Transplantation Proceedings
Volume 36, Issue 2, Supplement , Pages S291-S294, March 2004

Impact of cyclosporine on the development of immunosuppressive therapy in liver transplantation

  • T.Casanovas Taltavull

      Affiliations

    • Liver Transplant Unit, Hospital Universitario de Belvitge, L'Hospitalet de Llobregat, Barcelona, Spain
    • Corresponding Author InformationAddress reprint requests to Dr. Teresa Casanovas Taltavull, Liver Transplant Unit Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat 08907, Barcelona, Spain.

Abstract 

Over the last 20 years, immunosuppression protocols in liver transplant patients have been based on calcineurin inhibitors, such as cyclosporine (CsA). Currently, there are three outstanding clinical issues related to the use of CsA in the liver transplant setting that merit further attention: (1) dose adjustment according to 2-hour postdose (instead of trough) concentrations to improve efficacy and safety, (2) possible synergistic effect between CsA and antiviral treatments for recurrent posttransplant hepatitis C infection, and (3) preliminary results showing favorable outcomes after liver transplantation in HIV-positive patients receiving antiviral therapy.

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PII: S0041-1345(03)01343-5

doi:10.1016/j.transproceed.2003.12.032

Transplantation Proceedings
Volume 36, Issue 2, Supplement , Pages S291-S294, March 2004