Very Low Dose Anti-Thymocyte Globulins Versus Basiliximab in Non-Immunized Kidney Transplant Recipients Article Swipe
Christophe Masset
,
Clarisse Kerleau
,
Gilles Blancho
,
Maryvonne Hourmant
,
Alexandre Walencik
,
Simon Ville
,
Delphine Kervella
,
Diego Cantarovich
,
Aurélie Houzet
,
Magali Giral
,
Claire F. Garandeau
,
Jacques Dantal
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/ti.2023.10816
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3389/ti.2023.10816
The choice between Basiliximab (BSX) or Anti-Thymocyte Globulin (ATG) as induction therapy in non-immunized kidney transplant recipients remains uncertain. Whilst ATG may allow steroid withdrawal and a decrease in tacrolimus, it also increases infectious complications. We investigated outcomes in non-immunized patients receiving a very low dosage of ATG versus BSX as induction. Study outcomes were patient/graft survival, cumulative probabilities of biopsy proven acute rejection (BPAR), infectious episode including CMV and post-transplant diabetes (PTD). Cox, logistic or linear statistical models were used depending on the studied outcome and models were weighted on propensity scores. 100 patients received ATG (mean total dose of 2.0 mg/kg) and 83 received BSX. Maintenance therapy was comparable. Patient and graft survival did not differ between groups, nor did infectious complications. There was a trend for a higher occurrence of a first BPAR in the BSX group (HR at 1.92; 95%CI: [0.77; 4.78]; p = 0.15) with a significantly higher BPAR episodes (17% vs 7.3%, p = 0.01). PTD occurrence was significantly higher in the BSX group (HR at 2.44; 95%CI: [1.09; 5.46]; p = 0.03). Induction with a very low dose of ATG in non-immunized recipients was safe and associated with a lower rate of BPAR and PTD without increasing infectious complications.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/ti.2023.10816
- OA Status
- gold
- Cited By
- 8
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4319162116
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4319162116Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/ti.2023.10816Digital Object Identifier
- Title
-
Very Low Dose Anti-Thymocyte Globulins Versus Basiliximab in Non-Immunized Kidney Transplant RecipientsWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-03Full publication date if available
- Authors
-
Christophe Masset, Clarisse Kerleau, Gilles Blancho, Maryvonne Hourmant, Alexandre Walencik, Simon Ville, Delphine Kervella, Diego Cantarovich, Aurélie Houzet, Magali Giral, Claire F. Garandeau, Jacques DantalList of authors in order
- Landing page
-
https://doi.org/10.3389/ti.2023.10816Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/ti.2023.10816Direct OA link when available
- Concepts
-
Medicine, Basiliximab, Anti-thymocyte globulin, Thymoglobulin, Immunosuppression, Internal medicine, Cumulative dose, Urology, Kidney transplantation, Gastroenterology, Globulin, Surgery, KidneyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
8Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5, 2024: 1, 2023: 2Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.with | 149, 180, 194 |
| abstract_inverted_index.(ATG) | 8 |
| abstract_inverted_index.(BSX) | 4 |
| abstract_inverted_index.(mean | 97 |
| abstract_inverted_index.0.15) | 148 |
| abstract_inverted_index.1.92; | 142 |
| abstract_inverted_index.2.44; | 172 |
| abstract_inverted_index.7.3%, | 157 |
| abstract_inverted_index.Study | 52 |
| abstract_inverted_index.There | 124 |
| abstract_inverted_index.acute | 62 |
| abstract_inverted_index.allow | 22 |
| abstract_inverted_index.first | 134 |
| abstract_inverted_index.graft | 113 |
| abstract_inverted_index.group | 139, 169 |
| abstract_inverted_index.lower | 196 |
| abstract_inverted_index.total | 98 |
| abstract_inverted_index.trend | 127 |
| abstract_inverted_index.(PTD). | 72 |
| abstract_inverted_index.0.01). | 160 |
| abstract_inverted_index.0.03). | 178 |
| abstract_inverted_index.4.78]; | 145 |
| abstract_inverted_index.5.46]; | 175 |
| abstract_inverted_index.95%CI: | 143, 173 |
| abstract_inverted_index.Whilst | 19 |
| abstract_inverted_index.[0.77; | 144 |
| abstract_inverted_index.[1.09; | 174 |
| abstract_inverted_index.biopsy | 60 |
| abstract_inverted_index.choice | 1 |
| abstract_inverted_index.differ | 117 |
| abstract_inverted_index.dosage | 45 |
| abstract_inverted_index.higher | 130, 152, 165 |
| abstract_inverted_index.kidney | 14 |
| abstract_inverted_index.linear | 76 |
| abstract_inverted_index.mg/kg) | 102 |
| abstract_inverted_index.models | 78, 87 |
| abstract_inverted_index.proven | 61 |
| abstract_inverted_index.versus | 48 |
| abstract_inverted_index.(BPAR), | 64 |
| abstract_inverted_index.Patient | 111 |
| abstract_inverted_index.between | 2, 118 |
| abstract_inverted_index.episode | 66 |
| abstract_inverted_index.groups, | 119 |
| abstract_inverted_index.outcome | 85 |
| abstract_inverted_index.remains | 17 |
| abstract_inverted_index.scores. | 92 |
| abstract_inverted_index.steroid | 23 |
| abstract_inverted_index.studied | 84 |
| abstract_inverted_index.therapy | 11, 108 |
| abstract_inverted_index.without | 202 |
| abstract_inverted_index.Globulin | 7 |
| abstract_inverted_index.decrease | 27 |
| abstract_inverted_index.diabetes | 71 |
| abstract_inverted_index.episodes | 154 |
| abstract_inverted_index.logistic | 74 |
| abstract_inverted_index.outcomes | 37, 53 |
| abstract_inverted_index.patients | 40, 94 |
| abstract_inverted_index.received | 95, 105 |
| abstract_inverted_index.survival | 114 |
| abstract_inverted_index.weighted | 89 |
| abstract_inverted_index.Induction | 179 |
| abstract_inverted_index.depending | 81 |
| abstract_inverted_index.including | 67 |
| abstract_inverted_index.increases | 32 |
| abstract_inverted_index.induction | 10 |
| abstract_inverted_index.receiving | 41 |
| abstract_inverted_index.rejection | 63 |
| abstract_inverted_index.survival, | 56 |
| abstract_inverted_index.associated | 193 |
| abstract_inverted_index.cumulative | 57 |
| abstract_inverted_index.increasing | 203 |
| abstract_inverted_index.induction. | 51 |
| abstract_inverted_index.infectious | 33, 65, 122, 204 |
| abstract_inverted_index.occurrence | 131, 162 |
| abstract_inverted_index.propensity | 91 |
| abstract_inverted_index.recipients | 16, 189 |
| abstract_inverted_index.transplant | 15 |
| abstract_inverted_index.uncertain. | 18 |
| abstract_inverted_index.withdrawal | 24 |
| abstract_inverted_index.Basiliximab | 3 |
| abstract_inverted_index.Maintenance | 107 |
| abstract_inverted_index.comparable. | 110 |
| abstract_inverted_index.statistical | 77 |
| abstract_inverted_index.tacrolimus, | 29 |
| abstract_inverted_index.investigated | 36 |
| abstract_inverted_index.non-immunized | 13, 39, 188 |
| abstract_inverted_index.patient/graft | 55 |
| abstract_inverted_index.probabilities | 58 |
| abstract_inverted_index.significantly | 151, 164 |
| abstract_inverted_index.Anti-Thymocyte | 6 |
| abstract_inverted_index.complications. | 34, 123, 205 |
| abstract_inverted_index.post-transplant | 70 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.87838855 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |