ANTI-THYMOCYTE GLOBULIN (ATGAM) IN RENAL-ALLOGRAFT RECIPIENTS - MULTICENTER TRIALS USING A 14-DOSE REGIMEN

被引:51
作者
WECHTER, WJ [1 ]
BRODIE, JA [1 ]
MORRELL, RM [1 ]
RAFI, M [1 ]
SCHULTZ, JR [1 ]
机构
[1] UPJOHN CO, DEPT BIOSTAT, KALAMAZOO, MI 49001 USA
关键词
D O I
10.1097/00007890-197910000-00006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Antithymocyte globulin (ATG, ATGAM; The Upjohn Company) was tested for efficacy and safety in controlled studies in 358 renal allograft recipients. A total of 183 patients were treated according to protocols prescribing 14 daily doses of ATG in addition to standard immunosuppressive therapy with azathioprine and prednisone, while 175 controls received no ATG. Four ATG lots were tested; results with each lot were analyzed separately, and the data were also pooled to obtain an overall impression.ATG delayed the onset of the first rejection episode during the prescribed treatment period (2 weeks). Concurrently, less i.v. steroid was required, but the steroid dosage requirement then rebounded in the 2 weeks after the end of the prescribed treatment period. ATG did not significantly improve the proportion of patients alive with functioning grafts 6 months after transplant, except with one of the four lots. © 1979 by The Williams and Wilkins Co.
引用
收藏
页码:294 / 302
页数:9
相关论文
共 32 条
[1]  
AMARE M, 1977, CLIN RES, V25, pA33
[2]  
ASCENSAO J, 1976, LANCET, V1, P669
[3]   EFFECT OF IMMUNOSUPPRESSIVE THERAPY FOR RENAL-ALLOGRAFTS ON NUMBER OF CIRCULATING SHEEP RED BLOOD-CELL ROSETTING CELLS [J].
BISHOP, G ;
COSIMI, AB ;
VOYNOW, NK ;
WHELCHEL, JD ;
WORTIS, HH .
TRANSPLANTATION, 1975, 20 (02) :123-129
[4]  
BOONSUE S, 1975, 1975 WEST REG M AM R
[5]  
BRADLEY J. V., 1968, DISTRIBUTION FREE ST
[6]  
BRESLOW N, 1970, BIOMETRIKA, V57, P579, DOI 10.1093/biomet/57.3.579
[7]   IMMUNOSUPPRESSION AND TEMPORARY SKIN TRANSPLANTATION IN TREATMENT OF MASSIVE 3RD DEGREE BURNS [J].
BURKE, JF ;
QUINBY, WC ;
BONDOC, CC ;
COSIMI, AB ;
RUSSELL, PS ;
SZYFELBEIN, SK .
ANNALS OF SURGERY, 1975, 182 (03) :183-197
[8]  
BUTT KMH, 1978, KIDNEY INT, V13, pS95
[9]  
BYFIELD PE, 1978, TRANSPLANT P, V10, P627
[10]   MECHANISMS IN ACCEPTANCE OF ORGAN GRAFTS [J].
CALNE, RY .
BRITISH MEDICAL BULLETIN, 1976, 32 (02) :107-112