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[Advances on the role of pegaspargase in the treatment of childhood leukemia].

Abstract
The chemotherapy agent L-asparaginase (L-asp) has been an important part of acute lymphoblastic leukemia therapy for over 30 years. It is evident that L-asp has a long-term curative effect. However, L-asp is associated with high incidence of adverse reactions. This has prompted the development of pegylated asparaginase (PEG-asp), which has undergone extensive testing. Apparently, PEG-asp has a prolonged half-life with a better tolerance profile while retaining the antileukemic effect. In this review, we attempt to outline the history of clinical application of L-asp, the pharmacological and clinical potential of various preparations of L-asp, the development of PEG-asp, and the clinical application and adverse events of PEG-asp. The literatures reviewed in this article is collected through online search of the major databases both in English and Chinese.
AuthorsLi Liu, Xiao-Tian Xie
JournalZhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics (Zhongguo Dang Dai Er Ke Za Zhi) Vol. 16 Issue 2 Pg. 155-60 (Feb 2014) ISSN: 1008-8830 [Print] China
PMID24568909 (Publication Type: English Abstract, Journal Article, Review)
Chemical References
  • Antineoplastic Agents
  • pegaspargase
  • Polyethylene Glycols
  • Asparaginase
Topics
  • Antineoplastic Agents (therapeutic use)
  • Asparaginase (adverse effects, pharmacokinetics, pharmacology, therapeutic use)
  • Blood Coagulation Disorders (chemically induced)
  • Humans
  • Pancreatitis (chemically induced)
  • Polyethylene Glycols (adverse effects, pharmacokinetics, pharmacology, therapeutic use)
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma (drug therapy)

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