EP1013 therapy prevents both IgM and IgG alloantibody formation, both as a single agent and in combination with CTLA4-Ig. Sera were collected via tail vein bleeds prospectively and stored for bulk analysis at the completion of the study using a donor-specific cellular ELISA to measure alloantibody production. A: IgM alloantibody formation was detected in vehicle-treated control animals (●), while treatment with EP1013 (○), CTLA4-Ig (▲), or EP1013+CTLA4-Ig (△) resulted in a significant reduction in IgM alloantibody formation (P < 0.02 for all treatment groups vs. control). B: Similar results were obtained when IgG alloantibody levels were assessed, with vehicle-treated control animals becoming highly sensitized within 2 weeks post-transplantation (●). IgG allosensitization was prevented after treatment with EP1013 (○), CTLA4-Ig (▲), or EP1013+CTLA4-Ig (△) (P < 0.05 for each treatment group vs. control). A minimum of n = 5 serum samples from each treatment group were analyzed in duplicate for these assays. OD, optical density.