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. Author manuscript; available in PMC: 2023 Mar 1.
Published in final edited form as: Xenotransplantation. 2021 Dec 29;29(2):e12723. doi: 10.1111/xen.12723

Table 2:

Example of the complex immunosuppressive, anti-inflammatory, and adjunctive therapy used in pig-to-baboon kidney transplantation experiments during the past several years.

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.