“…7 Some institutions use biologic induction agents, including ATG, muromonab-CD3, or a monoclonal antibody against the interleukin IL-2 receptor (IL-2R), with the aim of (1) delaying the introduction or reducing the dose of cyclosporine or tacrolimus, thereby reducing nephrotoxicity 8,9 ; (2) achieving more robust immunosuppression during the early postoperative period 10 ; and (3) reducing or delaying the incidence of acute rejection. 8,11 Although there have been a number of studies of ATG as an induction agent, [12][13][14][15] none of these investigations have been in the form of placebo-controlled trials.…”