Alemtuzumab (Campath-1H) induction in a pediatric heart transplant: successful outcome and rationale for its use

J Heart Lung Transplant. 2008 Feb;27(2):242-4. doi: 10.1016/j.healun.2007.11.569.

Abstract

Despite increasing clinical experience in adult transplantation, induction therapy with alemtuzumab (Campath-1H) has rarely been reported in pediatric solid-organ transplants, and has been limited to kidneys, intestine and multi-visceral organs. Basic science research and clinical observations reported from the adult experience suggest potential benefits of alemtuzumab in pediatric organ recipients. We report successful induction therapy with alemtuzumab and steroid-free maintenance therapy for cardiac transplantation in a teenager, and discuss its merits in this patient.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Alemtuzumab
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Humanized
  • Antibodies, Neoplasm / therapeutic use*
  • Cardiomyopathy, Dilated / complications
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Graft Rejection / drug therapy
  • Graft Rejection / prevention & control*
  • Heart Failure / etiology
  • Heart Failure / physiopathology
  • Heart Failure / surgery*
  • Heart Transplantation / immunology*
  • Heart Transplantation / methods
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Postoperative Care / methods
  • Risk Assessment
  • Transplantation Immunology / drug effects
  • Transplantation, Homologous
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antibodies, Neoplasm
  • Immunosuppressive Agents
  • Alemtuzumab