1. Pilot study investigating the intravenous administration of monomeric L-asparaginase to dogs with multicentric lymphoma.
- Author
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Botta, Vittorio, Camerino, Mariateresa, Bicanová, Ludmila, Heidrich, Ylva, Tepic, Slobodan, Cvetković, Goran, and Berlato, Davide
- Subjects
ASPARAGINASE ,INTRAVENOUS therapy ,LYMPHOMAS ,DOG diseases ,IMMUNOPHENOTYPING - Abstract
L-Asparaginase (ASNase) exerts its main anticancer activity by depleting L-Asparagine (Asn). In dogs with lymphomas, ASNase is commonly administered intramuscularly or subcutaneously and incorporated in multiagent protocols. The goal of this study is to assess plasma asparagine depletion and ASNase activity after intravenous administration of ASNase. A secondary goal was to investigate the toxicity and clinical response after intravenous infusion of high-dose ASNase. The study included ten dogs with naïve multicentric lymphoma. All dogs were immunophenotyped, staged, and followed to death. ASNase was administered intravenously at a dose of 3000 IU/kg on a Monday-Wednesday-Friday schedule. ASNase activity and Asn concentration were assessed on days 1, 3, and 5, before and after infusion, and on day 21. Clinical response and toxicity were assessed on weeks 2, 6, and 10, and then every 4 weeks until relapse. Plasma ASNase activity was sufficient to induce and maintain Asn depletion after and between each administration. The activity at day 21 was below detection in 8/10 dogs, and Asn was still depleted in 4/10 dogs. The ORR was 60% (respectively 40%CR and 20%PR). The median TTP was 31 days (95% CI 0–70). All dogs underwent rescue treatment with a multiagent protocol (8 CHOP and 2 LOPP). The median TTP after starting a rescue was not reached after 392 days. Mild gastrointestinal toxicity occurred in 30% of dogs, while hematologic toxicity or hypersensitivity reactions did not occur. ASNase activity and depletion of Asn were clinically adequate. The clinical efficacy was comparable with previous literature. The intravenous infusion of high-dose ASNase was well tolerated with only mild and self-limiting toxicity. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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