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Cytomegalovirus infections after treatment with daclizumab, an anti IL-2 receptor antibody, for prevention of renal allograft rejection. Roche Study Group.

Abstract
Daclizumab is a newly developed humanized anti-IL-2 receptor monoclonal antibody. We describe the effect of adding daclizumab to conventional dual or triple cyclosporine A immunosuppressive therapy on the incidence and nature of cytomegalovirus (CMV) infections in patients receiving a first cadaveric renal graft. In the triple therapy study there was no evidence of any difference in CMV rate or course of disease between the two treatment arms, although in the dual therapy study a decrease in the incidence of CMV infection was observed in the patients treated with daclizumab. The onset of CMV disease was markedly delayed in the daclizumab groups in both studies. Daclizumab can effectively reduce the risk of acute rejection without causing a concomitant increase in opportunistic infections, and by decreasing the need for antirejection therapy may also have a beneficial effect on CMV infection rates.
AuthorsP Hengster, M D Pescovitz, D Hyatt, R Margreiter
JournalTransplantation (Transplantation) Vol. 68 Issue 2 Pg. 310-3 (Jul 27 1999) ISSN: 0041-1337 [Print] United States
PMID10440409 (Publication Type: Clinical Trial, Clinical Trial, Phase III, Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Immunoglobulin G
  • Immunosuppressive Agents
  • Receptors, Interleukin-2
  • Daclizumab
Topics
  • Adult
  • Antibodies, Monoclonal (therapeutic use)
  • Antibodies, Monoclonal, Humanized
  • Cytomegalovirus Infections (drug therapy)
  • Daclizumab
  • Double-Blind Method
  • Female
  • Graft Rejection (prevention & control)
  • Humans
  • Immunoglobulin G (therapeutic use)
  • Immunosuppressive Agents (therapeutic use)
  • Kidney Transplantation (immunology)
  • Male
  • Receptors, Interleukin-2 (immunology)

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