Table 1. Induction immunosuppression.
Citation | Immunosuppressant | N | Methods | Outcomes |
---|---|---|---|---|
Palmer et al. 1999 (7) | ATG vs. no induction | 44 | Prospective RCT | ≥ A2 AR: 23% vs. 55%, P=0.03 BOS: 20% vs. 38% Survival, 1-yr: 68% vs. 73% Survival, 2-yr: 64% vs. 68% No difference in infection or malignancy |
Garrity et al. 2001 (8) | Daclizumab vs. no induction | 61 | Retrospective | ≥ A2 AR: 18% vs. 48%, P<0.04 No difference in infection or PTLD |
Borro et al. 2005 (9) | Basiliximab vs. no induction | 15 | Retrospective | AR: 13% vs. 38.5%, P=0.19 BOS: 20% vs.38.5%, P=0.4 Survival, 2-yr: 80% vs. 54%, P=0.14 No difference in infection or malignancy |
Hachem et al. 2005 (10) | Basiliximab vs. ATG | 157 | Retrospective | Cumulative A AR Score higher at 3-, 6-, 12-month with basiliximab, P=0.003, 0.004, 0.033 respectively BOS stage 1 at 2-yr: 36% vs. 26% |
Burton et al. 2006 (11) | Daclizumab vs. ATG | 335 | Retrospective | Freedom from ≥ A2 AR, 3-month: 9% vs. 32% Freedom from ≥ A2 AR, 2-yr: 0% vs. 26% P<0.0001 |
Mullen et al. 2007 (12) | Daclizumab vs. ATG | 50 | RCT | No difference in AR or BOS at 1 year Survival: 96% vs. 88% |
Ailawadi et al. 2008 (13) | Daclizumab vs. ATG | 163 | Retrospective | AR: 9% vs. 28%, P=0.002 BOS: 6.4% vs. 23%, P=0.02 Survival: 94% vs. 83%, P=0.05 |
Hartwig et al. 2008 (14) | ATG vs. no induction | 44 | Prospective RCT | AR: 62% vs. 68%, P=0.52 Early AR: 5% vs. 41%, P=0.01 Graft survival: 36% vs. 23%, P=0.048 |
Clinckart et al. 2009 (15) | Basiliximab vs. ATG | 37 | Retrospective | AR: 52.4% vs. 43.8% |
RCT, randomized controlled trial; AR, acute rejection; BOS, bronchiolitis obliterans syndrome; PTLD, posttransplantlymphoproliferative disorder; ATG, anti-thymocyte globulin; yr, year.