Early conversion to belatacept after renal transplantation

Vinay Nair, Luz Liriano-Ward, Rebecca Kent, Shirish Huprikar, Mena Rana, Sander S. Florman, Veronica B. Delaney, Madhav C. Menon, Vinita Sehgal, Leandra Miko, Rafael Khaim, Alan Benvenisty, Susan Lerner, Antonios Arvelakis, Vikram Wadhera, Scott Ames, Ron Shapiro

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22 Scopus citations


Belatacept is a non-nephrotoxic immunosuppressive agent, which may make it the ideal agent for patients with delayed or slow graft function on calcineurin inhibitors. There are limited data on conversion of patients to belatacept within 6 months of transplantation. Between January 2012 and December 2015, 16 patients were converted to belatacept for delayed or poor graft function (eGFR<30 mL/min/1.73 m2, MDRD); three were HIV positive. Conversion protocols were analyzed in patients ≤4 months and 4-6 months post-transplantation. Mean serum creatinine levels after belatacept conversion were compared with preconversion levels. Patient survival was 100%, and graft survival was 88%. The mean creatinine fell from 3.9±1.82 mg/dL prebelatacept conversion to 2.1±1.1 mg/dL at 6 months and 1.9±0.47 mg/dL (median 1.8 mg/dL) at 12 months postconversion. There was no significant increased risk of rejection, infection, or malignancy. HIV parameters remained largely stable. Early conversion to belatacept in patients with DGF or slow graft function is safe and efficacious, in a single-center nonrandomized retrospective analysis.

Original languageEnglish
Article numbere12951
JournalClinical Transplantation
Issue number5
StatePublished - May 2017


  • HIV
  • belatacept
  • delayed graft function
  • immunosuppression
  • kidney transplantation


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