Table 1.
Cases of antibody-mediated rejection treated with eculizumab.
Patients | Regimen | Outcome | |
---|---|---|---|
Locke et al. (2009) [5] | 20-yo male Bone marrow transplant Positive DSA Positive crossmatch |
1 dose (600 mg) | Improvement in allograft function and AMR resolution in biopsy |
| |||
Lonze et al. (2010) [6] | 43-yo female Kidney pair exchange Positive DSA Positive crossmatch |
8 doses (1200 mg × 4, 600 mg × 4) | Normalization of allograft function |
| |||
González-Roncero et al. (2012) [7] | 2 cases 49-yo male and 34 yo female Low immunological risk |
1 dose (600 mg) | Improvement in allograft function |
| |||
Noone et al. (2012) [8] | 13-yo female High immunological risk Factor H deficiency |
2 doses (600 mg, 900 mg) | Improvement in allograft function |
| |||
Stewart et al. (2012) [9] | 29-yo male ABO incompatibility |
5 doses | Improvement in allograft function and resolution of AMR in biopsy |
| |||
Kocak et al. (2013) [10] | 2 cases 26-yo female and 46-yo female Positive DSA |
5 doses (5 × 900 mg) | Improvement in allograft function (only 1 recipient) |
| |||
Burbach et al. (2014) [12] | 2 cases 43-yo female and 36-yo male Positive DSA Negative C4d in biopsy |
6 doses (900 mg × 4, 1200 mg × 2) | No improvement in allograft function |
| |||
Chehade et al. (2015) [11] | 7-yo male Positive DSA |
2 doses (600 mg × 2) | Normalization of allograft function |
| |||
Current case (2015) | 50-yo female Pretransplant positive DSA Negative C4d in biopsy |
3 doses (1200 mg × 1, 900 mg × 2) | Transient stabilization of allograft function Persistence of AMR in repeated biopsy |
DSA: donor specific antibody.
yo: year-old.
AMR: antibody-mediated rejection.