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A new therapy appears to improve transplant rates and
outcomes for patients waiting for kidney transplants, researchers reported in
the July 17 issue of the New England Journal of Medicine.
According to a team of researchers led by Dr. Stanley Jordan
of Cedars-Sinai Medical Center in Los Angeles, Genentech’s cancer drug
rituximab, combined with infusions of antibodies, greatly reduces the risk that
a transplanted kidney will be rejected and vastly improves the chance of
patients finding a donor.
The treatment is especially designed for those who are
“sensitized” to transplant antigens. According to Dr. Jordan, only
6.5 percent of these patients are able to undergo a transplant each year. These
patients are not able to get organ transplants because their immune systems
reject the new organ. However, following the new treatment, these patients
could make their body more receptive to the transplant.
“However, for the highly sensitized patient, transplantation is not an
option unless desensitization therapies are used,” Dr. Jordan said.
In an early-phase trial, Dr. Jordan and colleagues combined intravenous
immunoglobulin and rituximab to desensitize patients whose bodies rejected the
transplant. The researchers found that eighty percent of patients receiving
both drugs were able to get a transplant. Also all patients survived to the end
of one year.
Now the findings need to be validated in further trials before being
actually used in hospitals.
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