Evidence map›Paper›PMID 19701676›Full record

Trial reportInternational journal of hematology2009

A study of rasburicase for the management of hyperuricemia in pediatric patients with newly diagnosed hematologic malignancies at high risk for tumor lysis syndrome.

Akira Kikuchi, Hisato Kigasawa, Masahito Tsurusawa, Keisei Kawa, Atsushi Kikuta, Masahiro Tsuchida, Yoshihisa Nagatoshi, Keiko Asami, Keizo Horibe, Atsushi Makimoto and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Tumor lysis syndrome: new challenges and recent advances.Advances in chronic kidney disease · 2014
    Review
  12. Hemolytic anemia following rasburicase administration: a review of published reports.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 10 institutions in 1 country.

Akira KikuchiDivision of Hematology/Oncology, Saitama Children's Medical Center, Saitama, Japan. akikuchi-tky@umin.ac.jp.
Hisato KigasawaDepartment of Hemato-oncology/Regeneration Medicine, Kanagawa Children's Medical Center, Yokohama, Japan.
Masahito TsurusawaDepartment of Pediatrics, Aichi Medical University Hospital, Aichi, Japan.
Keisei KawaDepartment of Hematology/Oncology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
Atsushi KikutaDepartment of Pediatrics, Fukushima Medical University Hospital, Fukushima, Japan.
Masahiro TsuchidaDepartment of Pediatrics, Ibaraki Children's Hospital, Mito, Japan.
Yoshihisa NagatoshiDepartment of Pediatrics, National Kyushu Cancer Center, Fukuoka, Japan.
Keiko AsamiDepartment of Pediatrics, Niigata Cancer Center Hospital, Niigata, Japan.
Keizo HoribeDepartment of Pediatrics, National Hospital Organization, Nagoya Medical Center, Nagoya, Japan.
Atsushi MakimotoDepartment of Pediatrics, National Cancer Center Hospital, Tokyo, Japan.
Ichiro TsukimotoChildren's Center, Saiseikai Yokohamasi Tobu Hospital, Yokohama, Japan.
Aichi Medical University Hospital · JPFukushima Medical University Hospital · JPIbaraki Children's Hospital · JPKanagawa Children's Medical Center · JPNational Hospital Organization · JPNational Hospital Organization Kyushu Cancer Center · JPNiigata Cancer Center Hospital · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPSaitama Children's Medical Center · JPTokyo National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor lysis syndrome (TLS), including hyperuricemia, is a frequent serious complication in patients with hematologic malignancies. This study in Japanese patients evaluated the efficacy, safety, and pharmacokinetic profile of rasburicase in pediatric patients with hematologic malignancies. Patients aged <18 years at high risk for TLS, with newly diagnosed hematologic malignancies, were randomized to intravenous rasburicase 0.15 mg/kg/day (n = 15) or 0.20 mg/kg/day (n = 15) for 5 days. Chemotherapy was started 4-24 h after the first rasburicase dose. Response was defined as a reduction in plasma uric acid to < or = 6.5 mg/dL (patients <13 years) or < or = 7.5 mg/dL (patients > or = 13 years) by 48 h after the first administration, lasting until 24 h after the final administration. Response rates were 93.3 and 100% with rasburicase 0.15 and 0.20 mg/kg/day, respectively. Uric acid levels declined rapidly within 4 h of starting rasburicase administration in both groups. Most adverse events were related to the underlying chemotherapy regimens. Two hypersensitivity reactions, including grade 1/2 pruritus, were considered to be related to rasburicase. Rasburicase is effective and well tolerated for the management of hyperuricemia in Japanese pediatric patients at high risk of developing TLS.

Indexed as

AdolescentAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolDrug HypersensitivityFemaleHematologic NeoplasmsHumansHyperuricemiaInfantMaleRecombinant ProteinsRisk FactorsTreatment OutcomeTumor Lysis SyndromeUrate OxidaserasburicaseRecombinant ProteinsUrate OxidaseUric Acid

Identifiers

PMID19701676
OpenAlexW1998253273

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.