IV Administration of Erwinia-Derived Asparaginase in Pediatric Patients with Acute Lymphoblastic Leukemia: Single-Centre Case Series.

Can J Hosp Pharm

MD, FRCPC, is a Physician with Paediatric Haematology/ Oncology, Children's Hospital, London Health Sciences Centre, and an Assistant Professor with the Department of Paediatrics, University of Western Ontario, London, Ontario.

Published: December 2015

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4690678PMC
http://dx.doi.org/10.4212/cjhp.v68i6.1507DOI Listing

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The addition of asparaginase to acute lymphoblastic leukemia (ALL) and lymphoblastic lymphoma (LBL) treatment regimens provides significant patient benefits. Asparaginase therapies vary in origin ( or -derived) and preparation (native or pegylated), conferring distinct pharmacokinetic and immunogenic profiles. Clinical hypersensitivity reactions (HSRs) are commonly reported in patients and range from localized erythema to systemic anaphylaxis.

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IV Administration of Erwinia-Derived Asparaginase in Pediatric Patients with Acute Lymphoblastic Leukemia: Single-Centre Case Series.

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December 2015

MD, FRCPC, is a Physician with Paediatric Haematology/ Oncology, Children's Hospital, London Health Sciences Centre, and an Assistant Professor with the Department of Paediatrics, University of Western Ontario, London, Ontario.

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A retrospective study was undertaken comparing the frequency and severity of anaphylactic reactions to E. coli-derived and Erwinia-derived asparaginase given intravenously on a weekly dosage schedule. Both drugs were found to produce life-threatening hypersensivity reactions with the chance of reaction per dose administered being almost identical--8% for each dose administered.

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