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Rasburicase Treatment for Chemotherapy or Malignancy-Induced Hyperuricemia in Asthma/Allergy Patients
This study is currently recruiting participants.
Verified by St. Jude Children's Research Hospital, December 2008
Sponsors and Collaborators: St. Jude Children's Research Hospital
Sanofi-Aventis
Information provided by: St. Jude Children's Research Hospital
ClinicalTrials.gov Identifier: NCT00186940
  Purpose

This is a multi-center trial for rasburicase in children at high risk of tumor lysis syndrome who have a history of asthma/atopy. The main purpose of this study is to establish the safety of this drug in patients with a history of asthma or severe allergies.


Condition Intervention Phase
Leukemia
Lymphoma
Tumor Lysis Syndrome
Hyperuricemia
Drug: Rasburicase
Phase IV

MedlinePlus related topics: Allergy Asthma Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Leukemia, Childhood Lymphoma
Drug Information available for: Rasburicase
U.S. FDA Resources
Study Type: Interventional
Study Design: Supportive Care, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title: A Study of Rasburicase Treatment for Chemotherapy of Malignancy-Induced Hyperuricemia in Patients With a History of Asthma Allergies

Further study details as provided by St. Jude Children's Research Hospital:

Primary Outcome Measures:
  • Incidence of grade 3 or 4 allergic reactions [ Time Frame: Within 30 days of last treatment administration ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 72
Study Start Date: March 2005
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1 Drug: Rasburicase
Rasburicase 0.2 mg/kg/dose by the intravenous route for up to 7 days.

Detailed Description:

Because they were excluded from most of the clinical trials of non-recombinant urate oxidase and rasburicase, the safety of rasburicase in this population is not known, though preliminary data indicates that the drug is safe. The primary objective of this study is to estimate the proportion of grade 3 or 4 allergic reactions to rasburicase in patients with a history of asthma or severe allergy (to antigens other than rasburicase or other urate oxidases) treated with rasburicase for the prevention or treatment of malignancy or chemotherapy-induced hyperuricemia. Patients at risk of tumor lysis syndrome with a history of asthma/atopy will be treated with rasburicase according to standard practice and observed for allergic reactions.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • A diagnosis of hematologic malignancy.
  • Existing hyperuricemia or high risk of developing hyperuricemia of malignancy.
  • The treating clinician plans to treat the patient with rasburicase. A patient is only eligible for RASALL if the clinician has already decided to use rasburicase. Rasburicase should not be given in order to make a patient eligible for this non-therapeutic observational study.
  • No prior exposure to rasburicase or other urate oxidase.
  • A history of asthma or significant allergy.

Exclusion Criteria

  • Wheezing or an active hypersensitivity reaction at entry.
  • Hypersensitivity to Aspergillus proteins.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00186940

Contacts
Contact: Raul C. Ribeiro, MD 1-866-278-5833 info@stjude.org

Locations
United States, California
Stanford University Recruiting
Palo Alto, California, United States, 94304
United States, Indiana
Peyton Manning Children's Hospital at St. Vincent Recruiting
Indianapolis, Indiana, United States, 46260
Contact: Bassem Razzouk, MD            
Principal Investigator: Bassem Razzouk, MD            
United States, Maine
Maine Medical Center Recruiting
Portland, Maine, United States, 04102
United States, Massachusetts
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115-6084
United States, Michigan
Children's Hospital Michigan Recruiting
Detroit, Michigan, United States, 48201
United States, Rhode Island
Rhode Island Hospital Recruiting
Providence, Rhode Island, United States, 02903
Contact: Cindy Schwartz, MD            
Principal Investigator: Cindy Schwartz, MD            
United States, Tennessee
St.Jude Children's Research Hospital Recruiting
Memphis, Tennessee, United States, 38105
Contact: Raul C. Ribeiro, MD     866-278-5833     info@stjude.org    
Principal Investigator: Raul C. Ribeiro, MD            
United States, Texas
Cook Children's Medical Center Recruiting
Fort Worth, Texas, United States, 76104
MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
United States, Wisconsin
Mid-West Children's Cancer Center Recruiting
Milwaukee, Wisconsin, United States, 53226-4801
Sponsors and Collaborators
St. Jude Children's Research Hospital
Sanofi-Aventis
Investigators
Principal Investigator: Raul C. Ribeiro, MD St. Jude Children's Research Hospital
  More Information

St. Jude Children's Research Hospital  This link exits the ClinicalTrials.gov site

Responsible Party: St. Jude Children's Research Hospital ( Raul C. Ribeiro, Principal Investigator )
Study ID Numbers: RASALL
Study First Received: September 12, 2005
Last Updated: December 18, 2008
ClinicalTrials.gov Identifier: NCT00186940  
Health Authority: United States: Institutional Review Board

Keywords provided by St. Jude Children's Research Hospital:
leukemia

Study placed in the following topic categories:
Lymphatic Diseases
Leukemia
Hypersensitivity
Immunoproliferative Disorders
Hyperuricemia
Asthma
Tumor Lysis Syndrome
Lymphoproliferative Disorders
Rasburicase
Lymphoma

Additional relevant MeSH terms:
Neoplasms
Disease
Neoplasms by Histologic Type
Pathologic Processes
Immune System Diseases
Therapeutic Uses
Syndrome
Antirheumatic Agents
Gout Suppressants
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009