Use of low-dose OKT3 as induction therapy in liver transplantation

James F. Whiting, Annie Fecteau, Jill Martin, Pablo A. Bejarano, Douglas W. Hanto

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background. A pilot study was performed to prospectively evaluate the safety and efficacy of 'low-lose ORTS induction after liver transplantation. Methods. Sixteen patients received a 5- to 10-day course of OKTS (2.5 mg i.v. daily) along with azathioprine, prednisone, and the delayed introduction of cyclosporine (Neoral). Results. Patient and graft survival rates at 1 year were 88% and 82%. Five patients (31%) heal biopsyproven rejection; all five were treated successfully with steroids. There were 15 infections in 12 patients including 5 cytomegalovirus infections. Adverse events attributed to OKT3 consisted of low-grade fever (five patients), transient hypoxemia (three patients), and transient hypotension (two patients). Pharmacy aquisition costs for OKT3 averaged $ 2,139 less as compared to a group of historical controls receiving full-dose therapy. Conclusions. Low-dose OKT3 induction appears to be safe and useful method of postoperative immunosuppression after liver transplantation. Its ultimate clinical, immunologic, and ecomic effecacy awaits determination by randomized trial.

Original languageEnglish (US)
Pages (from-to)577-580
Number of pages4
JournalTransplantation
Volume65
Issue number4
DOIs
StatePublished - Feb 27 1998

ASJC Scopus subject areas

  • Transplantation

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    Whiting, J. F., Fecteau, A., Martin, J., Bejarano, P. A., & Hanto, D. W. (1998). Use of low-dose OKT3 as induction therapy in liver transplantation. Transplantation, 65(4), 577-580. https://doi.org/10.1097/00007890-199802270-00022