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This entry refers to a specific immunosuppressive regimen evaluated by the Unidad de Investigación Médica en Enfermedades Renales for the prevention of kidney transplant rejection. The protocol, known as Early Steroid Withdrawal (ESW), utilizes an induction phase with the monoclonal antibody basiliximab, followed by a maintenance triple therapy consisting of the calcineurin inhibitor tacrolimus, the antimetabolite mycophenolate mofetil, and a rapidly tapered course of corticosteroids (methylprednisolone/prednisone) that is completely withdrawn by the fifth day post-transplantation. The regimen is designed to minimize steroid-related morbidity, such as hypertension and dyslipidemia, in low-immunological-risk living-donor transplant recipients while maintaining adequate immunosuppression to prevent acute rejection.
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