A new immunosuppressant, FTY720, in canine kidney transplantation: effect of single-drug, induction and combination treatments

Transpl Int. 2004 Nov;17(10):574-84. doi: 10.1007/s00147-004-0767-7. Epub 2004 Nov 5.

Abstract

Three different types of treatment were conducted to clarify the properties of a novel immunomodulator, FTY720, in canine kidney allograft models. Survival, biochemical and hematological tests, pharmacokinetics, and histopathology of grafts and extra-renal organs were analyzed. Accompanying a remarkable reduction in circulating lymphocytes, single-drug treatment of FTY720, ranging from 0.05 to 10 mg/kg, exhibited significant prolongation of graft survival without a dose-dependent effect. Short-course induction with FTY720 at 5 mg/kg per day exhibited similar anti-rejection effects as did single-drug treatment but no advantage in rescuing ongoing rejection. In combination with cyclosporine (CsA; 5 mg/kg) or tacrolimus (FK; 0.5 mg/kg), FTY720 had an additive effect. Trough blood concentrations of FTY720 were linearly correlated with dose. No animal showed critical adverse effects at any point. FTY720 holds promise as a candidate in a new category of drugs that can be combined with conventional agents for induction and maintenance immunosuppression in clinical organ transplantation.

MeSH terms

  • Animals
  • Blood Cell Count
  • Coronary Vessels / pathology
  • Cyclosporine / therapeutic use
  • Dogs
  • Drug Therapy, Combination
  • Female
  • Fingolimod Hydrochloride
  • Graft Rejection / pathology
  • Graft Survival / drug effects
  • Immunosuppressive Agents / blood
  • Immunosuppressive Agents / pharmacokinetics
  • Immunosuppressive Agents / therapeutic use*
  • Intestines / pathology
  • Kidney / pathology
  • Kidney / physiopathology
  • Liver Transplantation*
  • Lung / pathology
  • Propylene Glycols / blood
  • Propylene Glycols / pharmacokinetics
  • Propylene Glycols / therapeutic use*
  • Sphingosine / analogs & derivatives
  • Survival Analysis
  • Tacrolimus / therapeutic use

Substances

  • Immunosuppressive Agents
  • Propylene Glycols
  • Cyclosporine
  • Fingolimod Hydrochloride
  • Sphingosine
  • Tacrolimus