SPK Immunosuppression Therapy, International Pancreas Transplant Registry at the University of Minnesota

Almost three-fourths of 1996-2000 SPK recipients received anti-T-cell agents as induction, regardless of maintenance immunosuppression (Figure 13). Overall pancreas graft survival rates were slightly higher for the Zenapax/Simulect group (89%), particularly for ED cases. For initial maintenance immunosuppression in SPK cases with anti-T cell therapy, pancreas GSRs were significantly higher in those recipients who received MMF versus AZA, whether in combination with CsA or Tac . Without anti-T cell therapy, there was no difference by maintenance immunosuppression (Figure 14a and 14b). Most SPK recipients received anti-T cell therapy plus Tac & MMF (n=1379); GSRs were similar for BD (n=557) and ED (n=801): 85% and 84% respectively (p>0.06).

SPK Graft Survival by Immunosuppression (with Anti-TC Therapy)
Figure 14a

SPK Graft Survival by Immunosuppression (without Anti-TC Therapy
Figure 14b

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