ATG/ALG
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Binds multiple antigens on lymphoid cells
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Complement-mediated lysis
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Serum sickness
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Batch variability
|
| |
Opsonization and clearance
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Thrombocytopenia
| |
| |
Modification of cell surface receptor
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Granulocytopenia
| |
OKT3
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Binds T cell CD3
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Complement mediated lysis
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Cytokine release syndrome
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Tachyphylaxis due to anti-idiotypic antibodies
|
| |
Opsonization and clearance
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(eg fever, chills, headache, and pulmonary edema)
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| |
Modification of CD3 receptor
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Daclizumab
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Binds α-subunit of interleukin-2 receptor
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Down-regulation of receptor
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No major side effects reported so far
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Humanized antibody
|
| |
? CD4 T cell depletion
| |
Long half-life (20 days)
|
| | | |
Five-dose regimen
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Basiliximab
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Binds α-subunit of interleukin-2 receptor
|
Down-regulation of receptor
|
No major side effects reported so far
|
Chimeric antibody
|
| |
? CD4 T cell depletion
| |
Long half-life (10-14 days)
|
| | | |
Two-dose regimen
|