Asparaginase Toxicities: Identification and Management in Patients With Acute Lymphoblastic Leukemia
Van Thu Huynh1, Sharon Bergeron1
1Children's Hospital of Orange County.
Insights
Prompt identification and management of asparaginase toxicities are crucial for improving outcomes in acute lymphoblastic leukemia (ALL) treatment. This review details common side effects and management strategies for enhanced patient care.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Acute lymphoblastic leukemia (ALL) is a prevalent childhood cancer with improved outcomes due to intensified chemotherapy, including asparaginase.
- Asparaginase is a key component in pediatric ALL treatment and is increasingly used in adults.
Purpose of the Study:
- To provide an overview of asparaginase-associated toxicities.
- To offer recommendations for managing these toxicities in clinical practice.
Main Methods:
- A literature review was conducted.
- The review focused on asparaginase and its common toxicities, including hypersensitivity, pancreatitis, thrombosis, hyperbilirubinemia, and hyperglycemia.
Main Results:
- Rapid identification and management of asparaginase-associated adverse events are essential.
- Effective management can reduce symptom severity and limit treatment interruptions, potentially improving patient outcomes.
Conclusions:
- Timely intervention for asparaginase toxicities is critical for maintaining treatment continuity.
- Understanding and managing these adverse events can lead to better therapeutic results in ALL patients.
Background:
Acute lymphoblastic leukemia (ALL) is a common cancer in children, and outcomes have greatly improved because of the refinement of multiagent chemotherapy regimens that include intensified asparaginase therapy. Asparaginase, a cornerstone of modern pediatric chemotherapy regimens for ALL and asparaginase-containing protocols, is increasingly used in adolescent and adult patients historically treated with asparaginase-free regimens. .
Objectives:
This article is an overview of commonly encountered asparaginase- associated toxicities and offers recommendations for treatment management. .
Methods:
A literature review was conducted, reviewing asparaginase and common toxicities, specifically hypersensitivity, pancreatitis, thrombosis, hyperbilirubinemia, and hyperglycemia. .
Findings:
The rapid identification and management of common asparaginase-associated adverse events can reduce symptom severity and limit potential interruptions to therapy, possibly improving outcomes.
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