PMID- 15921627 OWN - NLM STAT- MEDLINE DCOM- 20090209 LR - 20220330 IS - 0253-2727 (Print) IS - 0253-2727 (Linking) VI - 26 IP - 2 DP - 2005 Feb TI - [Research on the pharmacokinetics and pharmacodynamics of L-asparaginase during its treatment of childhood acute lymphoblastic leukemia]. PG - 100-2 AB - OBJECTIVE: To investigate the changes in the activity of Escherichia coli asparaginase (L-asp) and the concentration of asparagines (ASN) in the plasma of the acute lymphoblastic leukemia (ALL) children receiving L-asp containing chemotherapeutic protocol to explore more reasonable usage of L-asp in the treatment of childhood ALL. METHODS: L-asp containing hemotherapy regimen of VDLP was used, in which L-asp (10,000 U/m(2)) was administered intravenously every other day for 10 doses in 15 children with ALL. A total of 340 peripheral blood samples were collected at scheduled time points during the therapy and plasma L-asp activity (by spectrophotometric assay) and asparagines concentration (by RP-HPLC) were measured. RESULTS: During the administration of L-asp, the plasma L-asp activity was increasing gradually peaked after eight doses and then decreased gradually, while the plasma concentration of asparagines maintained in complete or nearly complete depletion status. After the therapy courses finished, a plasma L-asp activity above 100 U/L with asparagines almost complete depletion status was lasting for about seven days. CONCLUSION: The current L-asp containing chemotherapeutic protocols in which L-asp was administered in a dose of 10 000/m(2) intravenously every other day, are efficient enough for the depletion of plasma ASN. FAU - Chen, Fu-xiong AU - Chen FX AD - Department of Pediatrics, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou 510120, China. FAU - Cui, Yan-qin AU - Cui YQ FAU - Wu, Zi-liang AU - Wu ZL FAU - Ye, Tie-zhen AU - Ye TZ FAU - Lai, Yong-hong AU - Lai YH FAU - Zou, Ya-wei AU - Zou YW FAU - Lu, Cheng-yu AU - Lu CY FAU - Guan, Jing-ming AU - Guan JM FAU - Wei, Feng-gui AU - Wei FG FAU - Zhang, Hui AU - Zhang H LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Xue Ye Xue Za Zhi JT - Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi JID - 8212398 RN - 7006-34-0 (Asparagine) RN - EC 3.5.1.1 (Asparaginase) SB - IM MH - Adolescent MH - Antineoplastic Combined Chemotherapy Protocols/blood/*pharmacokinetics/therapeutic use MH - Asparaginase/administration & dosage/blood/*pharmacokinetics MH - Asparagine/*blood MH - Child MH - Child, Preschool MH - Drug Administration Schedule MH - Female MH - Humans MH - Infusions, Intravenous MH - Male MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/blood/*drug therapy MH - Treatment Outcome EDAT- 2005/06/01 09:00 MHDA- 2009/02/10 09:00 CRDT- 2005/06/01 09:00 PHST- 2005/06/01 09:00 [pubmed] PHST- 2009/02/10 09:00 [medline] PHST- 2005/06/01 09:00 [entrez] PST - ppublish SO - Zhonghua Xue Ye Xue Za Zhi. 2005 Feb;26(2):100-2.