COVID-19 after kidney transplantation: Early outcome and renal function following antiviral treatment

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Highlights

  • During COVID-19, organ transplant recipients develop all forms of the disease
  • This Romanian centre has higher prevalence but similar outcome with other European centres
  • Mild and moderate COVID-19 has excellent patient and graft short-term outcome
  • Targeted antiviral therapies do not seem to impair kidney graft function

Download the full paper, here.

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Imaging agent may help gauge kidney health

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“More than 3,000 donated kidneys are discarded every year in the U.S., even as thousands of people die on kidney transplant waitlists. About a fifth of all donated kidneys — particularly those from people who are older, have metabolic or cardiovascular conditions, or have died — are deemed poor quality. Doctors and patients often refuse such kidneys rather than risk transplanting an organ that might not work.”

Read the full article, here.

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Tonix Pharmaceuticals and Massachusetts General Hospital (MGH) Enter into Research Collaboration on Tonix’s Third Generation anti-CD40-Ligand Monoclonal Antibody, TNX-1500, for the Treatment and Prevention of Kidney Transplant Rejection

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“Transplantation experts led by Tatsuo Kawai, M.D., Ph.D., Surgical Director of the Living Donor Transplantation and Dialysis Access Program at MGH and Professor of Surgery at Harvard Medical School (HMS) will study TNX-1500 in kidney transplantation in a variety of models including non-human primates. The goal of the collaboration is to advance TNX-1500 as a potential first-in-class therapeutic to prevent and treat kidney transplant rejection.

Dr. Kawai said, “Anti-CD40-ligand therapy has a unique activity in controlling the immune response to organ transplants.2 There remains a significant need for new treatments to reduce the toxicity of current treatments by more selectively suppressing immune responses or inducing specific tolerance to the transplanted organ. Anti-CD40-ligand has shown promise not only to effectively suppress rejection but also to facilitate ‘transplant tolerance’ in multiple preclinical transplant models.6

Read full article, here.

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Challenges Facing Transplant Patients in COVID-19 Era

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“Transplant patients have an increased risk of developing severe illness when infected with the novel coronavirus. Reports indicate a mortality rate of up to 28% among solid organ transplant patients hospitalized with coronavirus disease 2019 (COVID-19).1

Among the challenges that transplant recipients face is the drug-drug interactions associated with COVID-19 treatment and concomitant medications. For example, remdesivir increases the level of transaminase, which requires close monitoring of liver markers with transplant patients.1

Another challenge is the lack of a test that is sensitive enough to detect active COVID-19-infected donors prior to transplant. Therefore, it’s important to counsel solid organ donors to avoid crowds and monitor exposure for 14 days prior to transplant, whereas hematopoietic cell donors should avoid the crowd for 28 days prior to the scheduled transplant.1

Read full article, here.

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A Woman With Down Syndrome Has Fought For Organ Transplant Anti-Discrimination Legislation For Years; Now, It’s Been Proposed, And Named After Her

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“When Charlotte Woodward was 22-years-old, her doctors told her she needed a heart transplant. 

Woodward, who has Down syndrome, was born with an atrioventricular heart defect that includes a hole in the wall between the heart’s chambers and flaws in its valves. It is common for babies with Down syndrome to be born with a heart condition; according to the National Down Syndrome Society, approximately half of all infants born with Down syndrome have a heart defect.”

Read the full story, here.

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NKF: Patients with kidney disease should be prioritized for COVID-19 vaccines

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“The National Kidney Foundation has released a statement urging the federal government to grant priority to patients with kidney disease and their contacts for receipt of COVID-19 vaccines.

According to the statement, it is a matter of “ethical allocation,” because this patient population is at high risk for severe outcomes if they contract the virus.”

Read the full article, here.

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Taking Immunosuppressants? Fauci Says Get the COVID-19 Vaccine

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“Three researchers presented results on COVID-19 therapies and data of importance to patients with hematological conditions.

Patients with compromised immune systems, whether due to chemotherapy or a bone marrow transplant, should plan to be vaccinated against coronavirus disease 2019 (COVID-19) when they have the chance, Anthony Fauci, MD, the nation’s leading infectious disease expert, said Saturday.

Fauci, who in January will serve a seventh president as director of the National Institute of Allergy and Infectious Diseases (NIAID), told the online audience gathered for the 62nd annual American Society of Hematology (ASH) meeting that on balance, being vaccinated makes sense for the immunosuppressed, including the patients treated by ASH members.”

“It is clear that if you are on immunosuppressant agents, history tells us that you are not going to have as robust a response as if you had an intact immune system that was not being compromised,” Fauci said, in response to a question from ASH President Stephanie Lee, MD, of the Fred Hutchinson Cancer Center, Seattle. “But some degree of immunity is better than no degree of immunity. So, for me, it would be recommended that these people do get vaccinated.”

Read the full article, here.

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FDA Advisory Panel Endorses Pfizer/BioNTech Covid-19 Vaccine

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“A panel of outside experts on Thursday recommended the Food and Drug Administration issue an emergency use authorization to the Covid-19 vaccine being developed by Pfizer and BioNTech, a vaccine that appeared to be highly efficacious in a Phase 3 clinical trial.

The 17-4 vote came after a long day in which members of the Vaccines and Related Biological Products Advisory Committee, or VRBPAC, discussed a wide range of issues related to the vaccine, including concerns about vaccinating people with severe allergies and 16- and 17-year-olds, as well as issues regarding vaccination during pregnancy or lactation.

Although the FDA does not have to follow the panel’s recommendation, it is widely expected to do so.”

Read the full article, here.

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It’s time for Congress to keep its promise to kidney transplant patients

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“In 1972, as millions of Americans living with end-stage renal disease (ESRD) struggled to access care, Congress made a commitment to cover the rising costs of their treatment, including kidney transplant. Unfortunately, almost 50 years later, this commitment remains unfulfilled.

Kidney transplant patients must remain on immunosuppressive therapy for life or risk losing their transplant. For nearly two decades, the kidney, transplantation, and donation communities have been advocating to extend immunosuppressive medication coverage for kidney transplant patients beyond Medicare’s current three-year limit.”

Read the full article in POLITICO, here.

To take action and help Finish The Fight, contact your members of congress, here.

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