Evidence map›Paper›PMID 40374867›Full record

ArticleClinical pharmacology and therapeutics2025

Alemtuzumab Exposure and T Lymphocyte Depletion: A Population Pharmacokinetic-Pharmacodynamic Model of Alemtuzumab Induction Therapy for Kidney Transplantation.

Lukas K van Vugt, Tom C Zwart, Suzanne Bezstarosti, Sebastiaan Heidt, Marlies E J Reinders, Dennis A Hesselink, Aiko P J de Vries, Brenda C M de Winter, Dirk Jan A R Moes

Registry-linked trialAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02057965 (Autologous Bone Marrow Derived Mesenchymal Stromal Cell Therapy in Combination With Everolimus to Preserve Renal Structure and Function in Renal Recipients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02057965 phase2unknown statusnot on this map

Autologous Bone Marrow Derived Mesenchymal Stromal Cell Therapy in Combination With Everolimus to Preserve Renal Structure and Function in Renal Recipients

TypeinterventionalSponsorLeiden University Medical CenterRan2014 to 2022Enrolled70ConditionsRenal Transplant Rejection, FibrosisArmsMesenchymal Stromal Cells
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Biologics in Kidney Transplantation: Why and How Should We Personalize Their Dosage?BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  2. 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

9 authors.

Lukas K van VugtErasmus MC Transplant Institute, Rotterdam, The Netherlands.ORCID 0000-0001-7343-0130
Tom C ZwartDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-3692-0901
Suzanne BezstarostiDepartment of Immunology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-0315-115X
Sebastiaan HeidtErasmus MC Transplant Institute, Rotterdam, The Netherlands.ORCID 0000-0002-6700-188X
Marlies E J ReindersErasmus MC Transplant Institute, Rotterdam, The Netherlands.ORCID 0000-0001-9543-567X
Dennis A HesselinkErasmus MC Transplant Institute, Rotterdam, The Netherlands.ORCID 0000-0003-1871-1962
Aiko P J de VriesLeiden Transplant Center, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-9284-3595
Brenda C M de WinterDepartment of Hospital Pharmacy, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0002-4452-8443
Dirk Jan A R MoesDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-3219-253X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alemtuzumab is a T cell-depleting monoclonal antibody that is used for the prevention of kidney transplant rejection. The duration of lymphodepletion after the current standard induction therapy dose is likely longer than necessary, resulting in prolonged T cell lymphopenia with the associated risk of infections. Here, the interplay between alemtuzumab exposure and T cell dynamics was quantitatively evaluated, and the influence of different doses on T cell recovery was investigated. A population pharmacokinetic-pharmacodynamic model describing the interplay between 30 mg alemtuzumab induction therapy and T cell dynamics in kidney transplantation was developed using NONMEM, using pharmacodynamic data from the Triton study (NCT02057965). The developed model was used to perform an exposure-response analysis and investigate dose optimization with model-derived simulations. In total, 418 peripheral blood T cell measurements from 61 adult kidney transplant recipients were included for model development. A single-compartment turnover E

Indexed as

AlemtuzumabGraft RejectionImmunosuppressive AgentsKidney TransplantationLymphocyte DepletionModels, BiologicalT-LymphocytesAdultAgedComputer SimulationDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedAlemtuzumabImmunosuppressive Agents

Identifiers

PMID40374867
PMCPMC12355016

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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.