Tumor Lysis Syndrome
Conditions
Brief summary
An open-label study to determine the efficacy and safety of Rasburicase used for the prevention and treatment of tumor lysis syndrome
Interventions
First injection of Rasburicase will be done the day of initiation of chemotherapy, or the day before, according to hyperuricemia. Additional doses are permitted q12h during the first 72 hours of chemotherapy if hyperuricemia persists or subject is considered to be at significant risk of tumor lysis complications.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chemotherapy planned for at least 3 cycles * Undergoing cytoreductive chemotherapy for ALL, multiple myeloma or Burkitt's lymphoma stage III or IV * With a minimum life expectancy of 3 months * Uric acid \> 8 mg% * Negative pregnancy test \< or =to 2 weeks and efficient contraceptive method. * Negative HIV serology \< or =to 4 weeks * Patient or legal guardian has signed a written informed consent
Exclusion criteria
* Hypersensitivity to uricases or any of the excipients * Known history of G6PD deficiency. * Previous treatment with Rasburicase or Uricozyme® * Pregnancy or lactation * Treatment with any investigational drug within 30 days before planned first Rasburicase administration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the uricolytic response to rasburicase treatment | 5 weeks (3 to 7 days of treatment, with follow-up of 4 weeks after the last study drug injection) |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate tumor lysis risk factors, treatments for tumor lysis syndrome and complications of treatment in patients treated prophylactically or therapeutically for tumor lysis syndrome | 5 weeks (3 to 7 days of treatment, with follow-up of 4 weeks after the last study drug injection) |
Countries
United States