Calaspargase pegol

Calaspargase pegol Brand Name– ASPARLAS

What is Calaspargase pegol

Calaspargase pegol-mknl is an asparagine specific enzyme that is indicated in combination with multi-agent chemotherapy for the treatment of acute lymphoblastic leukemia in patients 1 month to 21 years of age.

Use of calaspargase pegol is contraindicated in patients with serious hypersensitivity reactions to pegylated L-asparaginase, serious thrombosis during L-asparaginase therapy, or serious pancreatitis related to previous L-asparaginase treatment.

Indications

  • acute lymphocytic leukemia (ALL)

Side Effects

  1. anaphylactoid reactions
  2. AV block
  3. bleeding
  4. candidiasis
  5. colitis
  6. diarrhea
  7. disseminated intravascular coagulation (DIC)
  8. dyspnea
  9. elevated hepatic enzymes
  10. enterocolitis
  11. epistaxis
  12. GI bleeding
  13. heart failure
  14. hematoma
  15. hyperamylasemia
  16. hyperbilirubinemia
  17. hypoalbuminemia
  18. hypoxia
  19. infection
  20. infusion-related reactions
  21. intracranial bleeding
  22. pancreatitis
  23. pneumonitis
  24. prolonged bleeding time
  25. pulmonary embolism
  26. sinus tachycardia
  27. thromboembolism
  28. thrombosis

Monitoring Parameters

  • blood glucose
  • LFTs
  • pregnancy testing
  • serum amylase
  • serum lipase

Contraindications

  • bleeding
  • breast-feeding
  • coagulopathy
  • contraception requirements
  • hepatic disease
  • hyperglycemia
  • infusion-related reactions
  • L-asparaginase hypersensitivity
  • pancreatitis
  • pregnancy
  • pregnancy testing
  • reproductive risk
  • thromboembolism
  • thrombosis

Interactions

  • Dienogest; Estradiol valerate
  • Drospirenone
  • Drospirenone; Estradiol
  • Drospirenone; Ethinyl Estradiol
  • Drospirenone; Ethinyl Estradiol; Levomefolate
  • Estradiol; Levonorgestrel
  • Estradiol; Norethindrone
  • Estradiol; Norgestimate
  • Ethinyl Estradiol
  • Ethinyl Estradiol; Desogestrel
  • Ethinyl Estradiol; Ethynodiol Diacetate
  • Ethinyl Estradiol; Etonogestrel
  • Ethinyl Estradiol; Levonorgestrel
  • Ethinyl Estradiol; Levonorgestrel; Ferrous bisglycinate
  • Ethinyl Estradiol; Levonorgestrel; Folic Acid; Levomefolate
  • Ethinyl Estradiol; Norelgestromin
  • Ethinyl Estradiol; Norethindrone
  • Ethinyl Estradiol; Norethindrone Acetate
  • Ethinyl Estradiol; Norethindrone Acetate; Ferrous fumarate
  • Ethinyl Estradiol; Norethindrone; Ferrous fumarate
  • Ethinyl Estradiol; Norgestimate
  • Ethinyl Estradiol; Norgestrel
  • Leuprolide; Norethindrone
  • Levonorgestrel
  • Mestranol; Norethindrone
  • Norethindrone
  • Norgestrel
  • Oral Contraceptives
  • Palifermin
  • Penicillamine
  • Segesterone Acetate; Ethinyl Estradiol
  • Tuberculin Purified Protein Derivative, PPD
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