Efficacy and safety of native versus pegylated Escherichia coli asparaginase for treatment of adults with high-risk, Philadelphia chromosome-negative acute lymphoblastic leukemia

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Ribera, JM
  • Morgades, M
  • Martino, R
  • Barba, P
  • Soria, B
  • Bermudez, A
  • Moreno, MJ
  • Gonzalez-Campos, J
  • Vives, S
  • Gil, C
  • Abella, E
  • Guàrdia R
  • Martinez-Carballeira, D
  • Martinez-Sanchez, P
  • Amigo, ML
  • Mercadal, S
  • Serrano, A
  • Lopez-Martinez, A
  • Vall-Llovera, F
  • Sanchez-Sanchez, MJ
  • Peñarrubia MJ
  • Calbacho, M
  • Mendez, JA
  • Bergua, J
  • Cladera, A
  • Tormo, M
  • Garcia-Belmonte, D
  • Feliu, E
  • Ciudad, J
  • Orfao, A
  • PETHEMA Group, Spanish Society of Hematology

Grupos

Abstract

Native or pegylated (PEG) asparaginase (ASP) are commonly used in treatment of acute lymphoblastic leukemia (ALL), but have been scarcely compared in the same trial in adult patients. Native vs. PEG-ASP administered according to availability in each center were prospectively evaluated in adults with high-risk ALL. Ninety-one patients received native ASP and 35 PEG-ASP in induction. No significant differences were observed in complete remission, minimal residual disease levels after induction and after consolidation, disease-free survival, and overall survival. No significant differences in grades 3-4 toxicity were observed in the induction period, although a trend for higher hepatic toxicity was observed in patients receiving PEG-ASP. In this trial the type of ASP did not influence patient response and outcome.

Datos de la publicación

ISSN/ISSNe:
1042-8194, 1029-2403

LEUKEMIA & LYMPHOMA  TAYLOR & FRANCIS LTD

Tipo:
Article
Páginas:
1634-1643
PubMed:
29165013
Factor de Impacto:
1,013 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 16

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Keywords

  • Adult acute lymphoblastic leukemia; Escherichia coli asparaginase; native; pegylated; efficacy; toxicity

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