Evidence map›Paper›PMID 41074700›Full record

GuidelineAmerican journal of hematology2026

Optimizing Asparaginase Treatment for Adolescent and Young Adult (AYA) Patients With Acute Lymphoblastic Leukemia: US Consensus Panel Recommendations.

Ibrahim Aldoss, Amir Ali, Ryan D Cassaday, Emily K Curran, Marlise R Luskin, Luke D Maese, Etan Orgel, Dan Douer

Registry-linked trialAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in American journal of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04817761 (SPARK-ALL), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04817761 phase2 / phase3terminatednot on this map

SPARK-ALL: A Multi-center, Open-label, Single-arm Phase 2/3 Trial Evaluating the Safety and Pharmacokinetics of Calaspargase Pegol for Treatment of Adults Aged 22 To >65 Years With Newly-diagnosed Philadelphia-negative ALL.

TypeinterventionalSponsorInstitut de Recherches Internationales ServierRan2021 to 2025Enrolled42ConditionsAcute Lymphoblastic LeukemiaArmsCalaspargase pegol (S95015)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. 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

8 authors.

Ibrahim AldossDivision of Leukemia, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, California, USA.ORCID 0000-0001-9564-4498
Amir AliUniversity of Southern California Norris Cancer Hospital, Los Angeles, California, USA.
Ryan D CassadayDivision of Hematology and Oncology, University of Washington School of Medicine, Seattle, Washington, USA.
Emily K CurranUniversity of Cincinnati, Cincinnati, Ohio, USA.
Marlise R LuskinDana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0002-5781-4529
Luke D MaesePrimary Children's Hospital, University of Utah-Huntsman Cancer Center, Salt Lake City, Utah, USA.
Etan OrgelCancer and Blood Disease Institute, Children's Hospital of Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-1487-6818
Dan DouerUniversity of Southern California Medical Center, Los Angeles, California, USA.

Funding

Jazz Pharmaceuticals
6 · The paper itself

Abstract

Asparaginase is an integral component of therapy for pediatric patients with acute lymphoblastic leukemia/lymphoblastic lymphoma. The success of asparaginase-containing regimens has led to trials of pediatric/pediatric-inspired regimens incorporating asparaginase for treating adolescent and young adult (AYA) and adult populations with acute lymphoblastic leukemia/lymphoblastic lymphoma. While treatment of AYA patients with these regimens is associated with improved clinical outcomes compared with adult-specific protocols, AYA patients face unique challenges with these treatments, further complicated by a rapidly evolving therapeutic landscape. In this article, we identify barriers and other feasibility issues associated with administering asparaginase-based treatment to AYA patients and provide recommendations from a consensus panel of experts to optimize AYA patient outcomes and experiences. Barriers identified include the limited access to clinical trials and specialized expertise in pediatric-inspired regimens for AYA patients compared with pediatric patients, the complex management of asparaginase toxicities, limited medical facilities and experienced staff to administer and manage pediatric-inspired regimens, and reduced AYA patient access/adherence to treatment due to lifestyle-related or psychosocial challenges. Recommendations are provided on addressing and managing these challenges to improve asparaginase-based treatment accessibility and safety in AYA patients, including specific recommendations for high-risk populations. Trial Registration: ClinicalTrials.gov: NCT04817761.

Indexed as

Antineoplastic AgentsAsparaginasePrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicHumansMaleUnited StatesYoung AdultAntineoplastic AgentsAsparaginaseacute lymphoblastic leukemiaasparaginaseAYA

Identifiers

PMID41074700
PMCPMC12669943

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.