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Asparaginase is commonly used as a part of a multidrug regimen for acute lymphoblastic leukemia treatment.
Asparaginase (ASNase) is an important component of acute lymphoblastic leukemia (ALL) treatment, but is often discontinued because of toxicity.
Therapeutic drug monitoring (TDM) of asparaginase results in a significant reduction of the PEGasparaginase dose with adequate asparaginase activity levels and sufficient asparagine depletion. Also, with TDM, silent inactivation and allergic-like reactions are identified. However, there is limited effect of reduced asparaginase activity levels on toxici…