Efficacy and safety of rasburicase, a recombinant urate oxidase (Elitek™), in the management of malignancy-associated hyperuricemia in pediatric and adult patients:: final results of a multicenter compassionate use trial

被引:115
作者
Jeha, S
Kantarjian, H
Irwin, D
Shen, V
Shenoy, S
Blaney, S
Camitta, B
Pui, CH
机构
[1] St Jude Childrens Res Hosp, Memphis, TN 38105 USA
[2] Univ Texas, MD Anderson Canc Ctr, Houston, TX 77030 USA
[3] Alta Bates Comprehens Canc Ctr, Berkeley, CA USA
[4] Childrens Hosp Orange Cty, Orange, CA 92668 USA
[5] Washington Univ, Sch Med, St Louis, MO USA
[6] Texas Childrens Canc Ctr, Houston, TX USA
[7] Med Coll Wisconsin, Midw Childrens Canc Ctr, Milwaukee, WI 53226 USA
关键词
tumor lysis; hyperuricemia; uric acid; urate oxidase; Rasburicase; Elitek (TM);
D O I
10.1038/sj.leu.2403566
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The recombinant urate oxidase, rasburicase (Elitekt(TM), Sanofi-Synthelabo, Inc.), has recently received regulatory approval for the prevention and treatment of hyperuricemia in children with leukemia, lymphoma, and solid tumors. Prior to approval, 682 children and 387 adults in the US and Canada received rasburicase on compassionate-use basis. Uric acid concentration declined rapidly in both adult and pediatric patients after rasburicase treatment. Similar responses were observed in patients treated with subsequent courses. Possible drug-related adverse events, including allergic reactions, were uncommon. These data confirm that rasburicase is effective and safe for the treatment and prophylaxis of children and adults with malignancy-associated hyperuricemia.
引用
收藏
页码:34 / 38
页数:5
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