Opportunistic Infections and Efficacy Following Conversion to Belatacept-Based Therapy after Kidney Transplantation: A French Multicenter Cohort.

CMV infection belatacept kidney transplantation opportunistic infections pneumocystis pneumonia tacrolimus

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
28 Oct 2020
Historique:
received: 02 10 2020
revised: 22 10 2020
accepted: 26 10 2020
entrez: 31 10 2020
pubmed: 1 11 2020
medline: 1 11 2020
Statut: epublish

Résumé

Conversion from calcineurin-inhibitors (CNIs) to belatacept can help kidney-transplant (KT) recipients avoid CNI-related nephrotoxicity. The risk of associated opportunistic infections (OPIs) is ill-defined. We conducted a multicentric cohort study across 15 French KT-centers in a real-life setting. Between 07-2010 and 07-2019, 453 KT recipients were converted from CNI- to belatacept-based therapy at 19 [0.13-431] months post-transplantation. Most patients, i.e., 332 (79.3%), were converted after 6-months post-transplantation. Follow-up time after conversion was 20.1 +/- 13 months. OPIs developed in 42(9.3%) patients after 14 +/- 12 months post-conversion. Eight patients (19%) had two OPI episodes during follow-up. Incidences of CMV DNAemia and CMV disease were significantly higher in patients converted before 6-months post-KT compared to those converted later (i.e., 31.6% vs. 11.5%;

Identifiants

pubmed: 33126667
pii: jcm9113479
doi: 10.3390/jcm9113479
pmc: PMC7693007
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Dominique Bertrand (D)

Department of Nephrology and Transplantation, Rouen University Hospital, 76000 Rouen, France.

Florian Terrec (F)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.

Isabelle Etienne (I)

Department of Nephrology and Transplantation, Rouen University Hospital, 76000 Rouen, France.

Nathalie Chavarot (N)

Department of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.

Rebecca Sberro (R)

Department of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.

Philippe Gatault (P)

Department of Nephrology, Tours University Hospital, 37000 Tours, France.

Cyril Garrouste (C)

Department of Nephrology, Clermont Ferrand University Hospital, 63000 Clermont Ferrand, France.

Nicolas Bouvier (N)

Department of Nephrology, Caen University Hospital, 14000 Caen, France.

Anne Grall-Jezequel (A)

Department of Nephrology, Brest University Hospital, 28200 Brest, France.

Maïté Jaureguy (M)

Department of Nephrology, Amiens University Hospital, 80000 Amiens, France.

Sophie Caillard (S)

Department of Nephrology, Strasbourg University Hospital, 67000 Strasbourg, France.

Eric Thervet (E)

Department of Nephrology, European Georges Pompidou University Hospital, 75000 Paris, France.

Charlotte Colosio (C)

Department of Nephrology, Reims University Hospital, 51100 Reims, France.

Leonard Golbin (L)

Department of Nephrology, Rennes University Hospital, 35000 Rennes, France.

Jean-Philippe Rerolle (JP)

Department of Nephrology, Limoges University Hospital, 87000 Limoges, France.

Antoine Thierry (A)

Department of Nephrology, Poitiers University Hospital, 86000 Poitiers, France.

Johnny Sayegh (J)

Department of Nephrology, Angers University Hospital, 49000 Angers, France.

Bénédicte Janbon (B)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.

Paolo Malvezzi (P)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.

Thomas Jouve (T)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.
Department of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.

Lionel Rostaing (L)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.
Department of Adult Kidney Transplantation, Necker-Enfants Malades University Hospital, 75000 Paris, France.

Johan Noble (J)

Nephrology, Hemodialysis, Apheresis and Kidney Transplantation Department, University Hospital Grenoble, 38000 Grenoble, France.

Classifications MeSH