Evidence map›Paper›PMID 41225055›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Rasburicase vs. allopurinol: mortality in hematological malignancies post anti-hyperuricemic therapy - real-world study.

Mitchell Stuart Cairo, Jack Ray Gallagher, Yvonne Barnes, Edward Drea, Christopher Clark, Susan Carroll

Abstract readComparative Study
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

6 authors.

Mitchell Stuart CairoDepartments of Pediatrics, Medicine, Pathology, Microbiology and Immunology and Cell Biology and Anatomy, Maria Fareri Children's Hospital Westchester Medical Center (WMC), New York Medical College, 40 Sunshine Cottage Road, Valhalla, 10595, NY, USA. Mitchell_Cairo@NYMC.EDU.ORCID http://orcid.org/0000-0002-2075-434X
Jack Ray GallagherClarity Pharma Research LLC, 511 Audubon, Spartanburg, SC, 29302, USA.
Yvonne BarnesSanofi, Cambridge, 450 Water Street, MA, 02141, USA.
Edward DreaSanofi, Cambridge, 450 Water Street, MA, 02141, USA.
Christopher ClarkSanofi, Cambridge, 450 Water Street, MA, 02141, USA.
Susan CarrollClarity Pharma Research LLC, 511 Audubon, Spartanburg, SC, 29302, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective, real-world (RW) study utilizing propensity score matching investigated tumor lysis syndrome (TLS)-related mortalities following anti-hyperuricemic (HU) monotherapy (allopurinol vs. rasburicase) in hematological malignancies. The study aim was to determine if a significant difference exists in the proportion of TLS-associated mortalities in hematological malignancy patients who received either rasburicase or allopurinol.

methodsFollowing random selection of patient cases of rasburicase or allopurinol monotherapy, 141 in each group were PS-matched for TLS risk using 11 predictive covariates.

resultsRasburicase-treated patients had significantly lower TLS-associated mortality (2.1% (n = 3) vs. 7.1% (n = 10) (p = 0.047)).

conclusionsFollowing successful PS matching of TLS-risk factors, this study suggests rasburicase statistically significantly reduces TLS-associated mortalities compared to allopurinol.

Indexed as

AllopurinolGout SuppressantsHematologic NeoplasmsHyperuricemiaTumor Lysis SyndromeUrate OxidaseAdultAgedFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsAllopurinolGout SuppressantsrasburicaseUrate OxidaseHematological malignancyHyperuricemia (HUA)Liquid tumorPropensity score (PS)Real-world (RW)RetrospectiveTumor lysis syndrome (TLS)

Identifiers

PMID41225055
PMCPMC12611979

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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.