Evidence map›Paper›PMID 42572987›Full record

GuidelineJournal of paediatrics and child health2026

Optimising Asparaginase Use and Managing Hypersensitivity in Australasia-A Clinical Practice Guideline From the Australian and New Zealand Children's Haematology/Oncology Group.

Matthew J O'Connor, Michelle Martin, Sarah M Trinder, Draga Barbaric, Diane Hanna, Chow Y Lai, Michael P Osborn, Tim Prestige, Bryony Ross, Leanne Super and 6 more

Abstract readPractice Guideline
In one paragraph

Guideline in Journal of paediatrics and child health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Matthew J O'ConnorMichael Rice Centre for Haematology and Oncology, Women's and Children's Hospital, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8965-1245
Michelle MartinChildren's Cancer Centre, Monash Health, Clayton, Victoria, Australia.ORCID https://orcid.org/0009-0006-1548-2147
Sarah M TrinderDepartment of Clinical Haematology, Oncology, Blood and Marrow Transplantation, Perth Children's Hospital, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-2474-8166
Draga BarbaricSchool of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4913-2218
Diane HannaChildren's Cancer Centre, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
Chow Y LaiChildren's Cancer Centre, Monash Health, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-8309-7914
Michael P OsbornMichael Rice Centre for Haematology and Oncology, Women's and Children's Hospital, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-1288-9930
Tim PrestigeBlood and Cancer Centre, Starship Children's Hospital, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-4078-5001
Bryony RossThe Children's Cancer and Haematology Service, John Hunter Children's Hospital, Newcastle, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5219-9176
Leanne SuperChildren's Cancer Centre, Monash Health, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-3830-0514
Thomas WalwynRoyal Hobart Hospital, Tasmania, Australia.ORCID https://orcid.org/0000-0003-1461-4612
Stacie S WangChildren's Cancer Centre, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.ORCID https://orcid.org/0000-0001-5476-9323
Andrew WoodBlood and Cancer Centre, Starship Children's Hospital, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-4850-6345
Andrew S MooreOncology Service, Children's Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-8062-1779
Rishi S KotechaDepartment of Clinical Haematology, Oncology, Blood and Marrow Transplantation, Perth Children's Hospital, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0003-1836-4075
Siobhan CrossChildren's Haematology/Oncology Centre, Christchurch Hospital, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-3103-9763

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsparaginase is a critical component of modern multi-agent chemotherapy regimens for paediatric acute lymphoblastic leukaemia and lymphoblastic lymphoma, with inadequate exposure leading to inferior patient outcomes.

objectivesTo develop a clinical practice guideline for the use of asparaginase products in the Australasian context.

methodsThis clinical practice guideline was developed following consultation and a review of the available published data and is designed to standardise treatment across the region.

resultsThis paper reports the position of the Australian and New Zealand Children's Haematology/Oncology Group (ANZCHOG) on key areas including established and new asparaginase products and their use in Australasia, monitoring and interpretation of serum asparaginase activity, care in the setting of hypersensitivity and management of suboptimal asparagine depletion.

conclusionsThis clinical practice guideline will assist clinicians in the Australasian region who provide care to children, adolescents and young adults receiving asparaginase therapy.

Indexed as

Antineoplastic AgentsAsparaginaseDrug HypersensitivityPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAustraliaChildHumansNew ZealandAntineoplastic AgentsAsparaginase

Identifiers

PMID42572987
PMCPMC13671243

What OpenQuestion holds

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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.