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Articles tagged "Immunosuppression"

  • 2018 American Transplant Congress

    Medicare Part D Plans Deny Coverage for Off-Label and Off-Compendia Immunosuppressant Use: A Case Series

    L. Potter, E. Garrity.

    Pharmacy, University of Chicago Medicine, Chicago, IL; Pulmonary & Critical Care Medicine, University of Chicago Medicine, Chicago, IL.

    Immunosuppressants are a protected drug class under the Medicare Part D benefit, meaning that all drugs in this class must be present on all plan…
  • 2018 American Transplant Congress

    Steroid Avoidance in Renal Transplant Patients Treated with Everolimus and Low-Exposure Tacrolimus

    T. Sandes-Freitas,1,2 M. Sales,1 J. Oliveira,1 M. Oliveira,1 G. Dantas,2 C. Girão,1 R. Esmeraldo.1

    1Hospital Geral de Fortaleza, Fortaleza, Ceara, Brazil; 2Universidade Federal do Ceara, Fortaleza, Ceara, Brazil.

    Background: Previous studies reported efficacy and safety of steroid-free regimens after kidney transplant (KT). However, there is no robust evidence on this strategy in patients…
  • 2018 American Transplant Congress

    Urinary CXCL9 Monitoring to Accompany a Safe CNI-to-Belatacept Conversion in Kidney Transplant Patients

    P. Malvezzi,1 C. Fischman,2 T. Jouve,1 B. Janbon,1 P. Heeger,2 L. Rostaing,1 P. Cravedi.2

    1Service de Néphrologie, Dialyse, Aphérèses et Transplantation, CHU Grenoble Alpes, Grenoble, France; 2Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

    Background: Converting renal transplant recipients from CNI to belatacept immunosuppression has been proposed as a strategy to limit nephrotoxicity, but it is associated with an…
  • 2018 American Transplant Congress

    Long-Term Outcomes of Liver Transplantation in Patients with Pre-Transplant Renal Dysfunction Treated with Induction Therapy and Delayed Reduced De Novo Once-Daily Tacrolimus

    M. Gastaca,1 J. Bustamante,2 A. Ventoso,1 J. Fernandez,2 P. Ruiz,1 M. Testillano,2 M. Prieto,1 P. Salvador,2 I. Palomares,1 M. Senosiain,2 M. Suarez,2 A. Valdivieso.1

    1Hepatobiliary Surgery and Liver Transplant Unit, Cruces University Hospital, Bilbao, Spain; 2Hepatology Unit, Cruces University Hospital, Bilbao, Spain.

    AIM: To describe the long-term outcome of liver transplantation (LT) in patients with pre-transplant renal dysfunction treated with induction therapy and delayed reduced de novo…
  • 2018 American Transplant Congress

    Analyzing Transplant Medication Myths

    R. Krislock, J. Brandenberger, P. Stracener, A. Weiss, K. Wipperling, C. Kuhr.

    Division of Transplant, Virginia Mason Medical Center, Seattle, WA.

    Patients may misconstrue the amount of medications required for transplantation, expecting to take “handfuls” of medications for life. This study aims to determine the change…
  • 2018 American Transplant Congress

    Delayed Achievement of Therapeutic Tacrolimus Levels after Renal Transplantation is Not Associated with Increased Incidence of Early Acute Rejection: Single-Center Results

    R. Marshall, J. Brandenberger, A. Cantafio, J. Halldorson, R. Bakthavatsalam, A. Dick, S. Rayhill, J. Reyes, J. Perkins.

    Division of Transplant Surgery, Department of Surgery, University of Washington, Seattle, WA.

    Induction therapy followed by maintenance with a calcineurin inhibitor aims to minimize the incidence of early rejection and optimize the potential for allograft function. However…
  • 2018 American Transplant Congress

    Belatacept Maintenance Immunosuppression Use and Outcomes in the Real-World Clinical Setting Using OPTN/UNOS Kidney Transplant Registry

    S. Sanoff,1 K. Ravindra,1 W. Irish.1,2

    1Duke University Medical Center, Durham, NC; 2CTI Consulting, Raleigh, NC.

    Introduction:Belatacept (BEL) was FDA approved for Kidney Transplantation (KTx) June 2011. It has largely been evaluated in two controlled trials (N Engl J Med 2016;374:333-43).…
  • 2018 American Transplant Congress

    Validation of an Integrative and Dynamic Prognostic Score for Response to Therapy in Solid Organ Transplants

    A. Loupy, O. Aubert, D. Viglietti, C. Legendre, D. Glotz, C. Lefaucheur.

    Paris Translational Center for Organ Transplantation, Paris, France.

    Drug development in transplantation has diminished due to the lack of suitable endpoints for predicting graft failure. We sought to validate the performance of an…
  • 2018 American Transplant Congress

    Cost Impacts of Alternative Kidney Transplant Immunosuppression: A National Cohort Study

    K. Lentine,1 D. Axelrod,2 V. Dharnidharka,3 H. Xiao,1 D. Brennan,4 D. Segev,4 H. Randall,1 R. Ouseph,1 A. Naik,5 N. Lam,6 T. Alhamad,3 B. Kasiske,7 G. Hess,8 M. Schnitzler.1

    1Saint Louis Univ, St. Louis; 2Lahey Clinic, Burlington; 3Washington Univ, St. Louis; 4Johns Hopkins, Baltimore; 5Univ Michigan, Ann Arbor; 6Univ Alberta, Edmonton, Canada; 7Hennepin County, Minneapolis; 8Symphony Health, Conshohocken.

    Economic outcomes are increasingly considered along with clinical efficacy to guide choice of alternative therapies. We examined the cost impact of kidney transplant (KTx) induction…
  • 2018 American Transplant Congress

    Clinical Validation of a Novel ELISpot-Based In Vitro Diagnostic Assay to Monitor CMV-Specific Cell-Mediated Immunity in Kidney Transplant Recipients

    B. Banas,1 D. Steubl,2 L. Renders,2 D. Chittka,1 M. Banas,1 T. Wekerle,3 M. Koch,4 O. Witzke,5 A. Muehlfeld,6 C. Sommerer,7 A. Habicht,8 C. Hugo,9 T. Huenig,10 M. Lindemann,5 T. Schmidt,11 A. Rascle,11 S. Barabas,11 L. Deml,11 R. Wagner,1,11 B. Kraemer,12 B. Krueger.12

    1University Clinic, Regensburg, Germany; 2Clinic rechts der Isar TUM, Munich, Germany; 3Medical University, Vienna, Austria; 4University Clinic, Hamburg-Eppendorf, Germany; 5University Hospital, Essen, Germany; 6Uniklinik RWTH, Aachen, Germany; 7University Hospital, Heidelberg, Germany; 8LMU Medical Center, Munich, Germany; 9University Hospital, Dresden, Germany; 10University Hospital, Wuerzburg, Germany; 11Lophius Biosciences, Regensburg, Germany; 12UMM Uni. Heidelberg, Mannheim, Germany.

    Impaired cytomegalovirus (CMV)-specific cell-mediated immunity (CMV-CMI) is a major cause ofCMV reactivation and associated complications in solid-organ transplantation. Reliably assessing CMV-CMI is desirable to individually…
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