Monograph Details

Neoplasms > Miscellaneous oncology agents
ELSPAR
Manufacturer
Merck & Co., Inc.
Legal Classification
Rx
Pharmacological Class
Enzyme.
Generic Name
Asparaginase 10,000 IU/vial; pwd for IV or IM injection after reconstitution; contains mannitol; preservative-free.
Indications
Adjunct in acute lymphoblastic leukemia.
Adults and Children
Give by IV inj over at least 30 minutes or by IM inj (max 2mL/inj site). 6000 IU/m2 IM or IV three times per week.
Contraindications
Pancreatitis, serious hemorrhage, or thrombosis with prior use.
Precautions
Have resuscitation equipment available and observe for 1 hour post-dosing. Monitor blood counts, PT/INR, glucose, and hepatic function; and for pancreatitis (serum amylase, abdominal pain). Discontinue if serious allergic reactions, thrombotic events, or pancreatitis occurs. Elderly. Pregnancy (Cat.C). Nursing mothers: not recommended.
Adverse Reactions
Allergic reactions (including anaphylaxis), hyperglycemia, pancreatitis, CNS thrombosis, coagulopathy, hyperbilirubinemia, elevated transaminases.
How Supplied
Single-use vial—1
Additional Resources
Related Prescribing Note