A prospective study on drug monitoring of PEGasparaginase and Erwinia asparaginase and asparaginase antibodies in pediatric acute lymphoblastic leukemia

Author:

Tong Wing H.1,Pieters Rob12,Kaspers Gertjan J. L.3,te Loo D. Maroeska W. M.4,Bierings Marc B.5,van den Bos Cor6,Kollen Wouter J. W.7,Hop Wim C. J.8,Lanvers-Kaminsky Claudia9,Relling Mary V.10,Tissing Wim J. E.11,van der Sluis Inge M.1

Affiliation:

1. Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands;

2. Dutch Childhood Oncology Group, The Hague, The Netherlands;

3. Department of Pediatric Oncology-Hematology, VU University Medical Center, Amsterdam, The Netherlands;

4. Department of Pediatric Hematology and Oncology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands;

5. Department of Pediatric Hematology-Oncology, University Medical Center Utrecht-Wilhelmina Children’s Hospital, Utrecht, The Netherlands;

6. Department of Pediatric Oncology, Academic Medical Center-Emma Children’s Hospital, Amsterdam, The Netherlands;

7. Department of Pediatric Immunology, Hemato-Oncology and Stem Cell Transplantation, Leiden University Medical Center, Leiden, The Netherlands;

8. Department of Biostatistics, Erasmus MC-University Medical Center, Rotterdam, The Netherlands;

9. Department of Pediatric Hematology/Oncology, University Children’s Hospital, Muenster, Germany;

10. Department of Pharmaceutical Sciences, St. Jude Children’s Research Hospital, Memphis, TN; and

11. Department of Pediatric Oncology and Hematology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

Abstract

Key Points Use of native E coli asparaginase in induction leads to high hypersensitivity rates to PEGasparaginase in intensification. Switching to Erwinia asparaginase leads to effective asparaginase activity levels in most patients who experienced an allergy to PEGasparaginase.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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