Table 2:
Agent | Dose (duration) |
---|---|
Induction | |
Thymoglobulin (ATG) (Genzyme, Cambridge, MA) | 10 mg/kg i.v. (day −3) (to reduce the CD3+T cell count to <500/mm3) |
Anti-CD20mAb (rituximab) (Genentech, South San Francisco, CA) | 10 mg/kg i.v. (day −2) |
Cobra venom factor (CVF) (Complement Technology, Tyler, TX) OR C1-esterase inhibitor (Berinert, CSL Behring, King of Prussia, PA) |
100 U/kg (days −1 and 0) 17.5 U/kg i.v. (days 0, 1, 7 and 14) |
Maintenance | |
Anti-CD40 monoclonal antibody (mAb) (2C10R4, a chimeric rhesus IgG4) (NIH NHP Resource Center, Boston, MA) | 50 mg/kg (days −1, 0, 4, 7, 14, and weekly) |
Rapamycin (Rapa) (LC Laboratories, Woburn, MA) | 0.01–0.04 mg/kg i.m. ×2/d (target trough 6–10 ng/ml), beginning on day −4. |
Methylprednisolone (Astellas, Deerfield, IL) | 5 mg/kg/d on day 0, tapering to 0.125 mg/kg/d by day 7. |
Anti-inflammatory | |
Etanercept (TNF-α antagonist) (Amgen, Thousand Oaks, CA) | 1 mg/kg (day 0), 0.5 mg/kg i.v. (days 3, 7, 10) |
Adjunctive | |
Triiodothyronine (levothyroxine) (Xgen, Big Flats, NY, USA) Aspirin (Bayer, Deland, FL) |
4μg i.v. x2/day on days 0–5. 40 mg p.o. (alternate days), beginning on day 4. |
Low molecular weight heparin (LMWH) (Eisai, Woodcliff Lake, NJ) | 700 IU/d s.c., beginning of day 1. |
Famotidine (APP Pharmaceuticals, Schaumburg, IL) | 0.25 mg/kg/d ×2 (days −7 to 14) |
Erythropoietin (Amgen) | 500 U i.v. x2-3 weekly, beginning on day −4 |
Ganciclovir (Genentech) | 5 mg/kg/d i.v., from day −4 to day 14 and when the baboon is sedated for blood draws (x2 weekly). |
Valganciclovir (Genentech) | 15 mg/kg/d p.o., beginning on day 15 |
Sulfamethoxazole and trimethoprim (Teva, North Wales, PA) | 10 mg/kg i.v. daily, on days 4–14 |
Sulfamethoxazole and trimethoprim oral suspension (Akorn, Lake Forest, IL) | 75 mg/m2 p.o x2/day. x3 weekly, beginning on day 15. |