Belatacept-based immunosuppressive regimen in HIV-positive kidney transplant recipients Article Swipe
Karim El Sakhawi
,
Giovanna Melica
,
Anne Scemla
,
Dominique Bertrand
,
Cyril Garrouste
,
Paolo Malvezzi
,
Philippe Rémy
,
Anissa Moktefi
,
Alexandre Ingels
,
C. Champy
,
Jean‐Daniel Lelièvre
,
David Kheav
,
Antoine Morel
,
David Mokrani
,
Philippe Attias
,
Philippe Grimbert
,
Marie Matignon
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/ckj/sfaa231
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1093/ckj/sfaa231
Background Kidney allograft survival in human immunodeficiency virus (HIV)-positive patients is lower than that in the general population. Belatacept increases long-term patient and allograft survival rates when compared with calcineurin inhibitors (CNIs). Its use in HIV-positive recipients remains poorly documented. Methods We retrospectively report a French cohort of HIV-positive kidney allograft recipients who were switched from CNI to belatacept, between June 2012 and December 2018. Patient and allograft survival rates, HIV immunovirological and clinical outcomes, acute rejection, opportunistic infections (OIs) and HLA donor-specific antibodies (DSAs) were analysed at 3 and 12 months, and at the end of follow-up (last clinical visit attended after transplantation). Results were compared with HIV-positive recipients group treated with CNI. Results Twelve patients were switched to belatacept 10 (2–25) months after transplantation. One year after belatacept therapy, patient and allograft survival rates scored 92% for both, two (17%) HIV virological rebounds occurred due to antiretroviral therapy non-compliance, and CD4+ and CD8+ T-cell counts remained stable over time. Serious adverse events included two (17%) acute steroid-resistant T-cell-mediated rejections and three (25%) OIs. Kidney allograft function significantly increased over the 12 post-switch months (P = 0.009), and DSAs remained stable at 12 months after treatment. The control group showed similar results in terms of patient and kidney allograft survival rates, DSA characteristics and proteinuria Conclusions Switch from CNI to belatacept can be considered safe and may increase long-term kidney allograft survival in HIV-positive kidney allograft recipients. These results need to be confirmed in a larger cohort.
Related Topics
Concepts
Belatacept
Medicine
Kidney transplantation
Regimen
Internal medicine
Urology
Population
Transplantation
Renal function
Abatacept
Immunosuppression
Calcineurin
Rituximab
Kidney transplant
Environmental health
Lymphoma
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ckj/sfaa231
- https://academic.oup.com/ckj/article-pdf/14/8/1908/39449664/sfaa231.pdf
- OA Status
- gold
- Cited By
- 7
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3113227695
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3113227695Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ckj/sfaa231Digital Object Identifier
- Title
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Belatacept-based immunosuppressive regimen in HIV-positive kidney transplant recipientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-11-04Full publication date if available
- Authors
-
Karim El Sakhawi, Giovanna Melica, Anne Scemla, Dominique Bertrand, Cyril Garrouste, Paolo Malvezzi, Philippe Rémy, Anissa Moktefi, Alexandre Ingels, C. Champy, Jean‐Daniel Lelièvre, David Kheav, Antoine Morel, David Mokrani, Philippe Attias, Philippe Grimbert, Marie MatignonList of authors in order
- Landing page
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https://doi.org/10.1093/ckj/sfaa231Publisher landing page
- PDF URL
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https://academic.oup.com/ckj/article-pdf/14/8/1908/39449664/sfaa231.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://academic.oup.com/ckj/article-pdf/14/8/1908/39449664/sfaa231.pdfDirect OA link when available
- Concepts
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Belatacept, Medicine, Kidney transplantation, Regimen, Internal medicine, Urology, Population, Transplantation, Renal function, Abatacept, Immunosuppression, Calcineurin, Rituximab, Kidney transplant, Environmental health, LymphomaTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2023: 4, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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28Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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