Evidence map›Paper›PMID 39867871›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2024

Desensitization With Imlifidase for HLA-Incompatible Deceased Donor Kidney Transplantation: A Delphi International Expert Consensus.

Lucrezia Furian, Uwe Heemann, Mats Bengtsson, Oriol Bestard, Isabelle Binet, Georg A Böhmig, John Boletis, David Briggs, Frans H J Claas, Lionel Couzi and 26 more

Abstract readConsensus Statement
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Potential new targets for rheumatic diseases.EULAR rheumatology open · 2026
    Review
  3. Long-term HLA-incompatible kidney transplant outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  4. Article
  5. Transplant International: Looking Back at 2025, Looking Forward to 2026.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  6. Review
  7. Reshaping the landscape of HLA desensitization through immune engineering.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  8. Antibody-mediated rejection-treatment standard.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  9. Article
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

36 authors.

Lucrezia FurianKidney and Pancreas Transplantation Unit, Department of Surgery, Oncology and Gastroenterology DISCOG, University Hospital of Padova, Padova, Italy.
Uwe HeemannAbteilung für Nephrologie, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Mats BengtssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Oriol BestardNephrology and Kidney Transplant Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Isabelle BinetClinic of Nephrology and Transplantation Medicine, Cantonal Hospital St Gallen, St. Gallen, Switzerland.
Georg A BöhmigDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.
John BoletisDepartment of Nephrology and Renal Transplantation, National and Kapodistrian University of Athens, Laiko Hospital, Athens, Greece.
David BriggsHistocompatibility and Immunogenetics Laboratory, Birmingham Centre, NHS Blood and Transplant, UK NHS Blood and Transplant, Birmingham, United Kingdom.
Frans H J ClaasEurotransplant Reference Laboratory, Department of Immunohaematology and Blood Transfusion, Leiden University Medical Center, Albinusdreef, Netherlands.
Lionel CouziDepartment of Nephrology, Transplantation, Dialysis and Apheresis, Bordeaux University Hospital, Bordeaux, France.
Emanuele CozziTransplant Immunology Unit, Department of Cardiac, National Transplant Centre (CNT), Thoracic and Vascular Sciences Padua University Hospital - Ospedale Giustinianeo, Padova, Italy.
Marta CrespoDepartment of Nephrology, Hospital del Mar, Nephropathies Research Group, Hospital del Mar Research Institute, Barcelona, Spain.
Aiko P J De VriesDivision of Nephrology, Department of Medicine, and Leiden Transplant Center, Leiden University Medical Center, Leiden, Netherlands.
Fritz DiekmannDepartment of Nephrology and Kidney Transplantation, Hospital Clínic Barcelona, Barcelona, Spain.
Magdalena DurlikKlinika Transplantologii, Immunologii, Nefrologii i Chorób Wewnętrznych Warszawski Uniwersytet Medyczny ul, Warszawa, Poland.
Denis GlotzDepartment of Nephrology and Renal Transplantation, Saint-Louis Hospital in Paris, Paris, France.
Ilkka HelanteraTransplantation and Liver Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Annette JacksonDepartment of Surgery, Duke University, Durham, NC, United States.
Stanley C JordanNephrology and Transplant Immunology Medical Director Kidney Transplant Program Cedars-Sinai Medical Center, Pediatrics and Medicine David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.
Dirk KuypersDepartment of Nephrology and Renal Transplantation, University Hospitals Leuven, Leuven, Belgium.
Carmen LefaucheurNephrologist and Head of the Nephrology and Kidney Transplantation Department, Saint-Louis Hospital-APHP, Paris, France.
Christophe LegendreNephrology at Université Paris Cité and Head of Nephrology and Transplantation Unit at Necker Hospital in Paris, Paris, France.
Tomas LorantUppsala University, Department of Surgical Sciences, Section of Transplant Surgery, Uppsala, Sweden.
Umberto MaggioreDipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia - Trapianti Rene Pancreas, Programma Regionale Trapianti Emilia-Romagna, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Nizam MamodeDepartment of Transplantation, Transplant Surgery at Guy's and Great Ormond Street Hospitals, London, United Kingdom.
Smaragdi MarinakiNational and Kapodistrian University of Athens, Clinic of Nephrology and Transplantation, "Laiko" General Hospital, Athens, Greece.
Annick MassartDepartment of Nephrology, UZ Antwerpen, Antwerpen, Belgium.
Thomas MüllerClinic for Nephrology, Renal Transplant Program, Transplant Institute, University Hospital Zurich, Zurich, Switzerland.
Rainer OberbauerMedical University of Vienna, Vienna, Austria.
Lutz RendersDepartment of Nephrology of Technische Universität München, München (TUM), Munich, Germany.
Dave RoelenDepartment of Immunology, Leiden University Medical Center, Leiden, Netherlands.
Jean-Luc TaupinLaboratory of Immunology and Histocompatibility, Hôpital Saint-Louis, APHP Paris, Paris, France.
Ondřej ViklickýDepartment of Nephrology, Institute for Clinical and Experimental Medicine, Prague, Czechia.
Angeliki VittorakiImmunology Department and National Tissue Typing Center, "G.Gennimatas" Hospital, Athens, Greece.
Annelies E de WeerdErasmus MC Transplant Institute, Department of Internal Medicine, University Medical Center, Rotterdam, Netherlands.
Maarten NaesensDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Highly sensitized (HS) patients in need of kidney transplantation (KTx) typically spend a longer time waiting for compatible kidneys, are unlikely to receive an organ offer, and are at increased risk of antibody-mediated rejection (AMR). Desensitization using imlifidase, which is more rapid and removes total body immunoglobulin G (IgG) to a greater extent than other methods, enables transplantation to occur between HLA-incompatible (HLAi) donor-recipient pairs and allows patients to have greater access to KTx. However, when the project was launched there was limited data and clinical experience with desensitization in general and with imlifidase specifically. Hence, this Delphi methodology was used to reach a consensus from a multi-disciplinary team (MDT) of experts from 15 countries on the management of HS patients undergoing imlifidase HLAi from a deceased donor (DD) KTx. This Delphi consensus provides clinical practice guidance on the use of imlifidase in the end-to-end management of HS patients undergoing an HLAi DD KTx and supports centers in the development of guidelines for the utilization and integration of imlifidase into clinical practice.

Indexed as

Desensitization, ImmunologicHLA AntigensKidney TransplantationConsensusDelphi TechniqueGraft RejectionHumansImmunoglobulin GTissue DonorsHLA AntigensImmunoglobulin GdesensitizationHLAiHLA incompatibleimlifidasekidney transplantation

Identifiers

PMID39867871
PMCPMC11758882

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