BASILIXIMAB

(Simulect)

Standard Prescription

basiliximab __mg IV x 1 dose (__mg/m2/dose)

Dosages

Kidney Transplant Induction:
Day 0 and Day 4:
12 mg/m2/dose IV. Minimum: 10 mg/dose. Maximum 20 mg/dose
Give 4 hours pre-op on Day 0

May also dose by weight category:
<35 kg: 10 mg IV
>=35 kg: 20 mg IV

Mechanism of Action

Chimeric anti-interleukin-2 receptor monoclonal antibody.

Binds to and blocks the alpha chain of interleukin-2 receptors (IL-2R alpha), also known as CD25 antigen, on the surface of activated T-lymphocytes.

Forms Supplied

Injection:  20 mg/vial

Comments

Medications for treatment of severe hypersensitivity reactions should be available for immediate use.

Patients are not usually given a second course of basiliximab for transplant induction due to the risk of severe allergic reaction/anaphylaxis, but each case must be considered on an individual basis.

Day 0 = day of transplant.

References

32, 44

Last Edited

2022-06-09 03:26:43