Evidence map›Paper›PMID 31227636›Full record

ArticleJournal of the American Society of Nephrology : JASN2019

Daratumumab in Sensitized Kidney Transplantation: Potentials and Limitations of Experimental and Clinical Use.

Jean Kwun, Marie Matignon, Miriam Manook, Soulef Guendouz, Vincent Audard, David Kheav, Elsa Poullot, Chantal Gautreau, Brian Ezekian, Diane Bodez and 14 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
12.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05145296 phase2terminatednot on this mapstarted 2022, after this paper: background citation

Non-Randomized, Single-Center Pilot Trial Assessing The Safety/Efficacy Of Targeting Peripheral And Central Humoral Alloimmune Memory With Daratumumab And With Belatacept In Highly HLA-Sensitized Patients Awaiting Kidney Transplantation

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2022 to 2025Enrolled5ConditionsSensitisation, Highly Sensitised Dialysis PatientsArmsEach patient will undergo in the first step of the study belatacept treatment and in the second apheresis and daratumumab
NCT07718308 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Multicenter Exploratory Clinical Study of Targeted NK Cell Inhibition for Transplant Kidney Chronic Active Antibody-Mediated Rejection (caABMR): Single Induction With CD38 Monoclonal Antibody Followed by Sequential Maintenance With Azathioprine

TypeinterventionalSponsorwujianyongRan2026 to 2028Enrolled20ConditionsKidney Transplantation, Antibody-mediated RejectionArmsCD38, Azathioprine (AZA), Standard Triple Immunosuppression Maintenance
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 134 citations in OpenAlex.

  1. Article
  2. A novel immunoglobulin G- and immunoglobulin cleaving enzyme MG (IceMG), for antibody-mediated rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
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  16. Targeting CD38 in Antibody-Mediated Rejection.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 9 institutions in 3 countries.

Jean KwunDuke Transplant Center, and.
Marie MatignonNephrology and Transplantation Department, Cancerology-Immunity-Transplantation-Infectiology, Clinical Investigation Center-Biotherapies, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, INSERM U955, Paris-Est-Créteil University, Paris, France.
Miriam ManookDuke Transplant Center, and.
Soulef GuendouzDepartment of Cardiology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, and INSERM Unité 955, Clinical Investigation Center 006, and DHU ATVB, Creteil, France.
Vincent AudardNephrology and Transplantation Department, Cancerology-Immunity-Transplantation-Infectiology, Clinical Investigation Center-Biotherapies, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, INSERM U955, Paris-Est-Créteil University, Paris, France.
David KheavDepartment of Immunology and Histocompatibility, Saint-Louis Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Elsa PoullotDepartments of Pathology.
Chantal GautreauDepartment of Immunology and Histocompatibility, Saint-Louis Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Brian EzekianDuke Transplant Center, and.
Diane BodezDepartment of Cardiology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, and INSERM Unité 955, Clinical Investigation Center 006, and DHU ATVB, Creteil, France.
Thibault DamyDepartment of Cardiology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, and INSERM Unité 955, Clinical Investigation Center 006, and DHU ATVB, Creteil, France.
Laureline FaivreCardiology, and.
Dehbia MenoucheDepartment of Apheresis, Assistance Publique-Hôpitaux de Paris, CHU Henri Mondor, Créteil, France; and.
Janghoon YoonDuke Transplant Center, and.
Jaeberm ParkDuke Transplant Center, and.
Karim BelhadjHaematology, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.
Dongfeng ChenDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.
Alyssa M BilewskiDivision of Surgical Sciences, Department of Surgery, Duke University, Durham, North Carolina.
John S YiDivision of Surgical Sciences, Department of Surgery, Duke University, Durham, North Carolina.
Bradley CollinsDuke Transplant Center, and.
Mark StegallDepartment of Surgery, Mayo Clinic, Rochester, Minnesota.
Alton B FarrisDepartment of Pathology, Emory School of Medicine, Atlanta, Georgia.
Stuart KnechtleDuke Transplant Center, and stuart.knechtle@dm.duke.edu philippe.grimbert@aphp.fr.
Philippe GrimbertNephrology and Transplantation Department, Cancerology-Immunity-Transplantation-Infectiology, Clinical Investigation Center-Biotherapies, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, INSERM U955, Paris-Est-Créteil University, Paris, France; stuart.knechtle@dm.duke.edu philippe.grimbert@aphp.fr.
Duke Medical Center · USAssistance Publique – Hôpitaux de Paris · FRDuke University · USInserm · FRUniversité Paris-Est Créteil · FRCentre Hospitalier Universitaire Henri-Mondor · FREmory University · USInstitute of Cardiology · PLMayo Clinic · US

Funding

Transplant Tolerance in Non-Human PrimatesU19AI051731 · NIAID · UNIVERSITY OF WESTERN ONTARIO · PI ADAMS, ANDREW B · 2002 to 2022
$54.1M
The Risks and Opportunities of Homeostatic RepopulationU19AI131471 · NIAID · DUKE UNIVERSITY · PI Stuart Johnston Knechtle · 2017 to 2026
$30.4M
Nonhuman Primate Reagent ResourceU24AI126683 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Diogo Magnani · 2016 to 2026
$20.1M
Resource for Nonhuman Primate Cell Depleting AntibodiesR24OD010976 · OD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ENGELMAN, KATHLEEN, MAGNANI, DIOGO · 2012 to 2019
$4.7M
NIAID NIH HHS U19 AI051731NIAID NIH HHS U19 AI131471NIAID NIH HHS U24 AI126683NIH HHS R24 OD010976
6 · The paper itself

Abstract

backgroundDonor-specific antibodies are associated with increased risk of antibody-mediated rejection and decreased allograft survival. Therefore, reducing the risk of these antibodies remains a clinical need in transplantation. Plasma cells are a logical target of therapy given their critical role in antibody production.

methodsTo target plasma cells, we treated sensitized rhesus macaques with daratumumab (anti-CD38 mAb). Before transplant, we sensitized eight macaques with two sequential skin grafts from MHC-mismatched donors; four of them were also desensitized with daratumumab and plerixafor (anti-CXCR4). We also treated two patients with daratumumab in the context of transplant.

resultsThe animals treated with daratumumab had significantly reduced donor-specific antibody levels compared with untreated controls (57.9% versus 13% reduction;

conclusionsTargeting CD38 with daratumumab significantly reduced anti-HLA antibodies and anti-HLA donor-specific antibodies in a nonhuman primate model and in two transplant clinical cases before and after transplant. This supports investigation of daratumumab as a potential therapeutic strategy; however, further research is needed regarding its use for both antibody-mediated rejection and desensitization.

Indexed as

Kidney TransplantationADP-ribosyl Cyclase 1AdultAnimalsAntibodies, MonoclonalAntibody-Dependent Cell CytotoxicityBenzylaminesCyclamsGraft RejectionHeterocyclic CompoundsHLA AntigensHumansIsoantibodiesMacaca mulattaMaleT-Lymphocytes, RegulatoryADP-ribosyl Cyclase 1Antibodies, MonoclonalBenzylaminesCyclamsdaratumumabHeterocyclic CompoundsHLA AntigensIsoantibodiesplerixaforantibody-mediated rejectiondaratumumabdesensitizationnonhuman primateplasma cell

Identifiers

PMID31227636
PMCPMC6622431
OpenAlexW2951470721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.