Improved renal allograft survival in children treated with FK 506 (tacrolimus) rescue therapy

被引:8
|
作者
Corey, HE [1 ]
Tellis, V [1 ]
Schechner, R [1 ]
Greenstein, SM [1 ]
机构
[1] MONTEFIORE MED CTR,ALBERT EINSTEIN COLL MED,DEPT PEDIAT,BRONX,NY 10467
关键词
allograft rejection; FK; 506;
D O I
10.1007/s004670050198
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
FK 506 has been reported to be effective in reversing acute renal allograft rejection that is resistant to steroids and to OKT3. The contribution of FK 506 ''rescue'' therapy to long-term graft survival has not been determined. We report 23 children transplanted between January 1993 and December 1994, 10 of whom received FK 506 ''rescue'' therapy. Acute rejection was reversed in 8 of 10, with 7 of the remaining grafts still functioning after a mean follow-up of 10.9 +/- 7.8 (SD) months (range 1 - 26 months). The actuarial 1-year graft survival rate was 86% compared with 66% for historical controls (P < 0.05). We conclude that FK 506 may provide long-term benefits to children facing allograft loss due to acute rejection.
引用
收藏
页码:720 / 722
页数:3
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