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Review

Belatacept for prevention of acute rejection in adult patients who have had a kidney transplant: an update

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Pages 385-393 | Published online: 02 Nov 2012

Figures & data

Figure 1 Signal 1 is antigenic, whereas signal 2 is costimulatory from the antigen-presenting cell.

Note: Following costimulation, cytokines such as interleukin-2 drive T-cell division, causing clonal expansion.
Abbreviations: MHC, major histocompatibility complex; TCR, T-cell receptor.
Figure 1 Signal 1 is antigenic, whereas signal 2 is costimulatory from the antigen-presenting cell.

Figure 2 All patients received induction with basiliximab and maintenance therapy with mycophenolate mofetil and corticosteroids.

Notes: Patients randomized to receive cyclosporine were started at 7 ± 3 mg/kg daily in divided doses with a goal trough of 150–300 ng/mL for the first month followed by 100–250 ng/mL thereafter. MI-treated patients received belatacept at 10 mg/kg for the first 168 days and 5 mg/kg from day 196 onwards. LI-treated patients received belatacept at 10 mg/kg for the first 84 days and 5 mg/kg from day 112 onward. *All patients received basilixmab induction, mycophenolate mofetil, and corticosteroid-taper.
Figure 2 All patients received induction with basiliximab and maintenance therapy with mycophenolate mofetil and corticosteroids.

Figure 3 Measured glomerular filtration rate (GFR) by month 12 in patients with and without rejection in BENEFIT.

Abbreviations: AR, acute rejection; BENEFIT, Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression Trial; CsA, cyclosporine; LI, less intensive; MI, more intensive.
Figure 3 Measured glomerular filtration rate (GFR) by month 12 in patients with and without rejection in BENEFIT.

Figure 4 Percentage of patients at chronic kidney disease stages at 3 years in BENEFIT-EXT.

Abbreviation: BENEFIT-EXT, Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression Trial-EXTended criteria donors.
Figure 4 Percentage of patients at chronic kidney disease stages at 3 years in BENEFIT-EXT.

Table 1 Incidence of malignancies and PTLD in the pooled analysis from the Phase II and III belatacept trials

Figure 5 Incidence of new-onset diabetes after transplant in BENEFIT and BENEFIT-EXT and in a pooled analysis of both studies.

Note: *P < 0.05 versus CsA.
Abbreviation: CsA, cyclosporine.
Figure 5 Incidence of new-onset diabetes after transplant in BENEFIT and BENEFIT-EXT and in a pooled analysis of both studies.