Meta AnalysisID 1410

应用培门冬酶治疗儿童和青少年急性淋巴细胞白血病:一项系统评价

CRD42017072495

Is PEG-asparaginase more effective for the treatment of acute lymphoblastic leukaemia than other medications of the same class currently in use?

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Record Fields

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Meta Analysis Id
1410
Evidence Id
9968
Core Evidence Id
9968
Source Meta Analysis Id
1365
Herb2 Meta Analysis Id
HBMA001365
Crd Id
CRD42017072495
Title
Pharmacological treatment of acute lymphoblastic leukemia in children and adolescents with a peg-asparaginase: a systematic review
Review Question
Is PEG-asparaginase more effective for the treatment of acute lymphoblastic leukaemia than other medications of the same class currently in use?
Study Type Included
We included randomized controlled trials.
Condition Being Studied
Leukemia is the childhood and juvenile cancer with a higher incidence in children and adolescents, and Acute Lymphoblastic Leukemia (ALL) is the most common subtype in this population, which presents a high survival rate in this group of individuals. Asparaginase is an enzyme extracted from the bacterium Echerichia coli effective in the treatment of ALL, but due to its immunogenic effects, many patients suspend their use during chemotherapy.
Participant
Children and adolescents (0 – 19 years).
Animal
Human Disease Modelled
Intervention
Asparaginase has several formulations, among them, the PEG-asparaginase, which has been formulated for the purpose of decreasing the immunogenic effects of the enzyme in the patient's body and thus avoiding treatment interruption.
Comparator Control
Other formulations of asparaginase, including a native Asparaginase derived from Escherichia coli.
Main Outcome
Efficacy in the treatment of ALL in comparison to the other formulations. Level of production of antiasparaginase antibodies. Event free- survival. Overall survival.
Outcome Measure
Additional Outcome
Plasma levels of asparagina.
Study Method
Systematic review
Keyword
Adolescents; Asparaginase; Child; Humans; Pegaspargase; Polyethylene Glycols; Precursor Cell Lymphoblastic Leukemia-Lymphoma
Contact
Camile Valle Medawar [email protected]
Organisational Affiliation
Pharmacy School - Federal Fluminense University. http://www.farmacia.uff.br
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
Portuguese-Brazil
Country
Brazil
Review Stage
Review Ongoing
First Submission Date
2017-12-07
Registration Date
2017-07-19
Anticipated Start Date
2017-08-01
Anticipated Completion Date
2018-08-01
Title Cn
应用培门冬酶治疗儿童和青少年急性淋巴细胞白血病:一项系统评价
Title En
Pharmacological treatment of acute lymphoblastic leukemia in children and adolescents with a peg-asparaginase: a systematic review
Bilingual Status
complete