Drug intelligence / Profile preview

basiliximab + cyclosporine + everolimus

Development stage
Phase 3
Lead developer
Centre Hospitalier Universitaire de Brest
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

"Anti R-IL2 + Cyclosporine then Everolimus" is a combination immunosuppressive regimen used in the 'Switch' arm of a Phase 3 clinical trial (NCT01028092) sponsored by University Hospital, Brest. The regimen is designed for elderly renal transplant recipients receiving grafts from elderly donors (the 'old-for-old' strategy). It consists of induction therapy with the anti-IL-2 receptor monoclonal antibody basiliximab (Simulect), followed by maintenance therapy with mycophenolate mofetil (Cellcept), corticosteroids, and cyclosporine A (Neoral). The protocol involves an early switch from the calcineurin inhibitor cyclosporine to the mTOR inhibitor everolimus (Certican) to minimize CNI-related nephrotoxicity and improve long-term graft function.

Brand names
CerticanCellcept
Other names
anti r-il2 + cyclosporine then everolimusEverolimus-based CNI minimization strategySwitch arm of NCT01028092
02

Targets

CN (Calcineurin)PPIA (Peptidyl-prolyl cis-trans isomerase A)FKBP1AIL2RA (Interleukin-2 receptor alpha subunit)Mechanistic target of rapamycin complex 1GR (Glucocorticoid receptor)IMPDH (Inosine-5'-monophosphate dehydrogenase 1)

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