Rabbit antithymocyte globulin (Thymoglobulin®): 25 Years and new frontiers in solid organ transplantation and haematology

A. Osama Gaber, Anthony P. Monaco, James A. Russell, Yvon Lebranchu, Mohamad Mohty

Research output: Contribution to journalReview articlepeer-review

71 Scopus citations


The more than 25 years of clinical experience with rabbit antithymocyte globulin (rATG), specifically Thymoglobulin®, has transformed immunosuppression in solid organ transplantation and haematology. The utility of rATG has evolved from the treatment of allograft rejection and graft-versus-host disease to the prevention of various complications that limit the success of solid organ and stem cell transplantation. Today, rATG is being successfully incorporated into novel therapeutic regimens that seek to reduce overall toxicity and improve long-term outcomes. Clinical trials have demonstrated the efficacy and safety of rATG in recipients of various types of solid organ allografts, recipients of allogeneic stem cell transplants who are conditioned with both conventional and nonconventional regimens, and patients with aplastic anaemia. Over time, clinicians have learnt how to better balance the benefits and risks associated with rATG. Advances in the understanding of the multifaceted mechanism of action will guide research into new therapeutic areas and future applications.

Original languageEnglish (US)
Pages (from-to)691-732
Number of pages42
Issue number6
StatePublished - 2010

ASJC Scopus subject areas

  • Pharmacology (medical)


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