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To prevent graft versus host disease (GvHD) and rejection in hematopoietic cell transplantation (HCT), children receive anti-thymocyte globulin (ATG), a polyclonal antibody depleting T-cells, as part of the conditioning regimen. The therapeutic window is critical as over-exposure may result in delayed reconstitution of donor T-cells and increased risk of viral infections. Our objective is to describe the population pharmacokinetics (PK) of Thymoglobulin as a first step towards an evidence based dosing regimen of Thymoglobulin for HCT in children.
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Admiraal et al. (2014) studied this question.
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