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pubmed-article:21401865pubmed:abstractTextThe selectin antagonist known as recombinant P-selectin glycoprotein ligand IgG (rPSGL-Ig) blocks leukocyte adhesion and protects against transplantation ischemia reperfusion injury (IRI) in animal models. This randomized (1:1) single-center double-blind 47-patient phase 2 study with 6-month follow-up assessed rPSGL-Ig's safety and impact on early graft function at 1 mg/kg systemic dose with pretransplant allograft ex vivo treatment in deceased-donor liver transplant recipients. Safety was assessed in all patients, whereas efficacy was assessed in a prospectively defined per-protocol patient set (PP) by peak serum transaminase (TA) and bilirubin values, and normalization thereof. In PP patients, the incidence of poor early graft function (defined as peak TA >2500 U/L or bilirubin >10 mg/dL), average peak liver enzymes and bilirubin, normalization thereof and duration of primary and total hospitalization trended consistently lower in the rPSGL-Ig group compared to placebo. In patients with donor risk index above study-average, normalization of aspartate aminotransferase was significantly improved in the rPSGL-Ig group (p < 0.03). rPSGL-Ig treatment blunted postreperfusion induction versus placebo of IRI biomarker IP-10 (p < 0.1) and augmented cytoprotective IL-10 (p < 0.05). This is the first clinical trial of an adhesion molecule antagonist to demonstrate a beneficial effect on liver transplantation IRI and supported by therapeutic modulation of two hepatic IRI biomarkers.lld:pubmed
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pubmed-article:21401865pubmed:authorpubmed-author:LipshutzG SGSlld:pubmed
pubmed-article:21401865pubmed:authorpubmed-author:PonthieuxSSlld:pubmed
pubmed-article:21401865pubmed:copyrightInfo©2011 The Authors Journal compilation©2011 The American Society of Transplantation and the American Society of Transplant Surgeons.lld:pubmed
pubmed-article:21401865pubmed:issnTypeElectroniclld:pubmed
pubmed-article:21401865pubmed:volume11lld:pubmed
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pubmed-article:21401865pubmed:pagination786-97lld:pubmed
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pubmed-article:21401865pubmed:year2011lld:pubmed
pubmed-article:21401865pubmed:articleTitlerPSGL-Ig for improvement of early liver allograft function: a double-blind, placebo-controlled, single-center phase II study.lld:pubmed
pubmed-article:21401865pubmed:affiliationDumont UCLA Transplant Center, Los Angeles, CA, USA. magnin@ccf.orglld:pubmed
pubmed-article:21401865pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21401865pubmed:publicationTypeRandomized Controlled Triallld:pubmed
pubmed-article:21401865pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
pubmed-article:21401865pubmed:publicationTypeClinical Trial, Phase IIlld:pubmed
pubmed-article:21401865pubmed:publicationTypeResearch Support, N.I.H., Extramurallld:pubmed