressive regimen since 2017 after approval from our institutional human ethics committee. Pancreas survival, rejection episodes, as well as infectious complications were analyzed. A total of 236 pancreas transplants were included, among whom 87 received Etanercept for induction. In multivariable analysis, after adjustment on confounding variables, pancreas survival did not differ between groups (HR = 0.92, CI 95% = 0.48; 1.73, p = 0.79). However, patients receiving Etanercept presented a significantly lower occurrence of pancreas rejection in multivariate analysis (HR = 0.36, CI 95% = 0.14; 0.95, p = 0.04). Patients receiving Etanercept did not experienced a higher risk of bacterial, fungal, CMV nor BK virus infections compared to the non-treated group. The use of anti-TNFα after pancreas transplantation was safe and did not increase infectious complications. Despite a similar rate of thrombosis, anti-TNFα significantly reduced pancreatic rejection, thus supporting its use among pancreas transplant recipients.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/ti.2025.14026
- https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2025.14026/pdf
- OA Status
- gold
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408586875
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4408586875Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/ti.2025.14026Digital Object Identifier
- Title
-
Anti-TNFα as an Adjunctive Therapy in Pancreas and Kidney TransplantationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-03-18Full publication date if available
- Authors
-
Christophe Masset, Benoît Mesnard, Olivia Rousseau, Alexandre Walencik, I. Chelghaf, Magali Giral, Aurélie Houzet, Gilles Blancho, Jacques Dantal, Julien Branchereau, Claire F. Garandeau, Diego CantarovichList of authors in order
- Landing page
-
https://doi.org/10.3389/ti.2025.14026Publisher landing page
- PDF URL
-
https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2025.14026/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2025.14026/pdfDirect OA link when available
- Concepts
-
Medicine, Etanercept, Pancreas transplantation, Pancreas, Internal medicine, Transplantation, Regimen, Gastroenterology, Surgery, Kidney transplantation, Tumor necrosis factor alphaTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
43Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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