Short-term outcome after simultaneous pancreas-kidney transplantation with alemtuzumab vs. basiliximab induction: a single-center retrospective study.

Publication date: Jul 01, 2025

During the COVID-19 pandemic our center adjusted the standard induction therapy for normal immunological risk simultaneous pancreas-kidney (SPK) transplantations from T-cell depletion by alemtuzumab (ALEM) to IL-2 receptor blocking by basiliximab (IL2R). Here, we analyze the impact of this change on 1 year post-transplantation outcomes. Thirty-six adult patients who underwent SPK transplantation between June 2015 and June 2023 were included, of whom 21 before February 2020 (ALEM) and 15 after February 2020 (IL2R). Patients were stratified into two groups based on the induction therapy received. One death occurred during the follow up period. A total of three pancreas and two kidney grafts were lost. No differences between kidney and pancreas graft function or rejection rates were observed. Patients receiving IL2R induction had significantly lower 30 day postoperative complication rates (34 vs. 46%, p = 0. 03) and experienced fewer bacterial infections (

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Concepts Keywords
Bacterial Adult
February Alemtuzumab
June Alemtuzumab
Kidney Alemtuzumab
Postoperative Basiliximab
Basiliximab
Basiliximab
COVID-19
COVID-19
Female
Graft Rejection
Graft Survival
Humans
Immunosuppression
Immunosuppressive Agents
Immunosuppressive Agents
Induction
Kidney Transplantation
Male
Middle Aged
Pancreas Transplantation
Pancreas transplantation
Postoperative Complications
Receptors, Interleukin-2
Receptors, Interleukin-2
Retrospective Studies
SARS-CoV-2
Treatment Outcome

Semantics

Type Source Name
drug DRUGBANK Alemtuzumab
drug DRUGBANK Basiliximab
disease MESH COVID-19 pandemic
disease IDO cell
disease MESH death
disease MESH postoperative complication
disease MESH bacterial infections
disease IDO immunosuppression

Original Article

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