Evidence map›Paper›PMID 26317422›Full record

Trial reportPloS one2015

Protracted Administration of L-Asparaginase in Maintenance Phase Is the Risk Factor for Hyperglycemia in Older Patients with Pediatric Acute Lymphoblastic Leukemia.

Hideki Yoshida, Toshihiko Imamura, Akiko M Saito, Yoshihiro Takahashi, So-ichi Suenobu, Daiichiro Hasegawa, Takao Deguchi, Yoshiko Hashii, Hirohide Kawasaki, Mikiya Endo and 10 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

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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

20 authors at 15 institutions in 2 countries.

Hideki YoshidaDepartment of Pediatrics, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Toshihiko ImamuraDepartment of Pediatrics, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan.
Akiko M SaitoClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Yoshihiro TakahashiDepartment of Pediatrics, Aomori Prefectural Central Hospital, Aomori, Japan.
So-ichi SuenobuDivision of General Pediatrics and Emergency Medicine, Department of Pediatrics, Oita University, Oita, Japan.
Daiichiro HasegawaDepartment of Hematology/Oncology, Hyogo Prefectural Children's Hospital, Kobe, Japan.
Takao DeguchiDepartment of Pediatrics, Mie University, Tsu, Japan.
Yoshiko HashiiDepartment of Pediatrics, Osaka University, Suita, Japan.
Hirohide KawasakiDepartment of Pediatrics, Kansai Medical University, Hirakata, Japan.
Mikiya EndoDepartment of Pediatrics, Iwate Medical University, Morioka, Japan.
Hiroki HoriDepartment of Pediatrics, Mie University, Tsu, Japan.
Nobuhiro SuzukiDepartment of Pediatrics, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, Japan.
Yoshiyuki KosakaDepartment of Hematology/Oncology, Hyogo Prefectural Children's Hospital, Kobe, Japan.
Koji KatoDepartment of Hematology Oncology, Children's Medical Center, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Keiko Yumura-YagiYumura Clinic, Osaka, Japan.
Junichi HaraDepartment of Pediatric Hematology/Oncology, Osaka City General Hospital, Osaka, Japan.
Megumi OdaDepartment of Pediatrics, Okayama University, Okayama, Japan.
Atsushi SatoDepartment of Pediatric Hematology/Oncology, Miyagi Children's Hospital, Sendai, Japan.
Keizo HoribeClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Japan Association of Childhood Leukemia Study
Kobe Children's Hospital · JPKyoto Prefectural University of Medicine · JPMie University · JPNagoya Medical Center · JPAomori Prefectural Central Hospital · JPChildren's Medical Center · USIwate Medical University · JPKansai Medical University · JPKawamura Hospital · JPMiyagi Children's Hospital · JPNational Hospital Organization Hokkaido Medical Center · JPOita University · JPOkayama University · JPOsaka City General Hospital · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although L-asparaginase related hyperglycemia is well known adverse event, it is not studied whether the profile of this adverse event is affected by intensification of L-asparaginase administration. Here, we analyzed the profile of L-asparaginase related hyperglycemia in a 1,176 patients with pediatric acute lymphoblastic leukemia treated according to the Japan Association of Childhood Leukemia Study ALL-02 protocol using protracted L-asparaginase administration in maintenance phase. We determined that a total of 75 L-asparaginase related hyperglycemia events occurred in 69 patients. Although 17 events (17/1176, 1.4%) developed in induction phase, which was lower incidence than those (10-15%) in previous reports, 45 events developed during the maintenance phase with protracted L-asparaginase administration. Multivariate analysis showed that older age at onset (≥ 10 years) was a sole independent risk factor for L-asparaginase-related hyperglycemia (P<0.01), especially in maintenance phase. Contrary to the previous reports, obesity was not associated with L-asparaginase-related hyperglycemia. These findings suggest that protracted administration of L-asparaginase is the risk factor for hyperglycemia when treating adolescent and young adult acute lymphoblastic leukemia patients.

Indexed as

AdolescentAdultAge FactorsAsparaginaseChildChild, PreschoolFemaleHumansHyperglycemiaInfantMaintenance ChemotherapyMalePrecursor Cell Lymphoblastic Leukemia-LymphomaAsparaginase

Identifiers

PMID26317422
PMCPMC4552641
OpenAlexW1146115962

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Registered trials

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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.